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 EEMS Policy, Process, & Contract Management, 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 (Disability Determination Team Supervisor) who acts as liaison between the South Carolina Department of Health and Human Services (SCDHHS), Eligibility, Enrollment & Member Services (EEMS) and SCDHHS' Disability Determination vendors. Provides support and statewide assistance to EEMS staff, vendor staff, Medicaid applicants and beneficiaries, and the leadership team for all program partners regarding the disability determination process required for certain Medicaid applicants.
This includes the review and organization of all disability applications/forms prior to submitting to a disability determination vendor for a disability decision. This role reports to the Program Manager I for the Disability Determination Program located within EEMS Bureau for Eligibility Policy. Supervise and work alongside staff responsible for receiving, reviewing and assigning disability determination packets required for the Medicaid Disability Determination process.
Oversees, manages, and coordinates communication, staff training, and quality improvement efforts for assigned components of the Disability Determination process to ensure work is accurate, timely based on standards defined in operational policies and procedures. Takes ownership of the service delivery of Medicaid Disability Determination process and escalates complex concerns to the Program Manager. Assists with developing and maintaining Standard Operating Procedures for the Disability Determination process.
Works independently, as well as a member of a team to provide direction and guidance tof all SCDHHS staff responsible for reviewing and preparing disability packets and assigning packets to a disability determination vendor. Ensure staffing levels are adequate and assist with hiring, training, and monitoring attendance for the team. Travels between staff locations as needed.
Establishes and maintains cooperative working relationships with SCDHHS and external partners, including disability determination vendors, to ensure established goals are met and problems resolved. The supervisor will work with the policy and training teams to support with the writing and developing of policy and procedures. Demonstrates strong interpersonal skills in collaborating with coworkers and the public to provide service.
Presents information for discussion and provides feedback for decision-making purposes, including ways to maximize efficiency and accuracy of the disability determination process. Responds to inquiries from EEMS, SCDHHS and partners regarding cases pending a disability determination within 2 working days. Identifies, researches and resolves problem issues.
Responds to case escalation requests from EEMS and SCDHHS leadership same day and has a process in place to respond to requests when absent. Attends meetings and training sessions as required. Makes and keeps schedules, completes tasks timely and reports to work timely.
Performs related duties as assigned or required. Ensures staff attends and successfully completes all training. Conducts special projects at management's request.
Prepares and presents reports. 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 staff to accomplish mission critical operations and objectives.
Promotes workforce engagement and a safe, professional, and productive work environment for all employees. 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 and at least two (2) years relevant program experience. An equivalent combination of education and experience may be accepted with prior State Human Resources approval. Bachelor's degree must be from a college or higher education institution recognized by the U.S
Department of Education and Council for Higher Education (CHEA). Preferred: At least two (2) years working in Medicaid related programs and at least four (4) years of experience in management and leadership roles, directly responsible for program outcomes and creating solutions for improved performance. Additional Requirements Occasional overnight travel.
Valid driver's license. Requires holder to drive routinely. Overtime and/or weekend work with Deputy approval.
Sitting or standing for long periods of time. Lifting requirements: 20lbs. In-office role.
Preferred Qualifications Ability to communicate effectively and professionally and to collect and assemble information in a clear and concise manner for program partners, vendors, agency staff, and other entities. Ability to exercise good judgment, provide effective and efficient customer service and adhere to HIPAA privacy requirements. Must have proficient communication skills both verbal and written, basic computer skills, organizational skills, and manage time effectively.
Ability to work independently, as well as with a Team and maintain effective and harmonious working relationships. Ability to interpret and apply Medicaid policies and procedures. 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.