Program Manager III / Quality Management & Compliance Officer

Program Manager III / Quality Management & Compliance Officer

Salary

$92,300.00 - $175,400.00 Annually

Location

Richland County, SC

Job Type

FTE - Full-Time

Job Number

188644

Agency

Department of Behavioral Health and Developmental Disabilities

Division

Central Office

Opening Date

05/21/2026

Closing Date

6/21/2026 11:59 PM Eastern

Class Code:

AH55

Position Number:

60018604

Normal Work Schedule:

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

Pay Grade

GEN13

Opening Date

05/21/2026

EEO Statement

Equal Opportunity Employer

Agency Specific Application Procedures:

Please complete the state application to include all current and previous work history and education using verifiable dates.

Veteran Preference Statement

South Carolina is making our Veterans a priority for employment in state agencies and institutions.

• Description
• Benefits
• Questions

Job Responsibilities

Are you passionate about making a real difference in peoples lives? Join our team at the Office of Mental Health where we are dedicated to providing compassionate and accessible care to our community. We are seeking a Program Manager III / Director of Quality Management and Compliance who is motivated to help individuals and families navigate lifes challenges and achieve long-term wellness. If you want to use your skills to build a healthier, more resilient community, we encourage you to apply.

This position is located at the SC Department of Behavioral Health and Developmental Disabilities (DBHDD) - Office of Mental Health, Central Office, 400 Otarre Parkway Cayce, SC 29033.

As the Compliance Officer for SCOMI-, you will manage compliance activities that ensure that rules and regulations are followed properly. Direct and manage the Division of Quality Management & Compliance. Advise the leadership of the Office of Mental Health and its facilities statewide regarding all areas included in the Division -Medicaid and Medicare Operations, Compliance, HIPAA Privacy, Quality Assurance, Credentialing and Privileging, Accreditation and Education, Training, and Research (ETR).

Responsibilities for the Program Manager III / Quality Management & Compliance Officer:

• Direct and monitor the agencys Compliance program. Maintain, update and monitor the implementation of the agencys Compliance Plan to its fullest and in conformance with federal and state regulations. Monitor and ensure compliance of the agency with Medicare and Medicaid contract and related federal and/or state requirements. Ensure proper resolution to compliance audit findings and investigations. Ensure OMII staff receive needed education on compliance and ethical pract
• Direct and manage the agencys HIPAA Privacy in conformance with federal and state regulations. Ensure proper management and disclosure of PHI, and proper reporting of breaches.
• Direct and manages the agencys Quality Assurance and Utilization Review activities in onformance with third party payer and accreditation standards of care. Ensure timely consultation, education and direction to the Centers and Facility Directors and staff on the delivery of services in accordance to Medicaid and Medicare standards of practice. Advise the leadership of the agency on issues related to the quality of services provided, practices and areas for improvement. Monitor corrective action plans and quality improvement plans system-wide.
• Manage Office of Credentialing and Privileging, assuming responsibility and accountability for state-wide credentialing of staff and ensuring the efficiency and compliance with all appropriate NCQA accreditation requirements and regulations.
• Direct and manage the Education, Training and Research area as a vital function of a competent and educated workforce.
• Serve as the DHHS Liaison for OMH and collaborate with DHHS on the development and implementation of new initiatives and changes affecting the delivery of services by OMH. Review federal policies and initiatives stemming from Medicaid, Medicaid Managed Care, Medicare and other payer sources in light of the potential impact to the agency and advises leadership on these matters for proper decision making and planning. In consultation with OMH Senior Management, develops initiatives related to issues of program development and billing as they relate: to Medicaid and Medicare.
• Manage contracts with MCOs including value-based contracts; collaborates to develop quality improvement projects; serve as primary point of contact for all MCOs for contract review and approval process.

Minimum and Additional Requirements

• A bachelors degree and relevant program management experience.

