Medicaid Quality & Compliance Coordinator

State of South Carolina; Cayce (SC); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Health, Dental, Vision Insurance

State Retirement Plan

Parental Leave

Holiday & Paid Leave

Telecommuting options

Job summary

The Department of Behavioral Health and Developmental Disabilities, Office of Substance Use Services in South Carolina seeks a Medicaid Quality Coordinator to oversee administrative coordination and quality assurance for addiction services. You will collaborate with SCDHHS, local authorities, and MCOs to improve Medicaid service quality and billing practices, while guiding program improvement initiatives.

This full-time temporary grant position requires a master’s degree and current licensure,

Qualifications

• Master’s degree from an accredited institution.
• Current clinical license such as LPC or LISW-CP or similar licensure.
• Strong knowledge of behavioral health services and Medicaid policy.

Responsibilities

• Serve as liaison to SCDHHS for Medicaid policy and compliance.
• Audit clinical charts to ensure quality and compliant billing.
• Coordinate internal and state training and deliver technical assistance to improve quality.
• Lead development of annual program quality improvement reports.

Skills

Public speaking

Communication skills

Billing practices knowledge

PowerPoint skills

Excel / spreadsheets

Education

Master’s degree

Licensed Professional Counselor (LPC)

LISW-CP or similar licensure

Tools

Electronic Health Records (EHR)

Word processing

Excel

PowerPoint

Job description

The Department of Behavioral Health and Developmental Disabilities, Office of Substance Use Services in South Carolina seeks a Medicaid Quality Coordinator to oversee administrative coordination and quality assurance for addiction services. You will collaborate with SCDHHS, local authorities, and MCOs to improve Medicaid service quality and billing practices, while guiding program improvement initiatives.

This full-time temporary grant position requires a master’s degree and current licensure,