Eligibility Specialist I
Lewiston, ME - USA
Job Summary
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Department ofHealth and Human Services (DHHS)
Opening Date:August 7 2026
Closing Date: August 20 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
Location: South Paris or Lewiston
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 youll play a vital role in connecting Maine residents to the health coverage they need through MaineCarethe states largest health insurance program serving lower-income adults children older adults and people with this position youll 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 youll 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 membersboth 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 youll 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 youre 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.
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 States 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.
Application Information:
For additional information about this position please contactMarcus Hatch at or by email at
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
Benefits of working for the State of Maine:
No matter where you work across Maine state government you find employees who embody our state mottoDirigo or I leadas they provide essential services to Mainers every day. We believe in supporting our workforces 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. Vacation leave accrual increases with years of service and overtime-exempt employees receive personal leave. When you or immediate members of your family are ill utilize 12 days of sick leave per year.
- Health Insurance Coverage The State of Maine pays85%-95% of employee-only premiums ($12213.60 - $13650.48 annual value) depending on salary. Use this chart to find thepremium costsfor 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 aboutprogram requirements.
- Dental Insurance The State of Maine pays 100% of employee-only dental premiums ($365.28 annual value).
- Retirement Plan The State contributes the equivalent of 14.06% of the employees pay towards the Maine Public Employees Retirement System (MainePERS) on behalf of the employee.
- 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. For more information visit the Federal Student Aid office.
- Living Resources Program Navigate challenging work and life situations with our employee assistance program.
- Parental leaveis one of the most important benefits for any working parent. All employees who are welcoming a childincluding non-birthing and adoptive parentsreceivesix weeks of fully paid parental leave. Additional unpaid leave may also be available under theFamily and Medical Leave Act.
- Voluntary Deferred Compensation Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.
State employees are eligible for anextensive 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 foranything less than full-time.
Theres a job and then theres 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 youre looking for a great next step and want to feel good about what you do wed love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.
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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.
Required Experience:
IC
About Company
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