Eligibility Specialist I
About The Position
The Eligibility Specialist I works for the Maine Department of Health and Human Services (DHHS), helping Maine residents navigate MaineCare, the state’s health insurance program for lower-income adults, children, older adults, and people with disabilities. The role evaluates information and applies program standards to determine eligibility and benefits accurately, while providing customer service and support to people navigating complex systems. The work is fast-paced, collaborative, and mission-driven, with an emphasis on problem solving and teamwork. These positions are hybrid, with a partial in-office requirement, and are located in Skowhegan. The Office for Family Independence connects Maine people and families with MaineCare and other services and programs, including SNAP, TANF, and education and career programs. The Department of Health and Human Services promotes health, safety, resilience, and opportunity for Maine people and provides health and social services to approximately a third of the state’s population. The listed salary range is $19.88–$27.67 per hour. New State employees begin at Step 1, or $19.88 per hour. The openings are not eligible for visa sponsorship or STEM OPT extensions.
Requirements
- Two years of combined training, education, and/or experience in a health or human services setting.
- Demonstrated 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 accurately determine MaineCare eligibility and benefits.
- 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 with varying needs, helping them navigate complex systems.
Benefits
- 13 paid holidays and at least three weeks of vacation leave annually; vacation accrual increases with years of service.
- Personal leave for overtime-exempt employees.
- 12 days of sick leave per year.
- The State pays 85%–95% of employee-only health insurance premiums, depending on salary.
- A health insurance premium credit that reduces employee-only premiums by 5%, subject to program requirements.
- The State pays 100% of employee-only dental insurance premiums.
- State contribution equivalent to 14.06% of pay toward 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 through the State’s status as a qualified employer.
- Employee assistance program 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.
- Additional wellness benefits; benefits may vary by collective bargaining agreement and are prorated for less than full-time work.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
