Eligibility Specialist II
About The Position
This position allows for partial telework with management approval. Currently, this position is not eligible for visa sponsorship or STEM OPT extensions. As an Eligibility Specialist II, you’ll play a vital role in connecting Maine residents to key programs including MaineCare—the state’s largest health insurance program serving lower-income adults, children, older adults, and people with disabilities; SNAP or food benefits to help low-income people and families supplement their grocery budgets; and TANF or cash assistance to help families while they work towards becoming self-sufficient. In this position, you’ll help people navigate important life situations while ensuring accuracy in determining eligibility. The work is fast-paced, collaborative, and mission-driven with a strong focus on customer service, problem solving, and teamwork.
Requirements
- A four (4) year combination of education, training, and/or progressively responsible experience a social services setting which demonstrates interviewing and data gathering skills as needed to form basis for judgments in eligibility determinations, claims resolutions, and/or customer service requests
- A Bachelors Degree in Social Services, Business Administration, or other related field
Responsibilities
- Evaluate information and apply program standards to accurately determine complex eligibility decisions, often for multiple programs at the same time. This includes performing intermediate mathematical calculations.
- Use multiple technology systems to enter, review, and verify eligibility-related data and documentation.
- Clearly explain program rules, requirements, and decisions to applicants and recipients—in writing, over the phone, and in-person.
- Reviews 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.
- Engage in outreach efforts to provide program information, accept applications, and determine eligibility.
- Gather evidence, develop reports, and represent the Department at administrative hearings.
- Strong communication and interpersonal skills are essential as you’ll work with people from diverse backgrounds, with varying needs, and help them navigate complex systems during moments that matter.
Benefits
- 13 paid holidays
- 3+ weeks of vacation leave annually
- Personal leave for overtime-exempt employees
- 12 days of sick leave per year
- Health Insurance Coverage (State pays 85%-95% of employee-only premiums)
- Health Insurance Premium Credit (decreases employee-only premiums by 5%)
- Dental Insurance (State pays 100% of employee-only dental premiums)
- Retirement Plan (State contributes 14.06% of employee's pay to MainePERS)
- Gym Membership Reimbursement (up to $40 per month)
- Health and Dependent Care Flexible Spending Accounts
- Public Service Student Loan Forgiveness eligibility
- Living Resources Program (employee assistance program)
- Six weeks of fully paid parental leave for all employees welcoming a child
- Additional unpaid leave may be available under FMLA
- Voluntary Deferred Compensation (MaineSaves 457(b) account)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
