Eligibility Coordinator I / 60017756 jobs in United States
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NEOGOV · 1 day ago

Eligibility Coordinator I / 60017756

NEOGOV is part of the South Carolina Department of Health and Human Services, focused on improving health and quality of life for South Carolinians. They are seeking an Eligibility Coordinator I to manage a team of Eligibility Specialists, ensuring timely and accurate eligibility determinations and providing leadership and direction to the team.

GovTechHuman ResourcesInformation TechnologySoftware

Responsibilities

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

Qualification

Medicaid Program knowledgeSupervisory experienceHuman services knowledgeEligibility processingJudgmentDiscretionEffective communicationTeam leadershipTime managementRelationship building

Required

A high school diploma and relevant experience in customer services, social services, human services, and/or Medicaid processing
Requires holder to drive routinely
Overtime and/or weekend work with Deputy approval
Sitting or standing for long periods of time
Lifting requirements: 20 lbs

Preferred

Two (2) years of supervisory experience
Extensive knowledge of the Medicaid Program, human services programs, or eligibility processing 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
Requires Emergency Preparedness/shelter duties

Benefits

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.
Health insurance; which includes prescription coverage and wellness benefits.
Dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.
Retirement plan options; including defined benefit and defined contribution plans.
South Carolina Deferred Compensation Program; which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.
Tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.

Company

NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.

Funding

Current Stage
Late Stage
Total Funding
$700M
Key Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity

Leadership Team

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Shane Evangelist
CEO
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Brandon McDonald
Head Of Marketing
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Company data provided by crunchbase