Eligibility Specialist I

State of Maine•South Paris, ME

6d•$20 - $28•Hybrid

About The Position

The Eligibility Specialist I works for the 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 evaluates information, applies program standards, and makes accurate eligibility and benefits determinations. It involves reviewing and verifying records and documentation, explaining program rules and decisions, and connecting people with additional services. The position is fast-paced, collaborative, and mission-driven, with an emphasis on customer service, problem solving, teamwork, and communication with people from diverse backgrounds. This is a hybrid position with a partial in-office requirement in South Paris.

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.

Benefits

13 paid holidays and more than three weeks of annual vacation leave, with accrual increasing with years of service.
Personal leave for overtime-exempt employees.
12 days of sick leave per year.
State payment of 85%–95% of employee-only health insurance premiums, depending on salary.
Health insurance premium credit that reduces employee-only premiums by 5%, subject to program requirements.
State payment of 100% of employee-only dental insurance premiums.
State retirement contribution equivalent to 14.06% of employee pay toward MainePERS.
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 program through the Living Resources Program.
Six weeks of fully paid parental leave for employees welcoming a child, including non-birthing and adoptive parents.
Voluntary deferred compensation through a MaineSaves 457(b) account.