Eligibility Specialist I

Job Details Department of Health and Human Services (DHHS). Opening Date: June 22, 2026. Closing Date: July 6, 2026. Job Class Code: 5075. Grade: 18 (Professional & Technical Services). Salary: $19.02 - $26.48 per hour. New State employees begin at Step 1, $19.02 per hour. Position Numbers: 02000‑3801, 02000‑3799, 02000‑3785, 02000‑3807. Location: Wilton. Hybrid position with partial in‑office requirement. Not eligible for visa sponsorship or STEM OPT extensions. Core Responsibilities As an Eligibility Specialist I, you’ll play a vital role in connecting Maine residents to the health coverage they need through MaineCare—the state’s largest health insurance program serving lower‑income adults, children, older adults, and people with disabilities. 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. What you’ll do 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. Clearly explain MaineCare rules, requirements, and decisions to applicants and members—both 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. Minimum Qualifications To qualify for this position, you must have a two‑year combination of training, education, and/or experience in a health or human services setting which demonstrates competency in applying policies and rules to make decisions, maintaining and verifying digital records, and/or responding to client requests. Agency Information The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State’s population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers. The Office for Family Independence (OFI) connects Maine people and families to services and programs that foster health, safety, resilience, and opportunity including MaineCare (Medicaid), the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), and other education and career programs. Benefits of Working for the State of Maine Work‑Life Fit – 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime‑exempt employees receive personal leave. Health Insurance Coverage – State pays 85%-100% of employee‑only premiums ($12,845.82–$15,112.76 annual value). Dental Insurance – State pays 100% of employee‑only dental premiums ($395.72 annual value). Retirement Plan – State contributes the equivalent of 14.11% of employee’s pay toward the Maine Public Employees Retirement System (MainePERS). Parental Leave – Six weeks of fully paid parental leave for all employees welcoming a child, including non‑birthing and adoptive parents. Additional unpaid leave may be available under the Family and Medical Leave Act. Equal Opportunity Statement As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members and ensuring an inclusive environment for applicants of all backgrounds, including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics. Reasonable accommodations are provided to qualified individuals with disabilities upon request. #J-18808-Ljbffr