[Hiring] Community Engagement Eligibility Specialist @LanceSoft

Role Description

The positions will provide critical support to OFI’s Community Engagement (Client) eligibility function and outreach. Those functions will include navigating various state systems to do data entry and analysis and correspond with clients in writing and on the phone as needed.

• Ensure compliance with PL 119-21 establishing Client requirements for Medicaid expansion enrollees with approximately 85,000 MaineCare (MC) members subject to these requirements.
• Process MC updates and provide outreach to increase the number of people who can be passively renewed for MaineCare.
• Decrease the overall workload for OFI Eligibility Specialists, with a goal of meeting federal Client requirements by January 1, 2027.
• Ensure individuals remain in compliance and minimize administrative burden on members.

Qualifications

• Competency in applying a solid knowledge of the principles and practices of quality customer service.
• Ability to use independent decision-making on the appropriate processes to follow, information to process, and actions to take in accordance with standard procedures.
• Skilled in Microsoft Office suite of programs.
• Skilled in telephone communication with clients/the public and using telephony system.

Requirements

• Work MC case updates, including data entry in the OFI eligibility systems.
• Apply relevant program policies to specific case circumstances and identify/request verifications.
• Update client information in Automated Client Eligibility System (ACES), including outreach by phone or otherwise.
• Field and/or conduct phone calls to/from the public to answer basic questions, provide information about case status, or triage to eligibility specialists if needed.
• Additional MC eligibility work that supports Client readiness.

Schedule

This will be a fully remote, full-time role, with hours expectations aligning with Department staff – eight working hours on a set schedule that can start as early as 7:00 a.m. and go until no later than 5:00 p.m., with 30 or 60 minutes for lunch. This is a 40-hour per week position, and no overtime will be permitted.