Provider Contracts Analyst IV

Oklahoma AG; Oklahoma City (OK); On-site; USD 31,000 - 44,000; Full time

Benefits offered by this job

State-paid benefits

Insurance plans

FSAs

Retirement plan

Holidays 11

Vacation/Sick leave

Longevity bonus

Public Service Loan Forgiveness

Wellness program

Job summary

The Oklahoma Health Care Authority (OHCA) seeks a Provider Contracts Analyst IV to lead complex provider contracting and ensure regulatory compliance in Oklahoma City.

The role screens providers, processes data changes, and monitors licensure to maintain data integrity, serving as a key contact for stakeholders and driving process improvements.

Qualifications

• Bachelor's degree and 1 year of professional or technical administrative experience in business or public administration.
• Equivalent combination of education and experience, substituting 1 year of qualifying experience for each year of the required education.
• Technical administrative experience involving highly complex clerical work under supervision.

Responsibilities

• Oversees complex provider contract administration to ensure compliance with OHCA policies and Medicaid regulations.
• Leads complex provider contracting issues and escalations needing advanced policy interpretation.
• Reviews enrollment, credentialing, and contract issues ensuring accuracy and timeliness of provider records.
• Monitors licensure, contract status, and enrollment data for compliance and data integrity.
• Coordinates with policy, IT/system support, and operations to resolve contracting issues.
• Provides guidance and training on contracting procedures, provider policies, and system processes.

Skills

Communication

Problem solving

Collaboration

Education

Bachelor's degree + 1 year experience in business/public administration

Job description

Job Posting Information

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. 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.

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 health 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

• 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 Competency Requirements

This position requires in-depth knowledge of agency policies, state and federal legislation, and principles of program administration. Strong skills in communication, problem-solving, and collaboration are essential to maintain relationships and resolve complex contracting issues. The ability to manage multiple priorities, provide leadership, and align programs with broader organizational goals is critical. The Korn Ferry competencies of Ensures Accountability and Manages Complexity closely align with this role, as they involve overseeing provider compliance and improving contracting processes while managing operational challenges.

Education and/or Experience

A bachelor's degree and 1 year of professional or technical administrative* experience in business or public administration OR An equivalent combination of education and experience, substituting 1 year of qualifying experience for each year of the required education. *Technical administrative experience would include highly complex clerical work gained under the direct supervision of a professional supervisor or manager.

Preference Qualifications Include

• Certifications in any of the following areas: Certified Provider Credentialing Specialist (CPCS), Certified Healthcare Contracting Professional (CHCP), Project Management Professional (PMP), Lean Six Sigma Green Belt or Black Belt, Compliance Certification Legal or Regulatory Licenses.

Physical Demands and Work Environment

Work 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 Statement

The 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.

Equal Opportunity Employment

The 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.

For additional assistance or if you have questions about the status of your application, you can contact the HR team at 405-522-7093.