Financial Analyst II

Job Posting Title Financial Analyst II

Agency 807 HEALTH CARE AUTHORITY

Supervisory Organization Financial Resources

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/ hour

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: $22.81875 / hour

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 hea l th 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 Financial Analyst II plays a critical role in ensuring the effective financial management and administration of Medicaid services within the Oklahoma Health Care Authority. This position is responsible for analyzing and resolving complex claims and fund recoveries, monitoring financial transactions, and ensuring compliance with state and federal guidelines. By collaborating with internal and external stakeholders, the Financial Analyst II contributes to the accuracy, efficiency, and integrity of financial processes, while supporting the agency's mission to provide better health care for Oklahomans.

The role requires a strong understanding of agency policies, financial acumen, and attention to detail to optimize financial outcomes and uphold the agency's core values of trust, accountability, and servant leadership .

• Analyze, research, and/or investigate technically difficult claims, adjustments, and fund recoveries related to the delivery of Medicaid or other health services.
• Resolve discrepancies on paid claims, credits, adjustments, and fund recoveries.
• Identify and report system discrepancies to lead worker.
• Attend meetings with agency personnel and other officials.
• Initiate contact with claimants, third-party administrators, clients, or other agents to solicit information, correct errors or omissions on claim forms, and investigate questionable data.
• Respond to oral and written inquiries and answer phone calls from medical providers, HMOs, recipients, court and county clerks, attorneys, and third-party administrators on medical-related issues. Assist in training providers and others on Finance issues, especially remittance advice statements, submission of claims, and the recoupment process.
• Under direction, initiate action to process recoupment of funds from a Medicaid or other health provider.
• Maintain control of transactions initiated which interface with the fiscal agent's computer system. Monitor accuracy of processing and ensure transactions are completed in accordance with agency policy and state and federal guidelines.
• Prepare and file legal documents for the recovery of funds from third-party payers, including liens on estates, probates, and income pensions, and workers compensation documentation.
• Arrange for reimbursement to the agency payments made on behalf of a client, which were made erroneously or which should have been paid by a third-party payor; e.g., Worker's Compensation, health insurance, casualty insurance, Medicare, etc.
• Assist with the monitoring and tracking of unit-based productivity measures through data entry or other routine tasks.
• Make recommendations and assist in the decision-making process of all MMIS sub-systems.
• Other d