Eligibility Specialist II – Long Term Care

State of Maine•Augusta, GA

9d•Hybrid

About The Position

The Eligibility Specialist II determines initial and continued eligibility for public assistance programs. This position is in the Long-Term Care Eligibility Unit and focuses strongly on MaineCare policy. The role may also include quality-control work reviewing eligibility decisions made by others. Work takes place in a fast-paced environment with high standards for customer service and program accuracy. The specialist gathers sensitive personal information to make timely, accurate eligibility determinations and interacts with people from varied backgrounds and emotional circumstances, requiring strong interpersonal and conflict-resolution skills. The position is located in Augusta and allows partial telework with management approval. It is not eligible for visa sponsorship or STEM OPT extensions.

Requirements

A four-year combination of education, training, and/or progressively responsible experience in a social services setting demonstrating interviewing and data-gathering skills needed to support judgments in eligibility determinations, claims resolutions, and/or customer service requests; or a bachelor’s degree in Social Services, Business Administration, or another related field.
Strong interpersonal and conflict-resolution skills.
Ability to gather sensitive personal information and make timely and accurate eligibility determinations.
Ability to provide customer service and maintain program accuracy in a fast-paced environment.

Responsibilities

Interview clients and obtain and assess facts, data, supporting information, and documentation for public assistance applications or recertifications.
Evaluate information and apply allowable standards and criteria.
Explain program eligibility requirements, rules, regulations, and clients’ and representatives’ rights and responsibilities.
Review and analyze information for accuracy, identify inconsistencies, request documentation, and verify and validate data.
Answer inquiries and refer clients to various programs.
Enter data accurately into an automated system and ensure accurate eligibility results.
Communicate verbally and in writing with clients, coworkers, and other agencies.
Perform intermediate mathematical calculations.
Maintain confidentiality of applicant and recipient information.
May conduct quality-control reviews of eligibility decisions made by others.

Benefits

13 paid holidays and 3+ weeks of annual vacation leave; vacation accrual increases with years of service, and overtime-exempt employees receive personal leave.
12 days of sick leave per year.
State payment of 85%–95% of employee-only health insurance premiums, depending on salary; a 5% employee-only premium credit is available through program participation.
State payment of 100% of employee-only dental insurance premiums.
State 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 (Living Resources Program).
Six weeks of fully paid parental leave for employees welcoming a child; 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.