Case Control Quality Technician

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 States career page and indicate on the application that they have previously worked for the State.

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Department ofHealth and Human Services (DHHS)

Opening Date: April 24 2026

Closing Date:May 8 2026

Job Class Code:3064
Grade:18 (Professional/Technical B.U.)
Salary:$19.02 - $26.48 per hour

Position Number:02024-1674

Location: Winthrop

This position allows for partial telework with management approval after the first 6 months.

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

Are you an experienced accounting professional who is detail oriented and enjoys independent work in a dynamic fast-paced environment Do you possess a high degree of initiative Then Maine Disability Determination Services (DDS) is looking for you!

Core Responsibilities:

The Case Control Quality Tech reviews and analyzes Disability Determination Services (DDS) and Social Security Administration (SSA) disability claims data to ensure proper receipt and closure of claims. The positions work requires excellent attention to detail and organizational skills as well as a knack for proofreading. Responsibilities include identifying trends in errors and instructing the professional staff concerning proper coding. The work of this class is distinguished from the Disability Claims Examiner classification by the substantive medical and legal determination knowledge required of the Examiner. The Case Control Quality Technician requires the ability to perform technical analysis of medical and vocational data. Work is performed under general supervision.

Core Responsibilities:

• Reviews disability determination decisionstoidentify and correct technical coding errors for intake and closure of claims.
• Identifying and resolving minor case intake issues. This includes requesting prior folders or initiating Assistance Requests for local Social Security offices to resolve filing issues.
• Accurately prepares and routes paper claims folders to proper destinations.
• Mailing appropriate notices and pamphlets to claimants and representatives.
• Tracks records and determines systemic trends in errorstoinstruct professional staff in correct coding.
• Writes and submits reports on coding problems and production trendstocomply with state and federal mandates.
• Reviews completes enters and retrieves case control documentstomaintain accurate computer records.
• Analyzes prepares and submits case cost reportstoprovide cost control information.
• Assists with outgoing mail processing including use of inserter and postage machines.
• May assist with document validation scanning or other clerical tasks

Minimum Qualifications:

A two (2) year combination of training and experience at the advanced clerical level in hospital insurance or related coding or in the services of disability determination.

Preference given to candidates with SSA Disability related:

• Knowledge of body systems.
• Knowledge of vocational systems.
• Knowledge of the program operations manual system.
• Knowledge of Social Security Administration and department forms.
• Familiarity with SSA disability policies and procedures.

Your conditional job offer and access to Social Security Administrations (SSAs) systems data information and/or premises are contingent upon you passing the SSA suitability process.

Thinking about applying

Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If youre currently reading this and hesitating to apply for that reason we encourage you to go for it! Let us know how your experience and passion set you apart.

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 States 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.

Application Information:

For questions about this position please contact Samantha Gilman at

Please upload a recent resume and cover letter.

Please submit all documents or files in PDF or Word format.

To request a paper application please contact

Benefits of working for the State of Maine:

No matter where you work across Maine state government you find employees who embody our state mottoDirigo or I leadas they provide essential services to Mainers every day. We believe in supporting our workforces health and wellbeing with a valuable total compensation package including:

• Work-Life Fit Rest is essential. Take time for yourself using13 paid holidays 12 days of sick leave and3 weeks of vacation leaveannually. Vacation leave accrual increases with years of service and overtime-exempt employees receive personal leave.
• Health Insurance Coverage The State of Maine pays85%-100%of employee-only premiums ($12845.82 - $15112.76 annual value) depending on salary. Use this chart to find thepremium costsfor 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 aboutprogram 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 14.11% of the employees pay towards the Maine Public Employees Retirement System (MainePERS).
• Parental leaveis one of the most important benefits for any working parent. All employees who are welcoming a childincluding non-birthing and adoptive parentsreceivesix weeks of fully paid parental leave. Additional unpaid leave may also be available under theFamily and Medical Leave Act.

State employees are eligible for anextensive 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.

Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated foranything less than full-time.

Theres a job and then theres purposeful transformative work. Our aim is to create a workplace where you can learn grow and continuously refine your skills. Applicants demonstrate job requirements in differing ways and we appreciate that many skills and backgrounds can make people successful in this role.

As an Equal Opportunity employer Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members and our process ensures an inclusive environment to applicants of all backgrounds including diverse race color sex sexual orientation or gender identity physical or mental disability religion age ancestry national origin familial status or genetics.

If youre looking for a great next step and want to feel good about what you do wed love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.

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If you are unable to complete the online application please contact the Human Resources representative listed on the job opening you are interested in applying for. They will work with you for an alternative method of submitting.