Internal Only: Eligibility Coordinator II ​/ 60015297

Internal Posting
- Only current SCDHHS Employees will be considered.

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 Eligibility, Enrollment and Member Service (EEMS) Processing Centers, Spartanburg 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 II, who under the direct supervision of the Program Manager for Processing Center operations, will serve as Supervisor and is responsible for managing a team of up to 20 Non-MAGI eligibility staff. Provides leadership and direction to eligibility team staff. Responsible for timely and accurate eligibility decisions, delivery of services, and customer service. Supports the achievement of performance and operational success for eligibility determination processing.

• Leads a team of skilled Medicaid Eligibility specialists in a Medicaid Eligibility Operations Center (MEOC), directing the efforts of Specialists and allocating work within the team. Assigns Medicaid eligibility applications, reviews, and changes to team members and monitors team member performance on a day-to-day basis. Implements agency-standard workflow processes and procedures and provides guidance to team members and agency managers on the effectiveness of agency policies, procedures, and processes.
  
  Establishes clear and consistent guidelines for the performance or workplace duties.
• Implements Medicaid Eligibility Specialist performance standards in accordance with departmental policies and guidelines. Provides monthly, quarterly, annual, and as-needed written and verbal counseling to teammates to explain each team member’s performance relative to departmental standards. Assists team members with workplace action plans to ensure each team member can meet departmental standards for the timeliness and accuracy of eligibility determinations.
• 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 diverse 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. Program Manager for Statewide Long-Term Care Eligibility Operations with special projects. Performs related duties as assigned or required. Ensures staff attends and successfully completes 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.

A bachelor’s degree and professional experience in human services or social services programs.

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

• At least two (2) years working in Medicaid related programs.
• At least four (4) years of experience in management and leadership roles, directly responsible for program outcomes…