Senior Provider Contracts Analyst

okgov

Oklahoma

On-site

USD 36,000 - 39,000

Full time

5 days ago
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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

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

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