Financial Analyst II

Financial Analyst II

The Financial Analyst II plays a critical role in ensuring the effective financial management and administration of Medicaid services within the Oklahoma Health Care Authority. This position is responsible for analyzing and resolving complex claims and fund recoveries, monitoring financial transactions, and ensuring compliance with state and federal guidelines. By collaborating with internal and external stakeholders, the Financial Analyst II contributes to the accuracy, efficiency, and integrity of financial processes, while supporting the agency's mission to provide better health care for Oklahomans. The role requires a strong understanding of agency policies, financial acumen, and attention to detail to optimize financial outcomes and uphold the agency's core values of trust, accountability, and servant leadership.

Principal activities may include:

• Analyze, research, and/or investigate technically difficult claims, adjustments, and fund recoveries related to the delivery of Medicaid or other health services.
• Resolve discrepancies on paid claims, credits, adjustments, and fund recoveries.
• Identify and report system discrepancies to lead worker.
• Attend meetings with agency personnel and other officials.
• Initiate contact with claimants, third-party administrators, clients, or other agents to solicit information, correct errors or omissions on claim forms, and investigate questionable data.
• Respond to oral and written inquiries and answer phone calls from medical providers, HMOs, recipients, court and county clerks, attorneys, and third-party administrators on medical-related issues. Assist in training providers and others on Finance issues, especially remittance advice statements, submission of claims, and the recoupment process.
• Under direction, initiate action to process recoupment of funds from a Medicaid or other health provider.
• Maintain control of transactions initiated which interface with the fiscal agent's computer system. Monitor accuracy of processing and ensure transactions are completed in accordance with agency policy and state and federal guidelines.
• Prepare and file legal documents for the recovery of funds from third-party payers, including liens on estates, probates, and income pensions, and workers compensation documentation.
• Arrange for reimbursement to the agency payments made on behalf of a client, which were made erroneously or which should have been paid by a third-party payor; e.g., Worker's Compensation, health insurance, casualty insurance, Medicare, etc.
• Assist with the monitoring and tracking of unit-based productivity measures through data entry or other routine tasks.
• Make recommendations and assist in the decision-making process of all MMIS sub-systems.
• Other duties as assigned.

The Financial Analyst II position requires in-depth knowledge of agency policies, state and federal legislation, and Medicaid financial systems. Strong skills in data analysis, problem-solving, and financial management are essential, along with the ability to communicate effectively with stakeholders. The competencies that align with this role include Ensures Accountability (demonstrating ownership for work quality) and Financial Acumen (understanding and applying financial concepts to decision-making).

**To be considered for this position your application must include a resume/CV with complete work and education history.**

Education and/or experience:

• An Associate's degree and 18 (eighteen) months of technical administrative or fiscal related work
• OR
• An equivalent combination of education and experience totaling 3 years and (6) months of experience.

Preference qualifications include:

• Customer service experience
• SoonerCare experience
• ICE experience
• Experience with Microsoft Word and Excel

Physical demands and work environment:

Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. In the course of performing job duties, employees are required to speak, stand, walk, and reach with their hands and arms. This position requires extended periods of sitting and daily use of computers and phones. Employees must be willing to complete all job-related travel associated with this position. Being present at the office is an essential function of this position.

Accommodation statement:

The Oklahoma Health Care Authority complies with applicable State and Federal civil rights laws and does not discriminate. All qualified applicants will receive consideration for employment without regard to race, color, sex, religion, disability, age, national origin, or genetic information. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact the Civil Rights Coordinator at View phone number on click.appcast.io.