Rate Setting Financial Analyst

State of Maine • Augusta, ME

3d • $66,206 - $94,058 • Hybrid

About The Position

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State’s career page and indicate on the application that they have previously worked for the State. . Department of Health and Human Services (DHHS) Opening Date: April 9, 2026 Closing Date: April 23, 2026 Job Class Code: CA28 Grade: 28 (Confidential) Salary: $66,206.40 - $94,057.60 per year Position Number: 02031-2525 Location: Augusta This position allows for partial telework with management approval. Currently, this position is not eligible for visa sponsorship or STEM OPT extensions. As a Rate Setting Financial Analyst, you will: 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.

Requirements

• To qualify, you must have 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.

Nice To Haves

• 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.
• 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.

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.

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 non-birthing 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.
• State employees are eligible for an extensive and highly competitive benefits package, covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level