IO Program Coordinator II

State-of-Oklahoma; Oklahoma; On-site; USD 47,000 - 51,000; Full time

Benefits offered by this job

Generous benefit allowance

Insurance plans

Flexible Spending Accounts

Retirement Savings Plan

Vacation and sick leave

Holiday pay

Longevity Bonus

Loan forgiveness programs

On-site gym

Job summary

Oklahoma Health Care Authority (OHCA) seeks an IO Program Coordinator II to support SoonerCare/Insure Oklahoma and Medicaid programs.

You will resolve inquiries from members, employers and agents, manage enrollments and invoices, verify eligibility, and ensure compliance with program policies.

Qualifications

• In-depth knowledge of Medicaid program policies.
• Strong communication skills for resolving inquiries.
• Ability to manage complex administrative processes.
• Experience in customer service or related processing tasks.

Responsibilities

• Research and resolve employer, agent and member inquiries.
• Investigate payment discrepancies, fraud and quality assurance concerns.
• Interpret and communicate SoonerCare/Insure Oklahoma policies to stakeholders.
• Manage member applications, enrollments, plan changes and eligibility verifications.
• Coordinate with other departments on operational procedures.

Skills

Medicaid knowledge

Communication

Attention to detail

Customer service

Collaboration

Education

30 college hours + 6 in business/public administration

Job description

Job Posting TitleIO Program Coordinator IIAgency807 HEALTH CARE AUTHORITYSupervisory OrganizationEligibility & Coverage ServiceJob Posting End DateRefer 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.Estimated Appointment End Date (Continuous if Blank)Full/Part-TimeFull timeJob TypeRegularCompensation22.81875 / hourWhy You’ll Love Working HereAt 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 BenefitsWe 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 DescriptionLocation: 4345 N Lincoln Blvd, Oklahoma City, OK 73105Salary: 22.81875 / hourWork Schedule: Monday – FridayPrimary Hours: 8:00 a.m. – 5:00 p.m.Agency/Division InformationThe 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 PurposeIO 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, and eligibility 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 RequirementsIO 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 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.**Education and/or Experience:1 year of experience as customer service representative.A n 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 plus 1 years of experience in customer service, processing tax returns, bookkeeping or closely related work.Preference Qualifications Include :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 Certification, Certified Health Data Analyst (CHDA), or Health Insurance Portability and Accountability Act (HIPAA) CertificationPhysical Demands and Work EnvironmentWork 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 StatementThe 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 405-522-7335.Notice to applicants:Please add [e-mail] to the address book or “safe-senders” list in your email. All correspondence will come from this address. Be sure to check your junk folder. If you have questions about the status of your application, you can contact the HR team at 405-522-7093.Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.Current State of Oklahoma employees must apply for open positions internally through Workday Jobs Hub .Equal Opportunity EmploymentThe State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub .If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information:Agency Contact