Medicaid Program Coordinator: OIDD-Central Office

Full Job Description

• Assists OIDD providers with annual Medicaid reviews in an effort to prevent a lapse in Medicaid coverage.
• Serves as the point of contact for OIDD staff and OIDD contracted providers regarding the Medicaid eligibility process.
• Monitors participants who are receiving state funded services and assist with application to Medicaid if needed.
• Reviews Medicaid inactive report monthly to identify participants who have passed away and need to be removed from the Waiver Waiting list, ensuring the participant has been disenrolled from the waiver and that the case has been closed.
• Works the Medicaid Mismatch report each month to resolve issues with Medicaid, Date of birth and Social Security number discrepancies.
• Participates and performs other duties as assigned by the Director. Meets Policy Division expectations as outlined.

The South Carolina Department of Behavioral Health and Developmental Disabilities (BHDD), Office of Intellectual and Developmental Disabilities (OIDD) plans, develops, coordinates, and funds services for South Carolinians with the severe, lifelong disabilities of:

• intellectual disability and related disabilities
• autism spectrum disorder
• traumatic brain injury
• spinal cord injury and similar disability

This position is located at Central Office, in Cayce, SC.

Requirements

A Bachelor's degree and at least five (5) years Medicaid Eligibility Program experience; or an equivalent combination of education and experience.

Qualifications

Ability to exercise judgment, discretion, maintain effective working relationships, interpret and apply laws, regulations, policies and procedures. Ability to communicate effectively, verbally and in writing. Working knowledge of Microsoft Office including excel and moderate computer skills.

Additional Information

Employment Contingency: Employment is contingent upon our receipt of the following required pre-employment screenings: medical screening – to include a drug screening; background record checks (to include fingerprinting), South Carolina Department of Social Services’ Child Abuse and Neglect Central Registry screening, U.S.

Department of Health and Human Services Office of Inspector General “List of Excluded Individuals/Entities” screening; South Carolina Department of Motor Vehicles Driving Record check; and a review of transcripts verifying educational credentials.

We reserve the right to rescind an offer of employment in the event minimum requirements are not met to include positions that require certifications and/or licensure, your application is incomplete or inaccurate, or our review of your background uncovers information, including opinions of previous employers and references, which cause us to conclude, at our sole discretion, that you are not suited for the position.

Immunization: If this position requires the applicant to work directly with consumers of The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities, tuberculosis (TB) skin or blood testing must be completed prior to beginning employment.

All new employees who are healthcare providers are required to provide documentation of immunity or be immunized against measles, mumps, rubella, pertussis, Varicella and Hepatitis B prior to beginning employment.

State Disaster Plan: In accordance with the State's Disaster Plan, which includes hazardous weather, employees of The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities may be required to work in times of an emergency or disaster.

Employee Referral: The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities supports a Referral Incentive Reward and a Retention Bonus program.

You may contact Human Resources for further information. Supplemental Questions: Supplemental questions are considered part of your official application.

Any misrepresentation will result in your disqualification from employment. 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.

The South Carolina Department of Behavioral Health and Developmental Disabilities 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.

The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities offers an exceptional benefits package for FTE positions that includes:

• Health, dental, vision, long-term disability, and life insurance for employees, spouse, and children. Click here for additional information.
• 15 days annual (vacation) leave per year
• 15 days sick leave per year
• 13 paid holidays
• Paid Parental Leave
• S.C. Deferred Compensation Program available(S.C. Deferred Compensation)
• Retirement benefit choices*
  • State Retirement Plan(SCRS)
  • State Optional Retirement Program(State ORP)