Top 16 Program writer Jobs in Columbia, Sc

Program Coodinator II (Provider Network Analyst) / 61047841
State of South Carolina —Richland County, SC
- $52,100 - $60,000 a year
- Overtime
- Word processing
- System design
- Mid-level
- Paid holidays
- Disability insurance
7d
Story Desk Editor
TEGNA Inc. —Columbia, SC
- Part-time
- Bachelor of Science
- Research
- Mid-level
- Paid holidays
- Disability insurance
14d
MO-7/17 - 7513 - Technical Writer w/ Medicaid Exp - Columbia, SC (Local to SC Candidates Only)
FHR —Columbia, SC
- Hybrid work
- Research
- Mid-level
- Office
Quick Apply
Automotive Service Writer
JTs Automotive Group —Columbia, SC
- $45,000 - $90,000 a year
- Full-time
- Background check
- Dealership
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Auto Care Center Service Writer
Walmart —Columbia, SC
- $14 - $27 an hour
- Part-time
- High school
- Entry level
- Paid jury duty
- Disability insurance
Clinical Apps Analyst III
Lexington Medical Center —West Columbia, SC
- Full-time
- Research
- Mid-level
- Master's degree
- 403(b) matching
- Disability insurance
Service Manager
Firestone Complete Auto Care —Columbia, SC
- $18.54 - $27.81 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Driver's License
- Paid holidays
- 401(k)
4d
Service Advisor
Thunder Tower West Harley-Davidson —Elgin, SC
- Up to $25 an hour
- Full-time
- Dealership
- Computer literacy
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Mobile Diesel Mechanic
Rush Enterprises —Columbia, SC
- $30 - $60 an hour
- Full-time
- ASE Certification
- 5 years
- Mid-level
- Employee stock purchase plan
- Health insurance
Quick Apply
Certified Harley-Davidson Technician
Thunder Tower West Harley-Davidson —Elgin, SC
- $28 - $40 an hour
- Full-time
- Mid-level
Quick Apply
Power Generator Technician
GenServe LLC —United States
- $35 - $60 an hour
- Weekends as needed
- Background check
- Clean driving record
- 5 years
- Paid training
- Fuel card
Quick Apply

Discover related jobs

Based on your search for program writer jobs.

Border Patrol Agent - Entry Level
Customs and Border Protection —South Carolina
Education Substitution: A bachelor's degree or successful completion of a full four-year course of study in any field leading to a bachelor's degree from an…
$51,632 - $92,912 a year
Sales Retention Manager
Confidential —Columbia, SC
This role combines leadership and office management with *client engagement and sales responsibilities*, making it ideal for someone who thrives on building…
$52,000 - $78,000 a year
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Grant Writer
HEART OF OHIO FAMILY HEALTH CENTERS —Columbus, OH
Facilities are a medical office environment with front-desk reception area, separate patient examination rooms, pharmacy stock room, business offices, hallways…
$64,400 - $91,520 a year
Quick Apply
10d
Sportsbook Ticket Writer - PT
Hollywood Casino at Columbus —Columbus, OH
Assist guests with all methods and mediums for sports betting transactions. Explain wagering rules, including betting lines and odds, and procedures to guests.

Show more jobs in cities nearby

I want to receive the latest job alert for program writer in columbia, sc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

program writer jobs near columbia, sc

Program Coodinator II (Provider Network Analyst) / 61047841

State of South Carolina -
Richland County, SC

Apply Now

Job Details

Full-time
$52,100 - $60,000 a year
7 days ago

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Vision insurance
Flexible schedule
Life insurance
Prescription drug insurance

Qualifications

Driver's License

Full Job Description

Job Responsibilities

The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians.

This is position is located in the Bureau of Managed Care, Richland County.
This is an in-office role and not a telecommute or remote position.

Are you the One? We are looking for a Program Coordinator II (Provider Network Analyst) who will serve as the Medicaid Provider Network Analyst for the South Carolina Department of Health and Human Services in the Bureau of Managed Care. Acts as the lead analyst and performs independent, complex work providing coordination of managed care plan provider network activities within the Bureau of Managed Care. This work consists of reviewing administrative policies, procedures, guidelines, and related directives impacting managed care plan contract compliance issues and problems; interpreting network analysis results and identifying areas of opportunity; and recommending appropriate action.

