Program Coordinator II (Policy Analyst) ​/ 60019311

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 Bureau of Policy, 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 (Policy Analyst) who will serve as the Policy Analyst for Family Planning and Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services for the Office of State Plan Administration within the Bureau of Policy. The Policy Analyst will work to monitor and analyze federal and state policy actions, including federal and state regulations, legislation, executive and agency actions, and legal cases.

The Policy Analyst will have the opportunity to produce written analysis, policy memos, fact sheets, comment on proposed regulations, and other materials. The Policy Analyst will evaluate existing policies and procedures and recommend program improvements; review utilization trends and analyze data to inform development of cost analysis and fiscal impact proposals for new or updated Medicaid services and benefits; update provider services manuals, procedure codes and provider fee schedules;

serve as the agency's subject matter expert in the assigned policy area; conduct research, develop policy briefs, provider bulletins and state plan amendments, and work with internal and external stakeholders.

• Interpret healthcare policies for programs administered jointly by CMS and the State. Review, analyze, develop, and recommend changes to State Plan services. Evaluate policies for effectiveness and compliance with federal and state requirements. Research unintended outcomes. Inform development of cost analysis for policies based on utilization, in collaboration with Finance. Apply industry and academically accepted research and evaluation methods. Identify problems, evaluate and recommend solutions using tools such as surveys, cost-benefit analysis, and focus groups.
  
  Write policy briefs and memos. Assist in the State Plan amendment process.
• Conduct provider manual and fee schedule reviews and update as needed to ensure alignment with policy. Request system updates during quarterly CMS code cycles or as needed. Provide policy and medical coding expertise in projects related to Medicaid system updates or operational projects. Maintain assigned manuals and ensure policy changes are communicated according to protocol.
• Serve as the policy expert for assigned area. Maintain current knowledge of federal and state regulations and ensure agency compliance. Collaborate with internal and external stakeholders and participate in cross-functional teams as assigned. Respond to provider, member, and stakeholder inquiries received through agency mailbox within 3 business days.
• Leads or supports other projects proactively or as assigned by Agency leadership. Continuously engages in process improvement to support Agency, Division, and Bureau-wide strategies, objectives, and initiatives. Collaborates with other policy team members in research, development, implementation, and evaluation activities for services, projects, and agency initiatives as assigned. Performs other related duties as required.

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 two (2) years of relevant experience related to health care services.

An equivalent combination of experience and education may be considered with prior State Human Resources approval.

PREFERRED:
Master’s degree in public health (MPH), public administration (MPA), healthcare administration (MHA, MBA/HC) or MA, MS, MN. ?

Experience with Medicaid or Medicare claims billing processes.

Additional Requirements:

• Sitting or standing for long periods of time.
• Lifting requirements: 20 lbs.
• Valid driver's license.
• In-office role.

• Knowledge of…