IO Program Coordinator II

The Oklahoma Health Care Authority (OHCA)works to ensure Oklahomans have access to better health and better care.The agencys core values include passion for purpose trust and transparencyempowermentand accountability best in class and outcome-driven and servant leadership.As part of the interview process candidates maybe requiredto attend an in-person interview at our Oklahoma City office.

IO Program Coordinator IIplays a critical role in supporting the Oklahoma Health Care Authoritys mission by ensuring efficient and effective administration ofSoonerCare/Insure Oklahomaand other Medicaid programs. This positionis responsible forresolving memberemployerand agent inquiriesmanaging member enrollmentsprocessing invoices and employer documents processing incomedocumentsand maintaining compliance with program policies. The role requiresstrong communicationskills attention to detail and the ability to navigate complex program guidelines all whilemaintaininga high standard of service to internal and external stakeholders.

• Research and resolveemployer agent andmember inquiriesandcomplaints.

• Investigate and addressemployer payment discrepancies fraud andabuse and quality assurance complaints.

• Interpret and communicateSoonerCare/Insure Oklahomapolicies and procedures toemployersmembers and stakeholders.

• Educate on program coverage services and eligibility guidelines forSoonerCare and InsureOklahomaprograms.

• Process and resolveeligibility issues paymentdiscrepanciesand invoice discrepancies.

• Manage member applications enrollments plan changes and eligibility verifications.

• Identifyand report system discrepancies.

• Research and implement system updates and corrections.

• Stay current onSoonerCare/Insure Oklahomarule revisions and program changes.

• Maintain organized reference materials and update written controls.

• Coordinate with other departments on operational procedures.

• Communicate independently with membersemployersand stakeholders to resolve issues.

• Participate in special projects memberand employeroutreach and educational efforts.

• RepresentsOHCA 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 eachessential duty satisfactorily. The requirements listed below are representative of the knowledgeskill and/or ability.

IO Program Coordinator IIrequiresin-depth knowledge of Medicaid program policiesstrong communicationskills 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 andemployerconcerns. The Korn Ferry competencies that align well with this position areManages Complexity for handling detailed program and policy administration andCollaborates for working effectively with both internal and external stakeholders to resolve issues and ensure program success.

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

• 1year of experienceas customer service representative.

• An equivalent combination of education and experience substituting thirty semester hours of college including six semester hours in business or public administration for the required experience plus1years of experience in customer service processing tax returns bookkeeping or closely related work.

• Certifications in any of the following areas:Certified Medicaid Professional (CMP) Customer Service or Call Center Management Certification Project Management Certification (PMP)Lean Six Sigma CertificationCertified Health Data Analyst (CHDA) or Health Insurance Portability and Accountability Act (HIPAA) Certification

Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels.In the course ofperforming job duties employeesare required tospeak 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.