Job Posting Title
ECS Coordinator II
Agency
807 HEALTH CARE AUTHORITY
Supervisory Organization
Eligibility & Coverage Services
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
$22.81875 / 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
We know your great work deserves great support. Here’s a snapshot of what we offer for all eligible employees.
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: $22.81875 / hourly
Work Schedule: Monday – Friday
Primary Hours: 8:00 a.m. – 5:00 p.m.
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,empowermentand accountability, best in class and outcome-driven, and servant leadership.As part of the interview process, candidates maybe requiredto attend an in-person interview at our Oklahoma City office.
The Eligibility and Coverage Services Coordinator II / IO Program Coordinator IIplaysa critical role in supporting the Oklahoma Health Care Authority's mission by ensuring efficient and effective administration ofSoonerCareand other Medicaid programs. This positionis responsible forresolving member and provider inquiries, processing claims, managing member enrollments, andmaintainingcompliance with program policies. The role requiresstrong communicationskills, attention to detail, and the ability to navigate complex program guidelines, all whilemaintaininga high standard of service to internal and external stakeholders.
Research and resolve provider and member inquiries, complaints, and denied claims.
Investigate and address access to care issues, fraud, abuse, and quality assurance complaints.
Interpret and communicateSoonerCarepolicies and procedures to providers, members, and stakeholders.
Educate on program coverage, services, and eligibility guidelines forSoonerCare, BCC, DOC Inpatient, TEFRA, and Insure OK programs.
Process and resolve electronic claims inquiries and claims reconciliation.
Manage member applications, enrollments, plan changes, and eligibility verifications.
Identifyand report system discrepancies.
Research and implement system updates and corrections.
Stay current onSoonerCarerule revisions and program changes.
Maintain organized reference materials and update written controls.
Coordinate with other departmentsonreferral issues and operational procedures.
Communicate independently with members and stakeholders to resolve issues.
Participate in special projects, member outreach, and educational efforts.
RepresentOHCA in meetings, seminars, and training forums.
Support workflow during staff absences and manage high call volumes.
Other duties as assigned.
The Eligibility and CoverageServicesCoordinator II / IO Program Coordinator IIrequiresin-depth knowledge of Medicaid program policies,strong communicationskills for resolving inquiries, and the ability to manage complex administrative processes. This role demands attention to detail, effective collaboration, and the ability to navigate both member and provider concerns. The Korn Ferry competencies that align well with this position are Manages Complexity, for handling detailed program and policy administration, and Collaborates, for working effectively with both internal and external stakeholders to resolve issues and ensure program success.
**To be considered for this position your application must include a resume/CV with complete work and education history.**
1year of experience in clerical office workor as a customer services representativeplus2years of experience in customer service, processing tax returns, bookkeeping or closely related workOR
An equivalent combination of education and experience, substituting thirty semester hours of college, including six semester hours in business or public administration for the required experience plus2years of experience in customer service, processing tax returns, bookkeeping or closely related work.
Certifications in any of the following areas:Certified Medicaid Professional (CMP), Customer Service or Call Center Management Certification, Project Management Certification (PMP),Lean Six Sigma Certification,Certified Health Data Analyst (CHDA), or Health Insurance Portability and Accountability Act (HIPAA) Certification
Work is typically performed in an office setting with climate-controlled settings and exposure tomoderate noise levels.In the course ofperforming job duties, employeesare required tospeak, 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 Authoritycomplies withapplicable 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. Ifa reasonableaccommodation is needed toparticipatein 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.
Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.
Current State of Oklahoma employees must apply for open positions internally through Workday Jobs Hub
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
If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information:
The State of Oklahoma provides services to Oklahomans via roughly 30,000 state employees working across dozens of state agencies.
