Job Description

Posting number: 191239

Department: Department of Health and Human Services

Division: Eligibility, Enrollment, and Member Services (EEMS)

Job classification: Eligibility Coordinator I

Posting type: Open

Categories: Administration, Clerical & Data Entry, Health Services, Management, Paraprofessional, Human Services, Business

Summary

*This position is a repost. Previous applicants do not need to reapply.*

The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians.

This position is located in Localized Eligibility Processing (LEP), Orangeburg County.

This is an in-office role and not a telecommute or remote position.

Are you the One? We are looking for an Eligibility Coordinator I, who will serve as as Supervisor and is responsible for managing a team of Eligibility Specialists. Provides leadership and direction to eligibility team staff. Responsible for timely and accurate eligibility determinations and positive customer service. Is directly responsible for ensuring team members are held accountable for timely and accurate determinations.

• Ensures work is allocated such that team members have sufficient workloads to maintain productivity. Provides managers with accurate and timely information regarding any issues with the availability and status of team members. Provides clear written and verbal communication to Eligibility Specialists and managers about individual and team performance and workplace standards. Monitor and approve Eligibility Specialist SCEIS time entry to ensure time is recorded appropriately and minimize time spent out of production.
• Receives and interprets employee performance reports and provides accurate counseling to Eligibility Specialists in a timely manner. Performs correct administrative follow-up activities after employee counseling and consults human resources when needed to complete employee evaluation or disciplinary action. Identifies and schedules trainings for employees and identifies high-performing employees as candidates for reward or promotion. Provides positive reinforcement and messaging to employees about departmental goals and standards. Leads a team that meets, in the aggregate, Medicaid Eligibility Specialist performance standards.
• Provides technical assistance to Medicaid Eligibility Specialists and aids in the resolution of common questions, concerns, and escalations received by Medicaid Eligibility Specialists. Accurately addresses or routes questions and escalations to the appropriate resource including team leads, training staff, or help desk professionals, among others. Periodically spot-checks worker performance with respect to attendance, productivity, completeness of application workbooks, and accuracy of determinations.
• 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.
• Attends meetings and training sessions as required. Makes and keeps schedules, completes tasks timely and reports to work timely. Assists eligibility management and senior leadership with projects as assigned. Performs related duties as assigned or required. Ensures Eligibility Specialists attend and successfully complete all training. Performs and coordinates preparedness/shelter duty activities 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.

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Examples of duties

A high school diploma and relevant experience in customer services, social services, human services, and/or Medicaid processing.

A bachelor’s degree may be substituted for the required program experience.

Additional Requirements:

• 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.
• Valid driver’s license
• In-office Role

Qualifications

• Extensive knowledge of the Medicaid Program, human services programs, or eligibility processing preferred.
• Supervisory and management experience preferred. Knowledge of laws, regulations, policies and procedures relevant to Medicaid eligibility.
• Ability to exercise judgment and discretion.
• Ability to establish and maintain effective working relationships.
• Ability to effectively manage time and prioritize tasks and projects with competing deadlines.
• Demonstrated ability to lead and manage a diverse staff.
• Ability to communicate and collaborate with staff from different levels of the workforce.

Supplemental information

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.