Eligibility Coordinator I / 60013428RP

State of South Carolina; Beaufort (SC); On-site; USD 52,000 - 64,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Long-term disability insurance

Life insurance

15 days annual leave

15 days sick leave

13 paid holidays

State retirement plan

Deferred compensation program

Telecommuting options

Flexible work schedules

Job summary

The State of South Carolina, Department of Health and Human Services, seeks an Eligibility Coordinator I in Beaufort County to lead a team of Medicaid Eligibility Specialists and ensure timely, accurate determinations with strong customer service. This in-office role requires supervisory experience and adherence to state policies.

Responsibilities include guiding staff, counseling performance, and coordinating training and preparations. Travel and occasional overtime may be required.

Qualifications

• High school diploma and relevant program experience.
• Bachelor’s degree may be substituted for the required program experience.
• Preferred: at least two years of supervisory experience.

Responsibilities

• Leads a team of Medicaid Eligibility Specialists, directing efforts and monitoring performance to meet standards.
• Provides guidance to team and managers on policies and processes; ensures accountability.
• Provides technical assistance and counseling to staff; routes escalations to proper resources.
• Performs supervisory functions in line with EEOC and state rules; promotes a safe, productive work environment.
• Attends meetings, manages schedules, and supports leadership on projects and trainings.

Job description

• This position is a re-post. Previous applicants do not need to re-apply.*

Job Responsibilities

• Leads a team of skilled Medicaid Eligibility Specialists, directing the efforts of Specialists and managing work within the team. Monitors team member performance on a day-to-day basis. Implements agency-standard workflow processes and procedures. Provides guidance to team members and agency managers on the effectiveness of agency policies, procedures, and processes. Ensures Specialists are held accountable to established guidelines for the performance of workplace duties.
• 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 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. 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 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), Beaufort 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 serves 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.

Benefits

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 high school diploma and relevant program experience.

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

Preferred: At least two (2) years of supervisory experience.

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.
• Emergency Preparedness/shelter duties.
• In-office role.

Preferred 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.

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.

Benefits For State Employees

The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.

Insurance Benefits

Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.

Retirement Benefits

State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.

Workplace Benefits

State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.

Note

The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.