Provider Contracts Analyst IV
State of Oklahoma
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Benefits offered by this job
Job summary
State of Oklahoma OHCA is seeking a Provider Contracts Analyst IV in Oklahoma City to oversee complex provider contracts, ensure regulatory compliance, and mentor staff within the Provider Engagement team. This role focuses on screening providers, processing data changes, monitoring licensure, and coordinating with policy, IT, and operations to improve contracting workflows, with a Monday–Friday schedule.
Salary is hourly at $26.908654 with full-time status; travel as needed.
Qualifications
- Bachelor's degree and 1 year of professional or technical administrative experience in business or public administration or an equivalent combination.
- Technical administrative experience includes highly complex clerical work under direct supervision.
- Certifications in relevant areas (preferred) such as CPCS, CHCP, PMP, Lean Six Sigma, or regulatory licenses.
Responsibilities
- Oversees complex provider contract administration to ensure OHCA/Medicaid compliance.
- Lead resource for complex provider contracting issues requiring policy interpretation across divisions.
- Reviews provider enrollment, credentialing, and contract issues ensuring accuracy and timeliness of records.
- Monitors licensure, contract status, and enrollment data for compliance and data integrity.
- Coordinates with policy, IT/system support, and operations to resolve contracting or enrollment issues.
- Provides guidance and technical support to analysts on procedures and policies.
- Assists in developing procedures, training materials, and SOPs for provider contracting.
- Evaluates contracting workflows to identify inefficiencies or risks.
- Participates in implementing process improvements and system updates affecting contracting.
- Tracks trends in inquiries and issues, providing feedback to leadership.
- Acts as a point of contact for internal and external partners on complex contracting matters.
Skills
Education
Job description
Refer to the date listed at the top of this posting, if available. Continuous if date is blank.
Provider Contracts Analyst IV
807 HEALTH CARE AUTHORITY
Provider Engagement
Refer to the date listed at the top of this posting, if available. Continuous if date is blank.
Full time
Regular
$26.908654 / hourly
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.
- 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.
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.
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.
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.
- 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.
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.
- To be considered for this position your application must include a resume/CV with complete work and education history.
- 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.
- 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
- Experience in Medicaid/Medicare Regulations
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.
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.
Please add OHCAHR@okhca.org 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.
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.
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