Eligibility Specialist I

State of Maine•Farmington, ME

8d•$20 - $28•Hybrid

About The Position

The Eligibility Specialist I works for the Maine Department of Health and Human Services, helping Maine residents access MaineCare, the state’s health insurance program for lower-income adults, children, older adults, and people with disabilities. The role applies program standards to determine eligibility and benefits accurately, supports applicants and members as they navigate complex situations, and connects them with additional programs and services. The work is described as fast-paced, collaborative, mission-driven, and focused on customer service, problem solving, and teamwork. The position is hybrid with a partial in-office requirement.

Requirements

Two years of combined training, education, and/or experience in a health or human services setting.
The qualifying background must demonstrate competency in applying policies and rules to make decisions, maintaining and verifying digital records, and/or responding to client requests.
Strong communication and interpersonal skills.

Responsibilities

Evaluate information and apply program standards to determine MaineCare eligibility and benefits accurately.
Use multiple technology systems to enter, review, and verify eligibility-related data and documentation.
Explain MaineCare rules, requirements, and decisions to applicants and members in writing and over the phone.
Review and process information received electronically or by mail to ensure completeness and compliance.
Connect individuals with additional programs and services that may support their health and well-being.
Work with people from diverse backgrounds and varying needs, helping them navigate complex systems.

Benefits

13 paid holidays and more than three weeks of annual vacation leave, with vacation accrual increasing with years of service.
Overtime-exempt employees receive personal leave.
12 days of sick leave per year.
The State pays 85%–95% of employee-only health insurance premiums, depending on salary.
A 5% employee-only health insurance premium credit is available for participation in the applicable program.
The State pays 100% of employee-only dental insurance premiums.
The State contributes an amount equivalent to 14.06% of employee pay to the Maine Public Employees Retirement System.
Gym membership reimbursement of up to $40 per month.
Health and dependent care flexible spending accounts.
Eligibility for Public Service Student Loan Forgiveness.
Employee assistance through the Living Resources Program.
Six weeks of fully paid parental leave for employees welcoming a child, including non-birthing and adoptive parents.
Additional unpaid leave may be available under the Family and Medical Leave Act.
Voluntary deferred compensation through a MaineSaves 457(b) account.