Hybrid Eligibility Specialist I – MaineCare

Department of Health and Human Services; Paris (ME); Hybrid; USD 27,000 - 38,000; Full time

Benefits offered by this job

Health Insurance Coverage

13 paid holidays

3+ weeks vacation leave

Sick leave 12 days

Job summary

Department of Health and Human Services in Maine is hiring an Eligibility Specialist I to determine MaineCare eligibility and benefits. The role supports residents by explaining rules, reviewing documentation, and guiding applicants through the process with a focus on accuracy and service quality.

Hybrid position with partial in-office requirements. The salary ranges from $19.88 to $27.67 per hour, with new state employees starting at $19.88 per hour.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Strong communication

Education

Two year combination of training/education/experience in health or human services

Job description

Department of Health and Human Services in Maine is hiring an Eligibility Specialist I to determine MaineCare eligibility and benefits. The role supports residents by explaining rules, reviewing documentation, and guiding applicants through the process with a focus on accuracy and service quality.

Hybrid position with partial in-office requirements. The salary ranges from $19.88 to $27.67 per hour, with new state employees starting at $19.88 per hour.