Eligibility Specialist

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: , , ,

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.

As an Eligibility Specialist I, you’ll play a vital role in connecting Maine residents to the health coverage they need through Maine Care—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.

• Evaluate information and apply program standards to accurately determine Maine Care eligibility and benefits.
• Use multiple technology systems to enter, review, and verify eligibility-related data and documentation.
• Clearly explain Maine Care 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.

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.

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.

For additional information about this position please contact Marcus Hatch at  or by email ch

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 Mandy.

Hernandez

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…