IO Program Coordinator II

IO Program Coordinator II

Agency: 807 HEALTH CARE AUTHORITY

Supervisory Organization:
Eligibility & Coverage Service

Job Type: Regular

Compensation: 22.81875 / hour

Location:

4345 N Lincoln Blvd, Oklahoma City, OK 73105

Work Schedule:

Monday – Friday

Primary

Hours:

8:00 a.m. – 5:00 p.m.

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.

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.

IO Program Coordinator II plays a critical role in supporting the Oklahoma Health Care Authority's mission by ensuring efficient and effective administration of Sooner Care /Insure Oklahoma and other Medicaid programs. This position is responsible for resolving member, employer and agent inquiries, managing member enrollments, processing invoices and employer documents, processing income documents and maintaining compliance with program policies. The role requires strong communication skills, attention to detail, and the ability to navigate complex program guidelines, all while maintaining a high standard of service to internal and external stakeholders.

• Research and resolve employer, agent and member inquiries and complaints.
• Investigate and address employer payment discrepancies, fraud and abuse, and quality assurance complaints.
• Interpret and communicate Sooner Care /Insure Oklahoma policies and procedures to employers, members, and stakeholders.
• Educate on program coverage, services, and eligibility guidelines for Sooner Care, and Insure Oklahoma programs.
• Process and resolve eligibility issues, payment discrepancies and invoice discrepancies.
• Manage member applications, enrollments, plan changes, and eligibility verifications.
• Identify and report system discrepancies.
• Research and implement system updates and corrections.
• Stay current on Sooner Care /Insure Oklahoma rule revisions and program changes.
• Maintain organized reference materials and update written controls.
• Coordinate with other departments on operational procedures.
• Communicate independently with members, employers and stakeholders to resolve issues.
• Participate in special projects, member and employer outreach, and educational efforts.
• Represent OHCA in meetings, seminars, and training forums.
• Support workflow during staff absences and manage high call volumes.
• Other duties as assigned.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

IO Program Coordinator II requires in-depth knowledge of Medicaid program policies, strong communication skills 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 employer 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…