Program Coordinator II (Waiver QA Reviewer) / 60019056

Program Coordinator II (Waiver QA Reviewer) / 60019056

Salary

$53,142.00 - $55,000.00 Annually

Location

Richland County, SC

Job Type

FTE - Full-Time

Job Number

193204

Agency

Department of Health and Human Services

Division

Bureau of Quality

Opening Date

09/24/2026

Closing Date

9/30/2026 11:59 PM Eastern

Class Code:

AH40

Position Number:

60019056

Normal Work Schedule:

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

Pay Grade

GEN09

Hiring Range - Min.

$53,142.00

Hiring Range - Max.

$55,000.00

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 is position is located in the Bureau of Quality, 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 (Waiver QA Reviewer) who will promote the mission and values/behaviors of SCDHHS. With minimum supervision, create training materials, schedule, and perform statewide provider compliance training based on workflow or as assigned by supervisor or program director to ensure adherence with South Carolina Department of Health and Human Services (SCDHHS) policies and procedures, state and federal enrollment requirements, CMS/Medicaid waiver requirements and state regulations. Adhere to HIPPA and privacy laws.

• Conducts and documents QA/compliance audits for Home and Community-based Waiver Services (HCBS) to monitor waiver performance measures and CMS quality assurance indicators. Prepares the reviews by setting up survey in Phoenix or other QA related tools per the participant, employee, or provider samples indicated on the QA/Compliance Strategic Plan. Reviews the results/data of reviews conducted by external Quality Improvement Organization (QIO) entities. Develops and implements quality assurance and compliance process improvements in collaboration with external partners and stakeholders. Ensures internal and external policy changes align with quality assurance expectations. Reports provider non-compliance of claims submissions.
• Prepares accurate review findings letters, review overview documents, review reports and sends to the provider electronically via Phoenix and/or email. Reviews provider submitted corrective action plans and adjusts final compliance scores accordingly prior to sending final results letter via certified letter and electronic submission. Notifies supervisor of potential sanction of contract termination after initial letter is sent to the provider. Communicates with SCDHHS staff and provider staff appropriately to give policy and compliance instruction as needed.
• Contributes to the development and implementation of the quality assurance tools for waiver providers. Monitors updates to waiver documents and related policies and updates tool as appropriate. Documents review data in appropriate tools to facilitate accurate data reporting. Supports the completion and submission of data to Bureau of Policy regarding the review findings.
• 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.
• Completes other job duties as assigned. May require performing tasks across other business units within the agency.

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 quality assurance, public health, a life science, humanities, or a related field and at least two (2) years of relevant experience.

Additional Requirements:

• In-office role.

Preferred Qualifications

• Employee must have knowledge of basic principles of quality assurance and the associated statistical tenets.
• Excellent oral and written communication skills.
• Good analytical skills.
• Good mathematics skills.
• intermediate-level skills with Microsoft Office applications.
• Willingness to learn to use a number of different IT systems and their related reporting tools.
• Ability to prioritize tasks, manage time and work independently.

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

The established hiring range for this position is $53,142 to $55,000. Do you accept this range?

• Yes
• No

03

Do you have a bachelors degree in quality assurance, public health, a life science, humanities, or a related field?

• Yes
• No

04

Do you have at least two (2) years of relevant experience?

• Yes
• No

05

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

06

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.