Eligibility and Enrollment Analyst

Department of Health and Human Services; Augusta (ME); On-site; USD 65,000 - 92,000; Full time

Benefits offered by this job

13 paid holidays

3+ weeks vacation

Health insurance coverage

Retirement plan

Job summary

The Department of Health and Human Services in Augusta seeks a Public Service Coordinator I to analyze MaineCare eligibility and enrollment trends, forecast impacts, and develop PMPM cost analyses. You will coordinate data between OMS and OFI, create analytical datasets, and present findings to senior management to support budget decisions.

Qualifications include a bachelor’s degree in a data-related field and at least two years of data analysis experience, with Medicaid data experience

Qualifications

• Bachelor’s Degree in a data-related field and 2 years of data/financial analysis experience.
• Directly related professional experience may substitute education on a year-for-year basis.
• Prior Medicaid or financial data analysis experience preferred.

Responsibilities

• Create MaineCare member enrollment reports.
• Coordinate with OFI to analyze eligibility data and share OMS data.
• Create analytical datasets by integrating raw data sources from OMS and OFI.
• Validate and maintain data integrity in MaineCare data warehouses and decision support systems.
• Prepare reports, data visualizations, analyses, and forecasts for clinical, operational, and budget initiatives.
• Present analyses and recommendations to MaineCare senior management or DHHS units.
• Collaborate on multi-disciplinary projects of varying scope.
• Develop fiscal impact analyses for legislative bills and budget initiatives.

Skills

SQL

Data analysis

Budget forecasting

Education

Bachelor's degree in Data Analytics, Statistics, Economics, Business Administration, or related field

Tools

Pivot tables

Macros/Visual Basic

Job description

Job Details

Department of Health and Human Services (DHHS) Public Service Coordinator I

Opening Date: September 3, 2026 Closing Date: September 17, 2026 Job Class Code: CA26 Grade: 26 (Confidential) Salary: $64,916.80 - $91,769.60 per year Position Number: 20002-5211 Location: Augusta

Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

Job Description

The Eligibility and Enrollment Analyst provides key information obtained through data analysis related to eligibility and enrollment trends and associated programmatic impacts. This position will create fiscal impact analyses related to future state and federal legislation impacting MaineCare member enrollment and will assist in creating and applying per member per month (PMPM) cost analysis. This position will research and incorporate the impact of broader economic trends into enrollment forecasting.

• Create MaineCare member enrollment reports.
• Coordinate with the Office for Family Independence (OFI) to gather and analyze eligibility and enrollment data and share relevant Office of MaineCare Services (OMS) data back to OFI.
• Create analytical datasets by integrating multiple raw data sources from both OMS and OFI using a variety of programming languages and data management tools.
• Validate and maintain data integrity within MaineCare’s data warehouses, decision support and claims processing systems.
• Prepare reports, data visualizations, analyses, and forecasts to support clinical, operational, and budgetary initiatives.
• Present analyses and recommendations to the MaineCare senior management team, OFI, or other units within the Department.
• Work individually and as part of multi-disciplinary teams on projects varying in size and scope from short-term ad-hoc requests to long-term strategic initiatives while collaborating with other OMS units and DHHS offices.
• Develop fiscal impact analyses for Legislative bills and for Department budget initiatives.

Minimum Qualifications

In order to qualify for this position, you must have a six (6) year combination of education and/or experience that includes a bachelor’s Degree in Data Analytics, Statistics, Economics, Business Administration, or a closely related field -AND- two (2) years of responsible experience in data analysis, accounting, and/or financial analysis. Directly related professional experience may be substituted for education on a year-for-year basis. Prior experience in analyzing Medicaid program or financial data is preferred.

Preferred experience includes

• Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income populations
• Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage

Competencies

1. Prior experience in analyzing program details and eligibility/enrollment for Medicaid or other social service programs.
2. The ability to accurately interpret, apply, and communicate the impact of changes to both state and federal regulations.
3. Advanced technical skills in the use of programming tools such as SQL and spreadsheets (e.g., pivot tables, functions, macros/Visual Basic script, etc.), along with database query/reporting methodologies and statistical analysis skill sets.
4. Familiarity with public administration and financial management processes, practices, and techniques.
5. The ability to communicate effectively, whether orally, in writing, or through the use of data visualizations.

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 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 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 of MaineCare Services (OMS) within DHHS administers the state’s Medicaid program, which provides free or low-cost health insurance coverage for low-income Mainers so they can access the health care services they need to work, care for family, go to school, and participate in the community. OMS works collaboratively with other State agencies, the Legislature, the Office of the Governor, MaineCare members, health care providers, and other health care purchasers on statewide healthcare improvement initiatives. OMS is committed to advancing health equity efforts to improve access to care and positive health outcomes for all low-income Mainers. OMS provides benefit coverage and support services in alignment with Department goals, federal requirements, and State statutes. OMS also provides oversight necessary to ensure accountability and efficient and effective administration of the state’s Medicaid program.

The Analytics team is located within a broader OMS Data Analytics unit. The Analytics team supports OMS and broader DHHS operations, initiatives, and decision-making through the analysis of financial and healthcare data. As a member of the Analytics team, the Eligibility and Enrollment Analyst works to maximize the health and wellness of the MaineCare population by coordinating data collection between OMS and the Office for Family Independence (OFI) and performing data analysis related to MaineCare member eligibility.

Benefits of working for the State of Maine

• 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 pays 85%-95% of employee-only premiums ($12,213.60 - $13,650.48 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 ($365.28 annual value).
• Retirement Plan – The State contributes the equivalent of 18.86% of the employee's 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 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.
• Voluntary Deferred Compensation – Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.
• 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.

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.

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.

About Us

Join Maine State Government and Make a Difference in Your Community. If you're looking for a fulfilling career that allows you to serve the public and make a difference, consider working with Maine State Government! Our departments boast an array of professions, including attorneys, biologists, correctional officers, equipment operators, engineers, human resources professionals, information technology experts, law enforcement officers, nurses, park rangers, social workers, and transportation workers. With more than 100 agencies, boards, and offices, Maine State Government is the perfect place to explore various industries and interests. Whether you're interested in finance or forestry, there's an opportunity for you to help make Maine an even better place to live.