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State of Maine · 2 weeks ago

Rate Setting Financial Analyst

Augusta, ME

Full-time

Onsite

Senior Level, Lead/Staff

$66K/yr - $94K/yr

8+ years exp

The State of Maine is dedicated to promoting health and social services for its residents. The Rate Setting Financial Analyst will research and analyze financial data to determine appropriate rates for services, produce fee schedules, and work with various departments to develop rate-setting methodologies for MaineCare reimbursement.

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Responsibilities

Research and analyze cost and financial data from various sources and determine appropriate rates and cost charges for services

Produce updated fee schedules on an annual basis, or on an ad hoc basis as rates are updated

Create fiscal impact analysis of potential annual rate changes, provider rate requests, and Legislative bills for changes in MaineCare Reimbursement

Create rate letters when a reimbursement methodology indicates that provider-specific rates are appropriate

Be responsible for providing DHHS administration with analysis of reimbursement rates associated with MaineCare and other Department programs

Work with program staff from OMS Policy, Provider Relations, Care Coordination, Delivery System Reform, and other OMS units, and also from other DHHS Offices, to develop and implement rate-setting methodologies and assumptions used to develop and authorize payments to providers for services delivered to MaineCare members

Be responsible for determining financial impact to the Department regarding proposed changes in reimbursement methods and/or levels

Supervise and cross-train other Rate Setting staff

Participate in the review and development of rate models and Alternative Payment Methodologies

Act as the Department’s subject matter expert on rate models and rate model elements as part of the Rate Reform process

Cover meetings when the Manager of Rate Setting is unavailable, acting as a subject matter expert

Qualification

Financial analysisCost analysisMedicaid program knowledgeGASB/GAAP knowledgeRate-setting methodologiesSupervisory skillsResearch skillsCollaboration skills

Required

An eight (8) year combination of education and/or experience comprised of a Master's Degree in Business Administration, Non-Profit Administration, Finance, or a closely related field and two (2) years of experience in cost, budget, and financial analysis

Directly related professional experience may be substituted for education on a year-for-year basis

A thorough knowledge of the Governmental Accounting Standards Board's Generally Accepted Accounting Principles (GASB/GAAP) evidenced through formal education and practical experience at the professional level

An established record of managing complex fiscal issues with successful outcomes

Ability to successfully partner with financial and program staff to achieve common goals

Ability to research law, regulations, and Medicaid policies to provide sound advice and recommendations to executive managers

Preferred

Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income populations

Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage

Benefits

Work-Life Fit – Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave , and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.

Health Insurance Coverage – The State of Maine pays 85%-100% of employee-only premiums ($12,845.82 - $15,112.76 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.

Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements .

Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($395.72 annual value).

Retirement Plan – The State contributes the equivalent of 18.91% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).

Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including fathers and adoptive parents—receive six weeks of fully paid parental leave . Additional, unpaid leave may also be available, under the Family and Medical Leave Act.