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IO Program Coordinator II

okgov

Job Posting Title IO Program Coordinator II Agency 807 HEALTH CARE AUTHORITY Supervisory Organization Eligibility & Coverage Service Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Full/Part-Time Full time Job Type Regular Compensation 22.81875 / hour Why You’ll Love Working Here At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values, Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best-in-Class, Outcome-Driven, and Servant Leadership , we foster a workplace where people feel supported, respected, and empowered to make an impact. Learn more about OHCA. Let’s Talk Benefits We know your great work deserves great support. Here's a snapshot of what we offer for all eligible employees. Generous state-paid benefit allowance to offset insurance premiums. A wide selection of insurance plans with no pre-existing condition exclusions. Flexible Spending Accounts for health care and dependent care. Retirement Savings Plan with employer contributions. 11 paid holidays annually. 15 days of vacation and 15 days of sick leave in the first year. Longevity Bonus recognizing years of public service. Public Service Loan Forgiveness eligibility and tuition reimbursement. Wellness benefits, including an on-site gym and fitness center discounts. Job Description Location: 4345 N Lincoln Blvd, Oklahoma City, OK 73105 Salary: 22.81875 / hour Work Schedule: Monday - Friday Primary Hours: 8:00 a.m. - 5:00 p.m. Agency/Division Information The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better hea l th and better care. The agency's core values include passion for purpose, trust and transparency, empowerment and accountability, best in class and outcome-driven, and servant leadership. As part of the interview process, candidates may be required to attend an in-person interview at our Oklahoma City office. Position Purpose IO Program Coordinator II plays a critical role in supporting the Oklahoma Health Care Authority's mission by ensuring efficient and effective administration of SoonerCare /Insure Oklahoma and other Medicaid programs. This position is responsible for resolving member, employer and agent inquiries, managing member enrollments, processing invoices and employer documents, processing income documents and maintaining compliance with program policies. The role requires strong communication skills, attention to detail, and the ability to navigate complex program guidelines, all while maintaining a high standard of service to internal and external stakeholders. Princip al Activities May Include : Research and resolve employer, agent and member inquiries and complaints. Investigate and address employer payment discrepancies, fraud and abuse, and quality assurance complaints. Interpret and communicate SoonerCare /Insure Oklahoma policies and procedures to employers, members , and stakeholders. Educate on program coverage, services, and eligibility guidelines for SoonerCare , and Insure Oklahoma programs. Process and resolve eligibility issues, payment discrepancies and invoice discrepancies. Manage member applications, enrollments, plan changes andeligibility verifications. Identify and report system discrepancies. Research and implement system updates and corrections. Stay current on SoonerCare /Insure Oklahoma rule revisions and program changes. Maintain organized reference materials and update written controls. Coordinate with other departments on operational procedures. Communicate independently with members , employers and stakeholders to resolve issues. Participate in special projects, member and employer outreach, and educational efforts. Represent s OHCA in meetings, seminars, and training forums. Support workflow during staff absences and manage high call volumes. Other duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Knowledge, Skills, Abilities and Competenc y Requirements IO Program Coordinator II requires in-depth knowledge of Medicaid program policies, strong communication skills for resolving inquiries, and the ability to manage complex administrative processes. This role demands attention to detail, effective collaboration, and the ability to navigate both member and employer concerns. The Korn Ferry competencies that align well with this position are Manages Complexity , for handling detailed program and policy administration, and Collaborates , for working effectively with #J-18808-Ljbffr okgov

Vacancy posted 2 days ago
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