INTERNAL Program Coordinator I (EEMS Quality Review Specialist (MAGI)) / 60013598

Posting number: 190816

Department: Department of Health and Human Services

Division: Eligibility Quality Assurance

Job classification: Program Coordinator I

Posting type: Open

Categories: Administration, Health Services, Social Services, Management, Miscellaneous, Human Services, Organizational Development, Business, Program Management

Summary

This is a South Carolina Department of Health and Human Services Internal Position. Only current South Carolina Department of Health and Human Services employees are eligible for this position.

Are you the One?  We are looking for a Program Coordinator I (EEMS Quality Review Specialist (MAGI) who evaluates the accuracy of MAGI eligibility determinations made by Eligibility Specialists. Quality Specialists complete quality reviews of eligibility determinations in an accurate and timely manner.

• In accordance with the timeliness standards set by the department, completes quality reviews of eligibility determinations. These determinations include, but are not limited to, applications, reviews and changes of circumstances.
• Ensures that all quality reviews of eligibility determinations are completed accurately using the appropriate error codes. Thoroughly and accurately documents results of quality reviews according to quality assurance team guidelines. Follows appropriate escalation processes for procedural errors.
• Maintains a professional demeanor and communication style, ensuring that communication and interactions with internal and external stakeholders is clear, polite and concise. Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with state and federal law as articulated through departmental policies and training.
• Attends all mandatory meetings, trainings and events as directed by supervisory staff and agency leadership. Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls. Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary. Performs other duties as assigned by supervisory staff and agency leadership.

• 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.

Examples of duties

A high school diploma and relevant program experience. 

Preferred: One (1) year of processing Medicaid applications.

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 period of time.
• Lifting requirements: 20 lbs.
• In-office role.

Qualifications

• Must have exceptional attention to detail.
• Knowledge of Medicaid laws, regulations, policies and procedures. 
• Ability to interpret and apply laws, regulations, policies and procedures.  
• Ability to learn, retain, and apply information about federal rules and standards for reviewing Medicaid eligibility determinations.  
• Ability to exercise judgment and discretion.  
• Ability to establish and maintain effective working relationships. 
• Ability to communicate effectively in writing and orally. 
• Familiarity with computers, standard Microsoft Office software and internet browsers.  
• Ability to perform basic mathematical computations.  
• Ability to work in a professional office environment with a diverse group of teammates.

Supplemental information

Please complete the State application to include all current and