Senior Medical Audit Specialist

## Senior Medical Audit Specialist Apply:
Oklahoma County:
Full time:
Posted Today:
End Date:
October 22, 2026 (15 days left to apply):
JR66317
** Job Posting Title
** Senior Medical Audit Specialist
** Agency
* * 807 HEALTH CARE AUTHORITY
** Supervisory Organization
** Program Integrity & Account
** 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**$78,465.00/annual
** 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.
** Job Description
***
* Location:

** 4345 N Lincoln Blvd, Oklahoma City, OK 73105
** Salary:** $78,465.00/annual
*
* Work Schedule:

** Monday – Friday
** Primary

Hours:

** 8:00 a.m. – 5:00 p.m.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 Senior Medical Audit Specialist plays a critical role in safeguarding the integrity of healthcare services by providing clinical expertise in conducting audits and investigations to combat fraud, waste, and abuse. This position ensures compliance with OHCA policies, state statutes, and federal regulations through detailed analysis of billed services and documentation. By collaborating with internal and external stakeholders, the Senior Medical Audit Specialist helps to promote accountability and transparency in billing practices, supporting the overall mission of the Oklahoma Health Care Authority to provide better health and care for Oklahomans.

Essential Functions May Include:
* Provide clinical expertise in conducting investigations and completing comprehensive clinical audits in an effort to combat fraud, waste, and abuse.
* Ensure billing compliance with OHCA policy, state statutes, and federal regulations.
* Performs analysis and evaluation of billed services including claims and documentation to ensure all HCA policy requirements are met and services are clinically/medically appropriate.
* Collaborate with others across the unit, organization, and external entities to evaluate audit results and make referrals to appropriate parties.
* Communicate audit findings to all…