Eligibility Specialist II

Eligibility Specialist II

This position allows for partial telework with management approval. Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

Core Responsibilities: 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.

What you'll do:

• 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.

Minimum Qualifications: 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- OR - a Bachelors Degree in Social Services, Business Administration, or other related field

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: 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 and 3+ weeks of vacation leave annually.
• Health Insurance Coverage - The State of Maine pays 85%-95% of employee-only premiums.
• Dental Insurance - The State of Maine pays 100% of employee-only dental premiums.
• Retirement Plan - The State contributes the equivalent of 14.06% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).
• Gym Membership Reimbursement - Improve overall health with regular exercise and receive up to $40 per month to offset this expense.
• Health and Dependent Care Flexible Spending Accounts - Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses.
• Public Service Student Loan Forgiveness - The State of Maine is a qualified employer for this federal program.
• Living Resources Program - Navigate challenging work and life situations with our employee assistance program.
• 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.
• Voluntary Deferred Compensation - Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.

There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role. 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.