8 policy officer jobs found

If you are a current State of Maine employee, you must complete your application through the internal application process (Find Jobs Report). Please apply using your PRISM account. If you are on Seasonal Leave and do not have access to PRISM, contact your local Human Resources representative for application information. Department of Health and Human Services (DHHS) Medical Support Specialist Claims Opening Date: December 22, 2025 Closing Date: January 7, 2026 Job Class Code: 6574 Grade: 16 (Admin Svcs) Salary: $18.76 - $27.03 per hour Position Number: 02000-3161 Location: This is a full-time position located at 109 Capitol Street, Augusta, Maine. This opportunity allows partial telework with management approval. This position reports to the MaineCare Pharmacy Help Desk Supervisor. Core Responsibilities: • Responds to calls from MaineCare members, pharmacists, and technicians representing various coverage plans. • Research pharmacy claims and...

Company : United Concordia Dental Job Description : JOB SUMMARY This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent is new to the role and is developing competence in performing work assignments. ESSENTIAL RESPONSIBILITIES Load and maintain group information and benefit files. Interact and provide support activities to Account Managers (For UCD: Accounts Support Analysts are account managers for all small market clients. May also be involved with managing...

Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Operations Associate: ATM & Cash Process, Controls & Support Team (Work from Home) As a Capital One associate supporting a Retail Bank Operations Production Team, you will be part of a talented team responsible for executing activities in a fast-paced environment. You will contribute to a customer-centric culture, drive continuous improvement, innovation and be a champion for change. An associate in this role will be expected to support operational processes while maintaining focus on risk reduction, control adherence and delivery of an exceptional customer experience. General Responsibilities: Execute on operational processes with a high level of accuracy and efficiency as established by KPIs Monitor and document incoming inquiries, troubleshoot issues, identify root cause and coordinate remediation Support processes connected to internal and external systems leveraged across the ATM & Cash environment Review profile onboarding...

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent has foundational knowledge and experience, is building higher-level knowledge and skills, and makes independent contributions to projects. ESSENTIAL RESPONSIBILITIES Load and maintain group information and benefit files. Interact and provide support activities to Account Managers (For UCD: Accounts Support Analysts are account managers for all small...

Become a part of our caring community and help us put health first The Agent Support Representative provides timely and effective sales support to Humana's selling agents. The Agent Support Representative will handle a high volume of inbound and possible outbound phone calls to assist insurance agents with pre-enrollment inquiries including the following: agent compliance (contracting, licensing, and certification), pre-enrollment inquiries, and agent commissions. Where you Come In *: * Perform inbound and outbound calls from internal and external selling agents in a fast-paced call center. Assist agents with all pre-enrollment inquiries including compliance verification, enrollment, product, and processes. Utilize documents, websites, and local networks to research and resolve inquiries of agents, involving Member enrollment and company products. Leverage internal documentation and websites, along with online resources to investigate, guide, and...

Our Company Rehab Without Walls Neuro Rehabilitation Overview Our therapy team executes customized treatment plans that deliver real results and exceed patients' expectations. If you're motivated to give our clients a more positive quality of life we encourage you to apply today! Responsibilities Assists the patient in achieving the individualized treatment plan goals established by the clinical and/or residential team and provides feedback as needed. Ensures safety, living comfort, and hygiene needs of patient are met, while fostering independent functioning. May provide/arrange for transportation, and escort patient to medical/other appointments, and outings. Keeps staff and family members informed of all scheduled appointments. Adheres to/enforce Bill of Rights of patient and reports any violation to management. Implements community reintegration activities under the direction of the clinical and/or residential treatment team to assist the...

Our Company Rehab Without Walls Neuro Rehabilitation Overview Our therapy team executes customized treatment plans that deliver real results and exceed patients' expectations. If you're motivated to give our clients a more positive quality of life we encourage you to apply today! Responsibilities Assists the patient in achieving the individualized treatment plan goals established by the clinical and/or residential team and provides feedback as needed. Ensures safety, living comfort, and hygiene needs of patient are met, while fostering independent functioning. May provide/arrange for transportation, and escort patient to medical/other appointments, and outings. Keeps staff and family members informed of all scheduled appointments. Adheres to/enforce Bill of Rights of patient and reports any violation to management. Implements community reintegration activities under the direction of the clinical and/or residential treatment team to assist the...