Develops and implements solutions and improvements related to provider networks as part of an interdisciplinary team. Consults with team members to ensure solutions are compliant with federal regulations, statutes, administrative rules, South Carolina State Medicaid State Plan, contract requirements, and Medicaid policies and procedures. Investigates, assesses, analyzes compliance, and makes recommendations to resolve issues and problems identified in managed care plan provider network activities. Provides direction to SCDHHS contract monitors for assigned managed care plans, Plan Management leadership, and their staff to address non-compliance issues related to provider network activities.
Coordinates and participates in meetings within the Agency, managed care organizations, and other stakeholders. Prepares and delivers presentations to managed care organizations and other stakeholders. Represents SCDHHS on health care related committees, task forces, and special projects as assigned. Participates in meetings, conferences, and workshops on federal and state health care related programs and managed care programs. Participates in strategic planning activities to improve access and quality of care, and increase the efficiency and cost-effectiveness of the Medicaid programs.
- Conducts program training and provides technical assistance related to Medicaid managed care programs, compliance with contract provisions, including provider network requirements, to ensure consistency in program operation and conformity with goals and objectives of the Agency, state and federal laws, rules, regulations and guidelines. Works MCOs to identify and resolve network challenges impacting individual members with unique circumstances.
Performs program monitoring and network analysis activities to determine managed care plan compliance, including: analyzing provider network reports for managed care plans, coordinating and conducting "secret shopper" activities, conducting in-depth follow-up investigation and assessment of managed care plans' provider network activities, maintaining records, preparing reports, and correspondence with managed care plans. Assists in the completion of programmatic reports of secret shopper and other activities for improvement and resolution of provider network compliance as required.
- Proposes and maintains requirements for managed care plan provider network reports/outputs to be used for compliance with contract standards. Identifies potential changes to requirements and recommends changes to technical staff in accordance with established procedures. Provides feedback to Fee for Service program area for potential provider recruitment to expand options for Managed Care plan network gaps.
Under the supervision of the Director of Targeted Oversight, utilizes federal and state regulations, the Agency's strategic plan, the Managed Care Contract, Managed Care Policy and Procedures, and the Managed Care
Report Companion Guide to develop specific deliverables to be monitored by the targeted oversight staff. Works with the Managed Care Contract Writer, legal department, and other SCDHHS stakeholders to ensure the Managed
Care Contract, Managed Care Policy and Procedures, and Managed Care Report Companion Guide remain current to meet requirements and further the work of SCDHHS as related to this position.
Serves as a point of contact for internal agency stakeholders and external contractors and vendors. Conducts formal and informal communications through the course of contract administration and management. Administers contract monitoring program to ensures performance conforms to contract requirements in terms of quality, quantity, timeliness, and cost as these terms are defined within the contracts and to agency satisfaction in accordance with established policies. Identifies, researches, and resolves contractual issues and disputes by developing and implementing a plan of action, tracking plan progress, and adjusting course where necessary to facilitate a mutually agreeable resolution. Addresses contractor deficiencies. Assists with contract and RFP creation and negotiations. Facilitates Contract Change Orders, Amendments, and Renewal documents. Ensures significant events are well-documented and records of monitoring results are maintained, to include all correspondence, amendments, and meetings. Thoroughly documents vendor performance standards that do not meet the contractual requirements. Reviews invoices and verifies contractors have demonstrated satisfactory delivery of services as agreed to in the contract and approves payment if deemed satisfactory. Tracks spend as defined through awarded Contract, Purchase Order, and Contractor Invoices; ensures compliance with the contract terms; identifies and reduces fiscal or program risk.
Maintains up-to-date knowledge concerning the South Carolina Medicaid program, including pertinent federal regulations, state statutes, administrative rules, South Carolina Medicaid State Plan, and Medicaid program manuals. Remains informed about managed care contracts, Medicaid systems and technology, and South Carolina Medicaid provider network guidelines.

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 in a health, administration, or data management/analysis field and at least three (3) years of relevant professional experience in social service programs, business administration, general administrative management; OR

A master's degree in health, administration, or data management/analysis field and at least one (1) year of relevant professional experience in social service programs, business administration, general administrative management.

Preferred: Current enrollment in a Master’s Degree program in a health, administration, or data management/analysis field with two (2) or more of the following; relevant internship, case competition, fellowship, research, projects or the like in lieu of one (1) year of work experience.

Additional Requirements:

Occasional overnight travel.
Overtime and/or weekend work with Deputy approval.
Sitting or standing for long periods of time.
Lifting requirements: 10 lbs.
Valid driver's license.
In-office role.

Preferred Qualifications

Experience and knowledge of Grant/Contract Management or Administration preferred.
Knowledge and understanding of healthcare systems design and operations.
Knowledge of provider types and specialties preferred.
Knowledge of Medicaid Program and Managed Care or health insurance preferred.
Ability to work cooperatively as a member of the team.
Ability to understand and apply applicable statutes, rules, regulations, policies, and procedures.
Ability to determine work priorities and ensure proper completion of work assignments in a timely manner.
Knowledge of methods necessary for efficient compiling, organizing, and analyzing data.
Ability to collect, analyze, and evaluate data quickly, develop reports, and make recommendations.
Knowledge of, and experience with, word processing, spreadsheet and/or database software.
Knowledge and understanding of GIS networks.
Ability to communicate effectively, both verbally and in writing.
Rudimentary understanding of SAS or other programming language preferred but not required.

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.

Apply Now

Refine Your Search

program writer jobs in columbia, sc

Program Coodinator II (Provider Network Analyst) / 61047841

Story Desk Editor

MO-7/17 - 7513 - Technical Writer w/ Medicaid Exp - Columbia, SC (Local to SC Candidates Only)

Automotive Service Writer

Auto Care Center Service Writer

Clinical Apps Analyst III

Service Manager

Service Advisor

Mobile Diesel Mechanic

Certified Harley-Davidson Technician

Power Generator Technician

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for program writer in columbia, sc

Explore jobs in more locations

Job Responsibilities

Minimum and Additional Requirements

Preferred Qualifications

Additional Comments

Job Seeker Tools

Employer Tools

Browse

Stay Connected