Eligibility Coordinator I / 60019069

State of South Carolina

Horry County, SC(remote)

JOB DETAILS
SALARY
$37,200–$59,500 Per Year
SKILLS
Best Practices, Communication Skills, Community and Social Services, Compensation and Benefits, Consulting, Customer Support/Service, Department of Health and Human Services, Disciplinary Action, Driver's License, Equal Employment Opportunity (EEO), Establish Priorities, Federal Laws and Regulations, Health Insurance, Help Desk, High School Diploma, Human Resources, Leadership, Lift/Move 20 Pounds, Medicaid, Organizational Skills, People Management, Performance Analysis, Performance Reviews, Regulations, Social Work, Staff Motivation, Staff Training, State Laws and Regulations, Team Lead/Manager, Technical Support, Time Management, Willing to Travel, Work From Home
LOCATION
Horry County, SC
POSTED
10 days ago

Eligibility Coordinator I / 60019069

Salary

$37,200.00 - $59,500.00 Annually

Location

Horry County, SC

Job Type

FTE - Full-Time

Job Number

189576

Agency

Department of Health and Human Services

Division

Eligibility, Enrollment, and Member Services (EEMS)

Opening Date

06/17/2026

Closing Date

6/23/2026 11:59 PM Eastern

Class Code:

GA45

Position Number:

60019069

Normal Work Schedule:

Monday - Friday (8:30 - 5:00)

Pay Grade

GEN06

Hiring Range - Min.

$43,620.00

Hiring Range - Max.

$43,620.00

Opening Date

06/17/2026

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.

  • Description
  • Benefits
  • Questions

Job Responsibilities

The Agencys 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), Horry County

This is an in-office role and not a telecommute or remote position

Are you the One? We are looking for an Eligibility Coordinator I who will serve as supervisor and is responsible for managing a team of Eligibility Specialists. Provides leadership and direction to eligibility team staff. Responsible for timely and accurate eligibility determinations and positive customer service. Is directly responsible for ensuring team members are held accountable for timely and accurate determinations.

  • Leads a team of skilled Medicaid Eligibility Specialists, directing the efforts of Specialists and managing work within the team. Monitors team member performance on a day-to-day basis. Implements agency-standard workflow processes and procedures. Provides guidance to team members and agency managers on the effectiveness of agency policies, procedures, and processes. Ensures Specialists are held accountable to established guidelines for the performance of workplace duties.
  • Receives and interprets employee performance reports and provides accurate counseling to Eligibility Specialists in a timely manner. Performs correct administrative follow-up activities after employee counseling and consults human resources when needed to complete employee evaluation or disciplinary action. Identifies and schedules trainings for employees and identifies high-performing employees as candidates for reward or promotion. Provides positive reinforcement and messaging to employees about departmental goals and standards. Leads a team that meets, in the aggregate, Medicaid Eligibility Specialist performance standards.
  • Provides technical assistance to Medicaid Eligibility Specialists and aids in the resolution of common questions, concerns, and escalations received by Medicaid Eligibility Specialists. Accurately addresses or routes questions and escalations to the appropriate resource including team leads, training staff, or help desk professionals, among others. Periodically spot-checks worker performance with respect to attendance, productivity, completeness of application workbooks, and accuracy of determinations.
  • 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 and a safe, professional, and productive work environment for all employees.
  • Attends meetings and training sessions as required. Makes and keeps schedules, completes tasks timely and reports to work timely. Assists eligibility management and senior leadership with projects as assigned. Performs related duties as assigned or required. Ensures Eligibility Specialists attend and successfully complete all training. Performs and coordinates preparedness/shelter duty activities as 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 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:

  • Occasional overnight travel.
  • Overtime and/or weekend work with Deputy approval.
  • Sitting or standing for long periods of time.
  • Requires holder to drive routinely
  • Valid driver's license
  • Lifting requirements: 20 lbs.
  • Requires Emergency Preparedness/shelter duties;
  • In-office Role

Preferred Qualifications

  • Extensive knowledge of the Medicaid Program, human services programs, or eligibility processing preferred.
  • Supervisory and management experience preferred. Knowledge of laws, regulations, policies and procedures relevant to Medicaid eligibility.
  • Ability to exercise judgment and discretion.
  • Ability to establish and maintain effective working relationships.
  • Ability to effectively manage time and prioritize tasks and projects with competing deadlines.
  • Demonstrated ability to lead and manage a diverse staff. Ability to communicate and collaborate with staff from different levels of the workforce.
  • At least two (2) years of supervisory experience.

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.

01

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.

  • Yes
  • No

02

Would you be willing to accept a salary of $43,620?

  • Yes
  • No

03

Do you have a high school diploma?

  • Yes
  • No

04

Do you have relevant experience in customer services, social services, human services, and/or Medicaid processing?

  • Yes
  • No

05

Do you have a bachelors degree or above?

  • Yes
  • No

06

Do you have a valid drivers license? If yes, please provide DL# and state of issuance.

07

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?

  • Yes
  • No

08

How did you hear about this career opportunity?

Required Question

Employer State of South Carolina

Agency Department of Health and Human Services Address 1801 Main Street, Suite 224

Columbia, South Carolina, 29201

Phone 803-898-2670

The language used in this document does not create an employment contract between the employee and the agency. This document does not create any contractual rights or entitlements. The agency reserves the right to revise the content of this document, in whole or in part. No promises or assurances, whether written or oral, which are contrary to or inconsistent with the terms of this paragraph create any contract of employment.

About the Company

S

State of South Carolina