Eligibility Specialist I / 61062169
State of South Carolina
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Posted: February 24, 2026 (0 days ago)
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Eligibility Specialist II (MAGI) / 60014613RP
State of South Carolina
Department of Health and Human Services
Location
South Carolina, 29210
Salary
$33,800 - $36,491
per year
Type
Full-Time
More Other jobs →Closes
March 3, 2026
SES Pay Grade
Base salary range: $147,649 - $221,900
Typical requirements: Executive-level leadership experience. Senior executive qualifications required.
Note: Actual salary includes locality pay (15-40%+ depending on location).
Job Description
Summary
This job involves reviewing applications and documents to decide if people qualify for Medicaid health coverage in South Carolina, ensuring everything is done accurately and on time.
It also includes guiding junior staff, mentoring colleagues, and acting as an expert on the systems used.
A good fit would be someone detail-oriented with experience in social services or customer support, who enjoys helping families access benefits and can handle leadership tasks in a busy office setting.
Key Requirements
- Experience determining Medicaid eligibility using policies and procedures
- Proficiency in electronic tools and systems for collecting and evaluating applicant information
- Ability to perform follow-up activities and resolve discrepancies in eligibility cases
- Skills in documentation, note-taking, and maintaining accurate records
- Leadership experience as a mentor, lead worker, or subject matter expert
- Attendance at mandatory trainings and compliance with agency policies including privacy and confidentiality
- In-office work in Aiken County, South Carolina (no remote option)
Full Job Description
*This position is a re-post. Previous applicants do not need to re-apply.*
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), Aiken County. This is an in-office role and not a telecommute or remote position.
Are you the One? We are looking for an Eligibility Specialist II (MAGI) who will determine/re-determine Medicaid eligibility according to Medicaid policies and procedures. This position collects and evaluates documentation from applicants to determine individual and family eligibility for the program. Eligibility Specialists complete all assigned eligibility determinations, reviews, and changes in an accurate and timely manner.Responsible for serving as a senior level employee by performing leadership functions including but not limited to: serving as a lead worker and/or mentor in the county office, assists Regional Trainers and Policy Specialists, serves as a subject matter expert in Medicaid systems and liaison to the system helpdesk staff and/or additional agency staff.
Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance.
Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible.
Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information in a timely manner.
Documents all notes and steps clearly and completely for review and hand-off to other specialists.
Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation.
Makes accurate determinations of eligibility based on the rules and standards detailed by the Department and defined in written performance standards.
Resolves discrepancies in case determinations or documentation a timely manner. Follows appropriate escalation processes as outlined in eligibility process documentation.
Labels all documentation, records decision and notes clearly and accurately in the appropriate systems of record.
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
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.
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Requirements
A high school diploma and relevant program experience in customer services, social services, human services, and/or Medicaid processing.
A bachelor's degree may be substituted for the required program experience
Additional Requirements:
Overtime and/or weekend work with Deputy approval.Sitting or standing for long periods of time.Lifting requirements: 20 lbs.
Qualifications Eligibility Specialists must have a familiarity with computers, standard Microsoft Office software, internet browsers, and the ability to read, write, and speak English in a clear and concise manner.
Additional Information
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.
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