Rural Health Policy Analyst (Program Coordinator II) / 60017875 Position Available In Richland, South Carolina

Rural Health Policy Analyst (Program Coordinator II) / 60017875

Salary
$55,000.00

• $60,000.00 Annually
  Location Richland County, SC
  Job Type
  FTE
• Full-Time
  Job Number
  175249
  Agency
  Department of Health and Human Services
  Division
  Bureau of Policy
  Opening Date
  04/07/2025
  Closing Date
  5/5/2025 11:59 PM Eastern

Class Code:

AH40

Position Number:

60017875

Normal Work Schedule:

Monday

• Friday (8:30
• 5:00)
  Pay Band
  Band 6
  Hiring Range
• Min.
  $46,655.00
  Hiring Range
• Max.

$65,000.00
Opening Date
04/07/2025
EEO Statement
Equal Opportunity Employer

Agency Specific Application Procedures:

Failure to provide detailed and complete information may result in your application not being referred.
Veteran Preference Statement
South Carolina is making our Veterans a priority for employment in state agencies and institutions.

DESCRIPTION

BENEFITS
QUESTIONS
Job Responsibilities
The Agency’s mission is to be boldly innovative in improving the health and quality of life for South Carolinians.
This is position is located in the Bureau of Policy, Richland County.
Are you the One? We are looking for a Rural Health Policy Analyst who will interpret healthcare policies and rules of programs jointly administered by federal (CMS) and state (SCDHHS) agencies, review, analyze, and make recommendations on developing proposals for State Plan services and Medicaid benefits. Through scientifically accepted methods, perform due diligence and research in order to recommend appropriate actions to take for new Medicaid benefits or revisions to existing Medicaid benefits related rural health clinics and contracts. Evaluate existing policies for effectiveness and compliance with state and federal mandates. Research any unintended outcomes, either positive or negative. Develop cost analysis for existing policies based on utilization. industry and academically accepted research and evaluation methods to conduct research on critical, confidential, and highly sensitive matters that may require statutory or policy modifications. Identify any problems, either current or upcoming, and evaluate recommendations to address the issue(s) using tools such as surveys, cost-benefit analysis, focus groups, and others to forecast possible policy outcomes. Write policy briefs and memos of potential policy changes. Conduct provider manual and fee schedules reviews and updates as necessary to ensure the publications reflect accurate policy and rates. Conduct review and system updates during the quarterly CMS code updates or ad-hoc code updates as necessary. Participate and provide policy and medical coding expertise as necessary in agency projects related to Medicaid systems updates or operational projects. Ensure assigned policy manual is kept up to date with changes and changes are announce according to agency communication protocols.
Evaluate existing policies for effectiveness and compliance with state and federal mandates. Research any unintended outcomes, either positive or negative. Develop cost analysis for existing policies based on utilization. Ensure assigned policy manual is kept up to date with changes and changes are announce according to agency communication protocols.
Identify any problems, either current or upcoming, and evaluate recommendations to address the issue(s) using tools such as surveys, cost-benefit analysis, focus groups, and others to forecast possible policy outcomes. Write policy briefs and memos of potential policy changes. Ensure policy alignment with current agency policies and strategic plan. Serve as lead in amending the state plan based on upcoming policy changes. Monitor rural health contracts and their deliverables to ensure the grant objectives and goals are met.
Interpret healthcare policies and rules of programs jointly administered by federal (CMS) and state (SCDHHS) agencies, provide consultation and recommendations in managerial-level decision-making activities by reviewing, analyzing, and making recommendations on developing proposals for State Plan services and Medicaid benefits. Through scientifically accepted methods, perform due diligence and research in order to recommend appropriate actions to take for new Medicaid benefits or revisions to existing Medicaid benefits administered by the agency.
Demonstrate up-to-date knowledge of trends in healthcare delivery, financing and procurement related to rural health services and contracts.
Position requires occasional travel to perform site visits.
Serve as Policy Expert for assigned policy area. Collaborate with other areas within the agency to further assigned policy area. Participate in cross-functional teams to address key policy issues facing the assigned policy area. Represent the agency to external stakeholders including other state agencies, provider groups and professional boards as part of the policy team. Serve as the agency’s liaison with

FQHC/RHC

stakeholders and rural health grantees.
Collaborate with other Policy team members and as assigned by management in policy development and implementation activities related to other State Plan service categories. Participate and /or lead policy implementation projects, respond to provider, member or stakeholder inquiries received via State Plan mailbox. Perform other duties as assigned. Attends and participates in relevant opportunities for professional development and training. Demonstrates utilization and application of new skills learned to improve effectiveness and efficiency within assigned responsibilities.
The South Carolina Department of Health and Human Services offers an exceptional benefits package for FTE and TGE positions that includes:
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
15 days annual (vacation) leave per year.
15 days sick leave per year.
13 paid holidays.
State Retirement Plan and Deferred Compensation Programs.
Minimum and Additional Requirements
A bachelor’s degree and at least three (3) years of clinical or healthcare administration related experience. An equivalent combination of experience and education may be considered with prior State Human Resources approval.

Preferred:

Master’s in Public Health, Nursing, Health Administration or other relevant healthcare fields. Experience in Primary Care, Rural Health, Healthcare Grant & Contract Administration

Additional Requirements:

Sitting or standing for long periods of time.
Lifting requirements: 20 lbs.
A valid driver’s license is required.
Preferred Qualifications
Knowledge of healthcare needs and evidenced-based practices within primary care or rural health, healthcare grants and contracts administration. Knowledge of medical terminology and its application in claims and clinical criteria.
Knowledge of laws, regulations, policies and procedures relevant to the area of employment. Ability to interpret and apply laws, regulations, policies and procedures. Ability to comprehend and analyze large and complex amount of information including data sets, budget reports and evidence-based literature. Ability to effectively communicate through written reports, bulletins and policy briefs and must demonstrate strong writing, verbal and presentation skills. Ability to exercise judgment and discretion. Ability to establish and maintain effective working relationships. Ability to work in a complex, fast-paced, and cross-functional team environment. Additional Comments
Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail.
The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.
Employer
State of South Carolina
Agency
Department of Health and Human Services
Address
1801 Main Street, Suite 224
Columbia, South Carolina, 29201
Phone
803-898-2670
THE

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