A Compliance Officer or Analyst monitors internal compliance with company policies and also company compliance with local, state and federal laws. Reviews company documents, including contracts and marketing materials; communicates with employees and develops training and internal policy materials.
RCM Payer Performance Policy and Escalation Manager Location:
Scarborough, ME Schedule:
Full Time Job Category:
Professional - Nonclinical Req #: 88414
Date Posted:
Sep 3, 2026
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Share with Email Share on Twitter share to twitter Share on Facebook share to facebook Share on LinkedIn share to linkedin Apply Now Internal Apply Save Job Saved Description Professional - Nonclinical Req #: 88414 #LI-Rmote Is your world driven by actionable intelligent ? Ours is... The Payer Performance Team is responsible for converting payor and revenue cycle management information, system data, and subject matter expert input into actionable intelligence for denial prevention/reduction & reimbursement protection. If this mission resonates strongly with you, we would love to hear from you!
Summary:
The RCM Payer Performance Policy and Escalation Manager is responsible for coordinating payer performance initiatives across the Revenue Cycle. This role facilitates a unified and accurate presentation of data and project related work as it pertains to payer policy impacts, payer claim resolution projects, and coverage research that impact payer performance, claim resolution, contract adherence, clinical initiatives, and reimbursement accuracy. Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education:
Bachelor's degree in business, finance, healthcare administration, or related field. May accept a combination of management and technical experience equivalent to a degree
Experience:
3 to 5 years in revenue cycle operations, payer relations, auditing and appeals, medical insurance, or other healthcare experience. Experience in a multi-facility or integrated health system preferred.
Additional Skills/Requirements Required:
Proficiency in data visualization and reporting tools, such as Excel, SmartSheets, Epic Additional Information MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally. We recognize the value each team member brings to our organization. Any offer of employment will depend on qualifications such as skills, relevant experience, education, certifications, and other job-related factors. The base range is an estimate and does not reflect the full value of our total compensation package. The pay range for this position is $71,448.00 to $96,636.80 per year. Compensation for part-time positions is determined on a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE). In addition to base pay, MaineHealth offers comprehensive benefits, recognition programs, career growth opportunities, and, where applicable, shift differentials or other incentives. If you have questions about this role, please contact kaye.cross@mainehealth.org Hiring Scam Alert MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org.
Notice Regarding Maine Employer Surveillance Statute:
Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras. Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.
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Notice Regarding Maine Employer Surveillance Statute:
Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras. Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.
