Care Management Systems Coordinator

PCHC•Hampden, ME

About The Position

Penobscot Community Health Care is seeking a detail-oriented, collaborative, and systems-minded Care Management Systems Coordinator to support our Community Care Team (CCT), Chronic Care Management (CCM), and PCPlus programs. This is a unique opportunity for someone who enjoys improving processes, solving operational challenges, working with data, and supporting teams that help patients navigate complex healthcare needs. In this role, you'll serve as a key partner to leadership, clinical teams, and external stakeholders, helping ensure program compliance, reimbursement accuracy, quality performance, and operational success. The ideal candidate is organized, analytical, proactive, and energized by the opportunity to build efficient systems that support both exceptional patient care and sustainable program growth.

Requirements

High School Diploma required.
Minimum of three years’ experience in a primary healthcare or related profession, including experience in supporting multiple program and services lines required.
Experience in working with MaineCare or Kepro systems required.
Will have up-to-date training and certification in Healthcare Provider Basic Life Support issued by American Heart Association, American Red Cross, or American Health & Safety Institute. Must obtain within 2 weeks if not current at hire.

Nice To Haves

A college degree or equivalent post-secondary experience is preferred.
Certified Medical Assistant through the AAMA preferred.
PACE or Lean Six Sigma certification preferred.

Responsibilities

Develop and maintain workflows, tracking tools, reports, dashboards, and operational processes that drive efficiency, quality, and program success.
Help ensure documentation, billing, attestation, enrollment, and reporting requirements are completed accurately and on time to support compliance and reimbursement integrity.
Partner with leadership, clinical teams, finance, MaineCare, and other stakeholders to solve problems, implement improvements, and support evolving program needs.
Use reporting and quality data to identify opportunities for outreach, care gap closure, patient engagement, and improved health outcomes.
Serve as a resource for program requirements, workflow development, and emerging care management initiatives, helping teams adapt and succeed in a changing healthcare environment.
Take initiative, exercise independent judgment, and play a key role in shaping operational processes that support long-term program sustainability and organizational success.