MaineCare Medical Director

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Department of Health and Human Services (DHHS)

Public Service Coordinator III

Opening Date: October 13, 2026

Closing Date: October 26, 2026

Job Class Code: CA62

Grade: 62 (Confidential)

Salary: $179,129.60 – $254,654.40 per year

Position Number: 20002-5275

Location: Augusta

• Limited Period Position-

Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

Core Responsibilities

The MaineCare Medical Director is responsible for providing clinical leadership and guidance for the MaineCare program to support MaineCare goals and objectives and in alignment with MaineCare priorities, as established in coordination with the MaineCare Director and the Commissioner’s Office of the Department of Health and Human Services (DHHS).

The Medical Director supports development, implementation, and operations of policy, programs, and initiatives that aim to improve health outcomes for MaineCare members, achieve improved health outcomes for all populations served by MaineCare, and promote high value care.

The Medical Director directly communicates with healthcare providers in the state, participates in relevant advisory groups, sponsors or leads certain initiatives to improve internal care coordination functions as well as to reform the broader external delivery system, and, when needed, interacts with the state legislature at the direction of the Office of MaineCare Services (OMS) and DHHS leadership.

This position will be a member of the OMS Senior Management Team.

In that capacity, the position will serve as a senior level liaison to other teams within and outside OMS, promote cross-team collaboration and communication, contribute to budget and legislative planning, advise senior and executive leaders, and provide updates on project progress and advancements of key priorities.

To accomplish this, the person in this position must understand how the teams’ work is connected to the work of other teams within OMS and other state agencies.

As a senior leader within the office, this position must be able to understand, professionally and confidently represent, and promote the work, values, and priorities of the division, Office, and Department to both internal and external audiences.

The person in this position must be able to think critically and creatively, be solution-oriented, take a high degree of initiative, show good judgment, and work under minimal supervision.

The position will supervise one direct report, the Care Coordinator Manager, and over 30 indirect reports, both clinical and non-clinical, across five teams/areas of the Care Coordination Division (Prior Authorization, Complex Case Unit, Emergency Department Collaborative, HIV Waiver, and VitalCare for Kids (EPSDT)). These teams work with and on behalf of MaineCare members who have complex medical needs to support their ability to access timely critical services.

Key Priorities for This Position Include

• Ensuring that OMS coverage policies are well-grounded in clinical evidence and well-positioned to effectively serve all MaineCare members
• Supporting the advancement of MaineCare’s focus on value-based care and alternative payment models
• Providing clinical leadership and oversight to improve the effectiveness of care coordination and utilization management for high-need MaineCare members provided by MaineCare staff, external vendors and through healthcare delivery system initiatives
• Collaborating with MaineCare and DHHS analytics, research and evaluation teams to help direct and interpret efforts to identify and address areas of health disparities

Typical Responsibilities and Duties Include

• Supervising teams to ensure that work is appropriately assigned, prioritized, scheduled, and executed in accordance with agreed upon plans and supporting direct reports to learn and grow
• Assisting with the development of quality standards and performance measures to assess provider performance and member health outcomes
• Assisting with the development of and, in certain cases, sponsor or lead MaineCare strategic initiatives to promote delivery system reform and/or the elimination of health inequities
• Supporting Maine’s Medicaid program through participation in national leadership and learning opportunities to inform and stay current on Medicaid best practices and foster state to-state learnings, including Medicaid Medical Director networks, national technical assistance opportunities, and presentations at local and national meetings
• Participating in DHHS cross-office initiatives that require input from the MaineCare Medical Director
• Providing clinical guidance on day-to-day MaineCare operations, projects and grant applications
• Participating as a member of MaineCare senior leadership
• Representing OMS and DHHS to internal and external stakeholders, including, but not limited to, other DHHS offices, MaineCare providers, advocacy associations and organizations, and MaineCare vendors

This position reports to the MaineCare Director.

Minimum Qualifications

• Medical degree (MD or DO) from an accredited school of medicine; OR a Master of Nursing from an accredited school of nursing; OR a Master of Science, Physician Assistant, from an accredited university
• Active State of Maine medical, nurse practitioner, or physician assistant license
• Relevant board certification
• Minimum of five (5) years of direct patient care experience, and relevant medical knowledge, with particular experience in adult primary care for Medicaid-eligible populations

Preferred Experience Includes

• Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage
• Direct experience with and knowledge of the Medicaid program, other health and human services programs serving low-income populations, and populations served, with an emphasis on populations with complex needs (e. g. members experiencing homelessness, with substance use disorder, serious mental illness, comorbid and complex medical conditions)
• Prior experience in medical leadership, in a management or supervisory role (e. g. practice or organizational Medical Director) within a large, complex organization, working with cross-functional teams, including operations
• Advanced training or experience in health care management, public health, public policy, and/or business administration
• Prior experience in the analysis, interpretation, development, and implementation of policy, programs and data predominantly benefiting lower income populations at the state or federal level
• Ten (10) or more years of direct patient care experience, and relevant medical knowledge, with particular experience in adult primary care for Medicaid-eligible populations

The background of well-qualified candidates will demonstrate the following competencies:

• Leadership skills necessary to problem solve, make decisions, and envision and articulate change to address complex clinical, compliance, policy, and operational issues and goals
• Capacity to balance and negotiate between multiple, changing priorities
• Proven ability and motivation to effectively develop and/or manage multiple short- and long-term projects with diverse interested parties and partners internal and external to the team and agency
• Ability to be data driven, with a working knowledge of medical coding, claims and interpretation of data analysis
• Solid written and oral communication and presentation skills, including the ability to articulate issues in a concise manner that is understandable to a wide range of audiences
• Effective interpersonal influence, collaboration, team building and conflict management skills

Thinking about applying?

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Agency Information

The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people.

The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders.

The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.

The Office of MaineCare Services (OMS) within DHHS administers the state’s Medicaid program, which provides free or low-cost health insurance coverage for low-income Mainers so they can access the health care services they need to work, care for family, go to school, and participate in the community.

OMS works collaboratively with other State agencies, the Legislature, the Office of the Governor, MaineCare members, health care providers, and other health care purchasers on statewide healthcare improvement initiatives.

OMS is committed to advancing health equity efforts to improve access to care and positive health outcomes for all low-income Mainers. OMS provides benefit coverage and support services in alignment with Department goals, federal requirements, and State statutes.

OMS also provides oversight necessary to ensure accountability and efficient and effective administration of the state’s Medicaid program.

Application Information

• For additional information about this position, please contact Melinda Frappier at 207-592-4719.
• Please submit all documents or files in PDF or Word format.
• To request a paper applicati