IO Program Coordinator II

okgov; Oklahoma; On-site; USD 26,000 - 36,000; Full time

Benefits offered by this job

Generous state-paid benefit allowance

Flexible Spending Accounts

Retirement Savings Plan with employer

11 paid holidays annually

15 days of vacation and 15 days of S

Longevity Bonus

Job summary

Oklahoma Health Care Authority (OHCA) is seeking an IO Program Coordinator II to support SoonerCare/Insure Oklahoma and other Medicaid programs. You will resolve inquiries from members, employers and agents, manage enrollments and invoices, and ensure compliance with program rules.

The role requires strong attention to detail, excellent communication, and the ability to navigate complex policy guidelines while maintaining service standards for internal and external stakeholders.

Qualifications

• In-depth knowledge of Medicaid program policies.
• Strong communication skills for resolving inquiries.
• Ability to manage complex administrative processes.

Responsibilities

• Resolve member, employer and agent inquiries; handle enrollments and invoicing.
• Investigate payment discrepancies, fraud and quality assurance issues.
• Communicate policy details to employers, members and stakeholders.

Skills

Medicaid policies knowledge

Job description

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