Salary: $46,655.00 - $63,000.00 Annually
Location : Richland County, SC
Job Type: FTE - Full-Time
Job Number: 172093
Agency: Department of Health and Human Services
Division: Managed Care Operations
Opening Date: 12/20/2024
Closing Date: 1/15/2025 11:59 PM Eastern
Class Code:: BE30
Position Number:: 60015416
Normal Work Schedule:: Monday - Friday (8:30 - 5:00)
Pay Band: Band 6
Hiring Range - Min.: $46,655.00
Hiring Range - Max.: $63,000.00
Opening Date: 12/20/2024
EEO Statement: Equal Opportunity Employer
Agency Specific Application Procedures:: Failure to provide detailed and complete information may result in your application not being referred
Veteran Preference Statement: South Carolina is making our Veterans a priority for employment in state agencies and institutions.
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. Are you the One? We are looking for a
Grants Administrator I (MCO Contract Monitor) who will serve as a Contract Manager for the South Carolina Department of Health and Human Services for Medicaid Operations. Primary responsibilities include the management of operational support contracts or overseeing managed care entities providing services to Medicaid enrollees. The Contract Manager monitors assigned contracts and vendor deliverables. Serves as a liaison and communications lead between the vendor and agency stakeholders. Serves as a subject matter expert in providing knowledge and expertise for assigned contracts. Monitors contract activities and vendor performance through a variety of means to ensure compliance and delivery of quality service. Utilizes statistical measurements to distinguish areas of strength and identification of failures to comply. Completes reporting and other evaluation analysis to track and measure contract and vendor performance and compliance. Identifies the need for, assists in the creation of, and maintains all documentation, protocols, and tools required to monitor, analyze, measure and report all assigned deliverables related to contracts and vendor compliance and performance. Ensures all documentation is clear, concise, and easily followed and utilized by others.
- Provides day-to-day oversight, follow-up, and maintenance on contract management and vendor deliverables for assigned contracts. Serves as a subject matter expert providing knowledge and expertise for assigned contracts to management, vendors, and agency stakeholders. Tracks, assists, and escalates as necessary the planning, coordination, administration and execution of new contracts and contracts amendments. Measures, tracks, and reports regularly on contract activity, contractor performance and agency satisfaction to department lead and others. Archives and stores supporting documentation, communications, reports, etc. Provides input, serves as liaison, and prepares communications for publication to vendors, internal departments, stakeholders, and/or administration. Conducts site visits to outreach activities as well as meetings with health plans as prescribed (requires driving).
- Assists in the development and maintenance of all procedural documentation, tools, and reports, etc. essential to properly monitor, analyze, measure and report contract and vendor deliverables and compliance. Evaluates, updates, and maintains all resources to ensure accuracy. Maintains contract monitoring protocols, practices and plans tailored for each assigned contract, including the collection and storage of data required to monitor, analyze, and report compliance. Documentation is accurate, concise, and easily followed and utilized by others.
- Provides day-to-day oversight, follow-up, and maintenance of assigned contract/vendor related escalations. Serves as a subject matter expert providing knowledge and expertise for assigned contracts to management, vendors, and agency stakeholders. Measures, tracks, and reports regularly on contract/vendor related escalations for assigned contracts. Archives and stores supporting documentation, communications, reports, etc. Develops and submits to management after action review documents to address repetitive escalation topics.
- Attends and participates in relevant opportunities for professional development and training. Demonstrates utilization and application of new skills learned to improve effectiveness and efficiency within assigned responsibilities.
- Performs other duties as assigned. Serves as back-up and covers tasks and responsibilities of other team members as requested and assigned.
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 or business field and at least three (3) years of professional business, personnel, grant-in-aid, or public administration, or other work-related experience.
Additional Requirements: - Occasional overnight travel.
- Valid driver's license.
- Overtime and/or weekend work with Deputy approval.
- Sitting or standing for long periods of time.
- Lifting requirements: 20 lbs.
Preferred Qualifications - Demonstrated competencies related to contract procedures, functions, and compliance.
- Competent in use of protocols, policies, procedures, and tools.
- Experience in interpreting and applying laws, regulations, policies, and/or procedures required.
- Ability to work independently; to organize and complete work assignments with minimal guidance.
- Ability to maintain a positive working environment with internal and external relationships.
- Capable of following oral and written policies/regulations.
- Proficient in serving as point person for day-to-day oversight of assigned programs.
- Experience working with Microsoft Excel preferred.
- Working knowledge of financial and accounting practices.
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.
Benefits for State Employees The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.
Insurance Benefits Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.
Retirement Benefits State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.
Workplace Benefits State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.
Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.
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The responses you provide to these Supplemental Questions will be used in combination with your application to determine whether you meet the minimum qualification requirements. Please, thoroughly complete the Education and Work Experience sections of your application and the Supplemental Questions. Failure to provide detailed and complete information will result in your application being rejected. Any misrepresentation or omissions will result in your disqualification from employment and/or termination. You may not submit resumes in lieu of filling out the application or answering the Supplemental Questions. I acknowledge that I have read, understand, and agree with the above.
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Do you have a bachelor's degree in a health or business field?
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Do you have at least three (3) years of professional business, personnel, grant-in-aid, or public administration, or other work-related experience?
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Do you have a valid driver's license?
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If yes, please provide your driver's license number and state of issuance.
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Do you wish to claim Veteran Preference? If yes, you must submit a copy of your DD214 Form with your job application in order to qualify and claim this preference.
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How did you hear about this career opportunity?
Required Question