Community Engagement Eligibility Associate
About The Position
The Community Engagement (CE) Eligibility Associate provides critical support to the Office for Family Independence (OFI) Community Engagement eligibility and outreach functions. This role focuses on navigating state eligibility systems, completing data entry and analysis, and communicating with MaineCare (MC) members by phone and in writing. The primary objective is to support compliance with Public Law 119‑21 establishing Community Engagement requirements for Medicaid expansion enrollees and to reduce administrative burden while increasing passive renewals for MaineCare members. This role plays a key part in supporting approximately 85,000 MaineCare members subject to CE requirements and contributes directly to OFI’s goal of meeting federal compliance requirements by January 1, 2027.
Requirements
- Demonstrated ability to apply principles of high‑quality customer service when assisting the public with eligibility‑ or compliance‑based programs
- Ability to make independent decisions regarding processes, information handling, and next steps within established procedures
- Proficiency with Microsoft Office applications (Outlook, Word, Excel)
- Strong verbal and written communication skills, including telephone‑based client interaction
- Ability to navigate multiple systems accurately and efficiently in a remote environment
Responsibilities
- Process MaineCare case updates, including accurate data entry in OFI eligibility systems
- Apply program policies to individual case circumstances and identify required verifications
- Update client information in the Automated Client Eligibility System (ACES)
- Conduct outreach to clients via phone and other approved communication methods
- Respond to inbound calls and correspondence from the public to:
- Answer basic eligibility or case‑status questions
- Provide program information
- Triage complex issues to Eligibility Specialists when appropriate
- Perform additional MaineCare eligibility and administrative tasks that support Community Engagement readiness and compliance
Benefits
- Health, vision, and dental insurance
- 401(k) with discretionary employer match
- Paid time off and holidays
- Flexible spending accounts
- Additional employee perks
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
101-250 employees
