Provider Contracts Analyst IV

okgov; Oklahoma; On-site; USD 36,000 - 39,000; Full time

Benefits offered by this job

Insurance plans

Flexible spending accounts

Retirement plan

Holidays

Vacation & sick leave

Loan forgiveness support

Wellness benefits

Job summary

Oklahoma Health Care Authority (OHCA) seeks a Provider Contracts Analyst IV to provide strategic oversight of provider contracts and ensure regulatory compliance. The role screens potential providers, processes data changes, and monitors licensure to maintain database integrity.

It serves as a key point of contact and mentors staff across divisions. The position emphasizes complex contracting inquiries, coordination across teams, and ongoing process improvements to support OHCA’s mission in

Responsibilities

• Oversees complex provider contract administration for OHCA policies and Medicaid rules.
• Leads and coordinates contracting inquiries requiring advanced policy interpretation.
• Reviews enrollment, credentialing, and contract issues for accuracy and timeliness.
• Monitors licensure, enrollment data, and contract status to ensure compliance.
• Collaborates with policy, IT/system support, and operations to resolve contracting issues.
• Develops procedures and training materials related to provider contracting.

Job description

Job Posting Title

Provider Contracts Analyst IV

Agency

807 HEALTH CARE AUTHORITY

Supervisory Organization

Provider Engagement

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.

Estimated Appointment End Date

Continuous if Blank

Full/Part-Time

Full time

Job Type

Regular

Compensation

$26.908654 / hourly

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

• 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: $26.908654 / hourly

Work Schedule: Monday - Friday

Primary Hours: 8:00 a.m. - 5:00 p.m.

This position is open only to current OHCA employees and contractors.

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

The Provider Contracts Analyst IV is responsible for providing strategic oversight and leadership in managing provider contracts and ensuring compliance with regulatory requirements. This position involves screening potential providers, processing data changes, and monitoring licensure to maintain database integrity. Additionally, the role supports complex contracting inquiries, identifies areas for improvement, and ensures the effectiveness of contracting processes. As a key point of contact and team leader, the Provider Contracts Analyst IV mentors staff and collaborates with internal and external stakeholders to meet the agency's operational and strategic goals.

Essential Functions May Include

• Oversees complex provider contract administration activities to ensure compliance with OHCA policies, Medicaid regulations, and contractual requirements.
• Serves as a lead resource for complex provider contracting issues, escalations, and inquiries requiring advanced policy interpretation or coordination across divisions.
• Reviews and resolves complex provider enrollment, credentialing and contract issues while ensuring accuracy and timeliness of provider records.
• Monitors provider licensure, contract status and enrollment data to ensure compliance with state and federal requirements and maintain database integrity.
• Coordinates with internal teams such as policy, IT/system support and operations to resolve systemic contracting or enrollment issues.
• Provides guidance and technical support to Provider Contracts Analysts and other staff on contracting procedures, provider policies and system processes.
• Assists in developing and updating procedures, training materials and standard operating documentation related to provider contracting activities.
• Evaluates contracting workflows and operational processes to identify inefficiencies, compliance risks or opportunities for improvement.
• Participates in implementing process improvements, system updates or policy changes that affect provider contracting and enrollment operations.
• Tracks and analyzes trends in provider inquiries, contract issues or operational challenges and provides feedback or recommendations to leadership.
• Serves as a point of contact for internal stakeholders and external partners regarding complex provider contracting matters.
• Other duties as assigned.

Supervisory Responsibilities

This position does not supervise .

Knowledge, Skills, Abilities and Competenc y Requirements

This position requires in-depth knowledge of agency policies, state and federal legislation and principles of program administration. Strong skills in communication, problem-solv