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Internal Only: Program Coordinator II (EEMS Respondent Supervisor (MAGI) / 60018317

State of South Carolina
3 days ago
Full-time
On-site
Richland County, South Carolina, United States
$52,100 - $88,600 USD yearly

Job Responsibilities

***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 Office of Eligibility Determinations & Appeals, Richland County.
This is an in-office role and not a telecommute or remote position.

Are you the One? We are looking for a EEMS Respondent Supervisor (MAGI) who promotes the mission and values of SCDHHS. Under limited supervision, serves as first-line supervisor for MAGI Eligibility Respondent Coordinators. Will represent the agency in both formal and informal hearings and appeals processes. Reviews case summaries and appeal packets for MAGI cases to ensure they are accurate and complete prior to sending to the Division of Appeals and Hearings and petitioner. May have to assist with writing appeal summaries. Assigns cases to team members as well as monitors team members' progress with cases. Tracks case status and reports case status to Manager.
  • Serves in a supervisor role for the team. Assigns cases to team members, monitors and tracks case progression. Assists team members with policy clarification as needed. Reports case progression to Manager.
  • Attends hearings to represent the Department of Health and Human Services and present evidence to support the eligibility decision.
  • Ensure the final administrative decision issued by the Division of Appeals and Hearings is followed in all MAGI eligibility appeal cases. Follow Medicaid policies and procedures to respond to the petitioner if an appeal is filed based on a new decision. Take necessary actions to determine/reinstate eligibility when the previous decision was reversed.
  • Stays abreast of all current SCDHHS policy and procedures pertaining to Medicaid eligibility and appeals process.
  • 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.
  • Complete other job duties as assigned. May require performing tasks across the team or other business units within the agency.
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 bachelor’s degree and relevant professional experience in social service programs, business administration, general administrative management or relevant program experience

Additional Requirements:

  • Sitting or standing for long periods of time.
  • Valid driver's license.
  • Occasional overnight travel.
  • Requires holder to driver routinely.
  • Overtime and/or weekend work with Deputy approval.
  • Lifting requirements: 20 lbs.
  • In-office Role

Preferred Qualifications

  • Knowledge of SCDHHS Medicaid Eligibility Policies and Procedures as well as general knowledge of applicable state and federal regulations. 
  • Ability to exercise judgment and discretion. 
  • Must have strong oral and written communication skills and be able to communicate effectively. 
  • Candidate must establish and maintain professional interaction with agency staff, service provider staff and Medicaid beneficiaries/petitioners. 
  • Must be able to gather information in a timely and accurate manner and demonstrate attention to detail.  
  • Ability to interpret and apply laws, regulations policies and procedures. 
  • Knowledge of SCDHHS Medicaid Eligibility systems such as MEDS, CURAM, Mobius, OnBase, MMIS, and CGIS is preferred.
  • Knowledge of Medicaid Modified Adjusted Gross Income (MAGI) eligibility and the SCDHHS appeal process is preferred.

Additional Comments

Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail.

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.