Medicaid Quality Coordinator - SUD Behavioral Health

State of South Carolina; Cayce (SC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Long Term Disability

Life Insurance

State Retirement Plan

Paid holidays

Paid parental leave

Job summary

South Carolina Department of Behavioral Health and Developmental Disabilities is seeking a Medicaid Quality Coordinator for the Office of Substance Use Services. The role provides administrative coordination and QA oversight for addiction services and Medicaid billing compliance.

The position works with SCDHHS, local authorities, and MCOs to improve care quality and cost-effectiveness, including audits, training, and compliance activities. This is a full-time temporary grant position.

Qualifications

• Master’s degree in a related field and professional human services experience.
• Current clinical license such as LPC or LISW-CP or equivalent is required.
• Working knowledge of behavioral health services, Medicaid policies, and billing practices.

Responsibilities

• Coordinate quality assurance oversight for addiction services and Medicaid billing compliance.
• Audit clinical charts to ensure documentation reflects treatment and billing aligns with Medicaid standards.
• Coordinate internal and state training, technical assistance, and continuous quality improvement plans.
• Prepare annual reports reflecting activities and tasks.

Skills

Public speaking

Communication skills

PowerPoint

Excel

Education

Master’s degree in a human services field

Licensed professional license such as LPC or LISW-CP

Tools

EHR systems

Excel

PowerPoint

Job description

South Carolina Department of Behavioral Health and Developmental Disabilities is seeking a Medicaid Quality Coordinator for the Office of Substance Use Services. The role provides administrative coordination and QA oversight for addiction services and Medicaid billing compliance.

The position works with SCDHHS, local authorities, and MCOs to improve care quality and cost-effectiveness, including audits, training, and compliance activities. This is a full-time temporary grant position.