• A Masters degree or Ph.D. in Healthcare Administration, Psychology or related field, OR Bachelors degree in Health Information Management; with five (5) years of

relevant program experience in compliance, healthcare administration, quality assurance,. and HJPPA Privacy. South Carolina licensure appropriate to profession.

Additional Requirements:

• Knowledge of healthcare compliance activities as well as federal and state regulations pertaining to these activities.
• Understand systems and operations of health and human services delivery field.
• Possess excellent written and verbal communication and decision-making skills especially when facing confrontations and challenging situations.
• Ability to provide leadership in areas of responsibility.

Preferred Qualifications

• Experience in HIPAA / privacy and knowledge of credentialing processes and Health Information Management.
• Knowledge and experience in billing or CPT coding.
• Bilingual abilities in English and Spanish (or another language) are a plus.
• Management experience in a large healthcare setting and significant supervisory experience.
• Knowledge and experience in state and federal information privacy laws. including but not limited to HIPAA.
• Knowledge of accreditation standards (CARF, Joint Commission).

Additional Comments

Post hire, employees must:

• Will travel to CMHCs and Inpatient facilities across the state. Some overnight travel may be required.

The Department of Behavioral Health and Developmental Disabilities 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.

Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. 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.

The Department of Behavioral Health and Developmental Disabilities offers an exceptional benefits package for full time (FTE) employees:

• Health, dental, vision, long-term disability, and life insurance for employees, spouse, and children. Click here for additional information.

• 15 days annual (vacation) leave per year

• 15 days sick leave per year

• 13 paid holidays

• Paid Parental Leave

• S.C. Deferred Compensation Program available (S.C. Deferred Compensation)

• Retirement benefit choices *

• State Retirement Plan (SCRS)

• State Optional Retirement Program (State ORP)

• Enrollment in one of the listed plans is required for all FTE employees; please refer to the contribution section of hyperlinked retirement sites for the current contribution

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

Have you ever been employed by the SC Dept. of Behavioral Health and Developmental Disabilities - Office of Mental Health (OMH) (formerly SC Department of Mental Health)?

• Yes
• No

02

If you have ever been convicted of a misdemeanor or felony criminal offense (other than in a Juvenile Court), you MUST list this information (unless you have taken steps to expunge your record.) This includes fraudulent checks, driving under suspension, disorderly conduct, shoplifting, etc. *Please note that conviction of a criminal offense does not bar you from employment in all cases; each conviction is evaluated individually. However, failure to list convictions is considered falsification of the application and WILL BE grounds for termination, if hired. It is your responsibility to know what is on your criminal record. If you have charges on your record that appear without a court disposition (result) you may be asked to provide that information if selected for employment. If you have questions, please inquire before you complete your application. PLEASE NOTE THAT NOT ANSWERING THIS QUESTION WILL DEEM YOUR APPLICATION AS INCOMPLETE AND IT WILL NOT BE CONSIDERED. Please indicate your understanding to this statement by checking the box below.

• Checking this box indicates my understanding to the above referenced statement.

03

Do you have a masters degree or Ph.D. in Healthcare Administration, Psychology or related field, OR bachelors degree in Health Information Management from an accredited college/university with five (5) years of relevant program experience in compliance, healthcare administration, quality assurance, and HJPPA Privacy?

• Yes
• No

04

Do you have a South Carolina licensure appropriate to the profession?

• Yes
• No

05

Have you been denied a professional license, or had a professional license revoked or limited by, and/or had any discipline or sanction imposed on you or your practice by a professional licensing board or body?

• Yes
• No

06

If you answered Yes to the question above, please provide a statement explaining the facts, name of the professional licensing board or body, any action taken by the board or body and your current status with that board or body.

07

Please indicate your salary requirements (please be specific and not put "negotiable" or "open").

Required Question

Employer State of South Carolina

Agency Department of Behavioral Health and Developmental Disabilities Address 400 Otarre Parkway

Cayce, South Carolina, 29033

Phone OIDD - (803) 898-091

OMH - (803) 898-8600

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.