Eligibility Specialist

Position: Eligibility Specialist I
Location: Wilton

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.

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Department of Health and Human Services (DHHS)

Opening Date:
February 26, 2026

Closing Date:
March 11, 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 Number: ,

Location:

Wilton

This position allows for partial telework with management approval.

Core Responsibilities:

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.

What you'll do:

* 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.

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 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.

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 Maine Care (Medicaid), the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), and other education and career programs.

Application Information:

For additional information about this position please contact Marcus Hatch ch or .

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

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…