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Eligibility Specialist II

$12.85k - $15.11k

Mainerafting

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State’s career page and indicate on the application that they have previously worked for the State. Department of Health and Human Services (DHHS) Opening Date: May 29, 2026 Closing Date: June 11, 2026 Job Class Code: 5073 Grade: 21 (Professional & Technical Services) Salary: $21-54 - $30.14 per hour Position Number: 02000-2584 Location: Augusta This position allows for partial telework with management approval. Currently, this position is not eligible for visa sponsorship or STEM OPT extensions. Core Responsibilities The position of Eligibility Specialist II determines initial and continued eligibility for public assistance programs. This vacancy is within the Long-Term Care Eligibility Unit and has a strong focus on MaineCare policy. The position may also perform quality control work by reviewing eligibility decisions made by others. Work is done in a fast-paced environment that has high standards for customer service and program accuracy. The position gathers sensitive and personal information to make timely and accurate eligibility determinations. Strong interpersonal and conflict resolution skills are necessary as the Eligibility Specialist interacts with people from different walks of life and/or in various emotional states. Typical Duties Interview clients, obtain and assess all necessary facts, data, supporting information, and documentation pertaining to the application or recertification for public assistance. Evaluate information and apply allowable standards and criteria. Explain program eligibility requirements, rules, regulations, and individual rights and responsibilities to clients and their representatives. Reviews and analyzes information for accuracy; identifies inconsistencies; requests necessary documentation; verifies and validates data. Answers inquiries and refers clients to various programs. Accurately enter data into an automated system and ensures accurate eligibility results. Communicate verbally and in writing with clients, co-workers and other agencies. Perform intermediate mathematical calculations. Maintain confidentiality of all applicant and recipient information. Minimum Qualifications A four (4) year combination of education, training, and/or progressively responsible experience in 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 – OR – a Bachelors Degree in Social Services, Business Administration, or other related field. Benefits of Working for the State of Maine No matter where you work across Maine state government, you find employees who embody our state motto—"Dirigo" or "I lead"—as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including: Work-Life Fit – Rest is essential. Take time for yourself using 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 – The State of Maine pays 85%-100% of employee-only premiums ($12,845.82 - $15,112.76 annual value), depending on salary. Use this chart to find the Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($395.72 annual value). Retirement Plan – The State contributes the equivalent of 14.11% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS). Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including non-birthing and adoptive parents—receive six weeks of fully paid parental leave . Additional, unpaid leave may also be available, under the State employees are eligible for an extensive and highly competitive benefits package, covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness. Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for anything less than full-time. 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 our process ensures an inclusive environment to 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. If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request. #J-18808-Ljbffr

Vacancy posted 6 hours ago
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