Medicaid Programs Coordinator II – SoonerCare/Insure Oklahoma

State of Oklahoma; Oklahoma City (OK); On-site; USD 47,000 - 51,000; Full time

Benefits offered by this job

Health insurance

Retirement savings plan

Paid holidays

Vacation and sick leave

Job summary

State of Oklahoma's Oklahoma Health Care Authority (OHCA) seeks an IO Program Coordinator II to support SoonerCare/Insure Oklahoma and other Medicaid programs. You will resolve member, employer, and agent inquiries, manage enrollments, process invoices and documents, and ensure policy compliance.

The role requires strong communication, attention to detail, and the ability to navigate complex program guidelines, with responsibilities including eligibility processing, system updates, and liaison

Qualifications

• 1 year of experience as a customer service representative.
• Equivalent combination of education and experience.
• Certifications in related areas are preferred.

Responsibilities

• Resolve employer, agent and member inquiries and complaints.
• Investigate and address employer payment discrepancies, fraud and abuse, and quality assurance issues.
• Interpret and communicate SoonerCare/Insure Oklahoma policies to employers, members, and stakeholders.
• Educate on program coverage, services, and eligibility guidelines for SoonerCare and Insure Oklahoma.
• Process and resolve eligibility issues, payment discrepancies and invoice discrepancies.
• Manage member applications, enrollments, plan changes, and eligibility verifications.
• Identify and report system discrepancies and research system updates and corrections.
• Stay current on program rule revisions and changes; update reference materials.

Skills

Customer service

Communication skills

Attention to detail

Problem solving

Job description

State of Oklahoma's Oklahoma Health Care Authority (OHCA) seeks an IO Program Coordinator II to support SoonerCare/Insure Oklahoma and other Medicaid programs. You will resolve member, employer, and agent inquiries, manage enrollments, process invoices and documents, and ensure policy compliance.

The role requires strong communication, attention to detail, and the ability to navigate complex program guidelines, with responsibilities including eligibility processing, system updates, and liaison