INTERNAL Program Coordinator II (EEMS Respondent Supervisor (Non-MAGI & LTC)) / 60013951

This is a South Carolina Department of Health and Human Services Internal Position. Only current South Carolina Department of Health and Human Services employees are eligible for this position. 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 Eligibility Determination Respondent , Richland County. This is an in-office role and not a telecommute or remote position. Are you the One? We are looking for a Program Coordinator II (EEMS Respondent Supervisor (Non-MAGI & LTC)) who will promote the mission and values of SCDHHS. Under limited supervision, serves as first-line supervisor for Non-MAGI and LTC Eligibility Respondent Coordinators. Will represent the agency in both formal and informal hearings and appeals processes. Reviews case summaries and appeal packets for Non-MAGI and LTC cases to ensure they are accurate and complete prior to sending to the Division of Appeals and Hearings and petitioner. May have to assist with writing appeal summaries. Assigns cases to team members as well as monitors team members' progress with cases. Tracks case status and reports case status to Manager. Serves in a supervisor role for the team. Assigns cases to team members, monitors and tracks case progression. Assists team members with policy clarification as needed. Reports case progression to Manager. Attends hearings to represent the Department of Health and Human Services and present evidence to support the eligibility decision. Ensure the final administrative decision issued by the Division of Appeals and Hearings is followed in all Non-MAGI and LTC eligibility appeal cases. Follow Medicaid policies and procedures to respond to the petitioner if an appeal is filed based on a new decision. Take necessary actions to determine/reinstate eligibility when the previous decision was reversed. Stays abreast of all current SCDHHS policy and procedures pertaining to Medicaid eligibility and appeals process. Performs fundamental supervisory and leadership functions in accordance with Department policies and procedures, best practices and Federal and State rules and regulations, especially with regard to Equal Employment Opportunity Commission (EEOC) standards. Maintains an effective Organizational team and motivates diverse staff to accomplish mission critical operations and objectives. Promotes workforce engagement. Complete other job duties as assigned. May require performing tasks across the team or other business units within the agency. 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. A bachelor's degree and relevant program experience.

PREFERRED

Knowledge of Medicaid (Non-MAGI and Long-Term Care (LTC) eligibility) and the SCDHHS appeal process.

Additional Requirements:

Valid driver's license. Requires holder to drive routinely. Occasional overnight travel. Overtime and/or weekend work with Deputy approval. Sitting or standing for long periods of time.

Lifting requirements:

20 lbs. In-office role. Knowledge of SCDHHS Medicaid Eligibility Policies and Procedures as well as general knowledge of applicable state and federal regulations. Ability to exercise judgment and discretion. Must have strong oral and written communication skills and be able to communicate effectively. Candidate must establish and maintain professional interaction with agency staff, service provider staff and Medicaid beneficiaries/petitioners. Must be able to gather information in a timely and accurate manner and demonstrate attention to detail. Ability to interpret and apply laws, regulations, policies, and procedures. Knowledge of SCDHHS Medicaid Eligibility systems such as MMIS, CURAM, OnBase, CGIS is preferred. 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.