Insurance Program Manager Jobs in Columbia, SC (NOW HIRING)

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 and 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 Manager II (EEMS Bureau of Eligibility Policy Operations Manager), who provides leadership and management for statewide Medicaid Eligibility operations within the Bureau of Eligibility Policy and Contracts. Leads development, implementation, and ongoing operations of complex operations administered by the Bureau.

Leads in development, implementation and continuous process improvement for program areas administered by EEMS Bureau of Eligibility Policy. Assesses program areas and implements policy, procedure, or rule changes. May advise leadership about appropriate action to take.

Participates in the management decision-making process for Bureau program areas. Ensures Bureau program areas have documented policies and procedures, as well as training and evaluation materials that are developed, managed, and implemented as a collaboration among relevant Bureau program areas, as well as agency and external partners. Ensures that program operations adhere to federal and state regulatory requirements, agency leadership directives, agency policies and procedures.

Responsible for overall operations for assigned EEMS Bureau of Eligibility Policy program areas, including managing staff responsible for leading day to day operations, ongoing communication with stakeholders, EEMS Leadership and/or SCDHHS Leadership and program evaluation. Provides leadership to Bureau programs to uses program data and stakeholder engagement to effectively manage programs, adhere to reporting requirements. Provides leadership to Bureau team members to identify potential problems; facilitate problem resolution by determining or recommending and implementing a risk mitigation strategy.

Provide oversight for development and implementation of quality management plans; project documentation; and program design to ensure compliance with federal and state laws, or agency's criteria, codes and regulations. Serve as Eligibility Policy and Process Subject Matter expertise for policies, procedures, training, compliance, contracts, system development and other agency initiatives as assigned. Serves as Bureau leader for completion of more complex work assignments.

Mentor Bureau of Eligibility Policy team members, participate in oversight of peer review process for written documents. 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. Performs other duties as assigned. 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 experience in policy and/or program development and management, including at least three (3) years of experience in management and/or leadership roles directly responsible for program outcomes and creating solutions for improved performance. Bachelor's degree must be from a college or higher education institution recognized by the U.S

Department of Education Council for Higher Education (CHEA). An equivalent combination of education and experience may be accepted with prior State Human Resources approval. 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.

Preferred Qualifications Knowledge of the agency's mission, programs, and objectives. Knowledge of management principles. Knowledge of the agency's organizational structure, the people who manage the work, and the processes applicable to government work.

Ability to interpret and apply rules and regulations. 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.