Eligibility Specialist I

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: 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 This opening is a hybrid position with a partial in office requirement. Currently, this position is 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. 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. Minimum Qualifications: To qualify for this position, you must have a two (2)-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. Thinking about applying? Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart. Application Information: For additional information about this position please contact Marcus Hatch at View phone number on click.appcast.io or by email at View email address on click.appcast.io To apply, please upload a resume, cover letter, and transcript (transcript needed only if education is used to meet the minimum qualifications). Please submit all documents or files in a PDF or Word format. To request a paper application, please contact View email address on click.appcast.io 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 premium costs for you and your family, including the percentage of dependent coverage paid by the State. Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements. 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 Family and Medical Leave Act. 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. If you are unable to complete the online application, please contact the Human Resources representative listed on the job opening you are interested in applying for. They will work with you for an alternative method of submitting. #J-18808-Ljbffr