Eligibility Specialist

State of Iowa - Executive Branch

. Evaluate information and apply program standards to accurately determine MaineCare eligibility and benefits .

Posted 9/17/2026full-timeCalais • Maine • United StatesJuniorMid-Level💰 $19 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in evaluating eligibility for MaineCare and applying program standards while effectively communicating rules and requirements to applicants. Proficient in maintaining digital records and providing customer service in a fast-paced environment.

Highest-signal resume keywords

MaineCare Eligibility EvaluationPolicy Application CompetencyDigital Record MaintenanceClient Request ResponseStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Soft Skills

Interpersonal SkillsCustomer Service Skills

Tools & Technologies

Technology Systems

Industry Keywords

Health Insurance ProgramMaineCareHealth and Human ServicesEligibility DeterminationCompliance

About the role

Key responsibilities & impact

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
Explain MaineCare rules, requirements, and decisions to applicants and members in writing and over the phone
Review and process electronically or mailed information for completeness and compliance
Connect individuals with additional programs and services supporting health and well-being
Serve Maine residents navigating MaineCare, the state’s largest health insurance program
Work collaboratively in a fast-paced, customer-service-focused environment

Requirements

What you’ll need

Two (2) year combination of training, education, and/or experience in a health or human services setting
Competency in applying policies and rules to make decisions
Competency in maintaining and verifying digital records
Competency in responding to client requests
Strong communication and interpersonal skills
Resume, cover letter, and transcript required; transcript needed only if education is used to meet minimum qualifications
Currently not eligible for visa sponsorship or STEM OPT extensions

Benefits

Comp & perks

13 paid holidays
3+ weeks of vacation leave annually
Vacation leave accrual increases with years of service
Personal leave for overtime-exempt employees
12 days of sick leave per year
State-paid employee-only health insurance premiums at 85%-95%
Health insurance premium credit reducing employee-only premiums by 5%
State-paid employee-only dental insurance premiums at 100%
State retirement contribution equivalent to 14.06% of employee pay toward MainePERS
Gym membership reimbursement up to $40 per month
Health and dependent care flexible spending accounts
Public Service Student Loan Forgiveness eligibility
Living Resources employee assistance program
Six weeks of fully paid parental leave
Additional unpaid leave may be available under the Family and Medical Leave Act
Voluntary deferred compensation through a MaineSaves 457(b) account
Extensive wellness benefits
Reasonable accommodations for qualified individuals with disabilities