Under the direct supervision of the Deputy Director of Eligibility, Enrollment & Member Services (EEMS), serves as the Assistant Deputy Director of EEMS Processing Center Operations. Provides leadership and direction for all Processing Center locations throughout the state of South Carolina. Responsible for timely and accurate eligibility decisions and customer service. Supports the achievement of performance and operation success for Eligibility Operations. Directs operational enhancements as needed. Serves as a community leader representing South Carolina Medicaid.
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. Maintains a positive, inclusive, equal opportunity work environment, and performs all general supervision duties as expected of a senior agency manager. Responsible for personnel activities within Eligibility Processing Centers.
Ensures that eligibility workers, lead workers, and supervisors assigned to SCDHHS beneficiary Eligibility Processing Centers are staffed, trained, and evaluated in a manner consistent with targets set by agency senior management. Establishes position posting, hiring, and training schedules to meet staffing targets and periodically reviews workload and productivity data to make recommendations to agency senior management regarding personnel targets and capacity models. Ensures that Processing Center management and team leads take timely and accurate personnel actions with respect to hiring, training and evaluating staff for both performance and conduct.
Ensures that beneficiary eligibility determinations are made by beneficiary eligibility Processing Center staff in a timely, complete, and accurate manner. Ensures compliance with posted policies and procedures among beneficiary eligibility staff and uses quantitative, semi-quantitative, and qualitative data to monitor and identify trends in workflow, productivity, and accuracy. Makes recommendations to Processing Center supervisors and team leads to improve overall team performance and makes recommendations to senior agency management and policy staff regarding the content, format, and presentation of eligibility and enrollment policies, communications, and trainings. Ensures that Processing Center staff position descriptions and success criteria are current and accurate, and ensures that personnel actions, including periodic counseling, formal periodic evaluation, annual ratings, performance improvements plan, and others are made in a timely and complete manner.
In conjunction with policy, training, and human resources staff, develops and maintains a standardized and consistent training program to ensure staff comprehension and awareness of job functions and responsibilities.
Performs emergency management functions and ensures staff participation in emergency management training events and disaster response in accordance with departmental policies and procedures. Performs and coordinates preparedness/shelter duty activities as assigned by management. Performs other duties as assigned by supervisor.
Oversees the budget for EEMS Processing Center offices within the state of South Carolina. Coordinates with the appropriate staff to proactively track budgets. Provides financial updates and reports budgetary information to the EEMS Deputy Director. Responsible for EEMS Processing Center facilities management within the state of South Carolina by maintaining efficient and hazard-free offices. Promotes and maintains adequate and appropriate office space, furniture, and equipment needs for Processing Center staff.
Minimum and Additional Requirements
A bachelor's degree and at least four (4) years of experience in management and leadership roles, directly responsible for program outcomes and creating solutions for improved performance. Previous supervisory experience required. Extensive knowledge of human services programs required. Extensive Medicaid knowledge preferred. An equivalent combination of experience and education may be considered with State Human Resources approval.
All degrees must be from a college or higher education institution recognized by the U.S. Department of Education & Council for Higher Education Accreditation (CHEA).
Must have and maintain a valid driver's license.
Occasional overnight travel may be required.
Overtime and/or weekend work may be required.
Sitting or standing for long periods of time.
Requires holder to drive routinely.
Lifting requirements: 20 lbs.
This position is accountable for managing a unit responsible for customer service that have impact on both the financial well-being of the State and the availability of resources to provide healthcare to the State's needy citizens. Employee must be able to make frequent independent decisions, work independently, and use discretion with only limited supervision.
Must travel routinely to Eligibility, Enrollment and Member Services (EEMS) Processing Center locations throughout the State of South Carolina.
Extensive knowledge of application processing, supervisory, and management experience.
Ability to analyze and interpret broad health and human services issues and their impact on the Department's programs.
Knowledge of laws, regulations, policies, and procedures relevant to the area of employment.
Ability to exercise good judgment and discretion.
Ability to establish and maintain effective working relationships.
Ability to communicate effectively both orally and in writing.
Ability to effectively manage time and prioritize tasks and projects with competing and/or shifting deadlines.
Must be able to lead and manage a diverse staff.
Ability to communicate and collaborate with staff from different levels of the workforce.
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.
This position is located in Local Eligibility Processing (LEP), Richland County.
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.