Job Posting Title
ECS Coordinator III
Agency
807 HEALTH CARE AUTHORITY
Supervisory Organization
Eligibility & Coverage Service
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
$24.711538 / 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.
Job Description
Location: 4345 N Lincoln Blvd, Oklahoma City, OK 73105
Salary: $24.711538 / hourly
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
This position serves as a key resource for coordinating daily member service activities, ensuring efficient workflow, and acting on behalf of management when needed. This role provides comprehensive training, resolves complex inquiries and complaints, interprets and communicates SoonerCare policies and procedures, and identifies operational improvements. The specialist supports member enrollment, claims adjudication, and system problem resolution while ensuring compliance with Medicaid regulations and OHCA policies. Through advanced problem-solving, relationship management, and customer service skills, the specialist enhances service delivery to members and stakeholders across the agency.
Principal Activities May Include:
Serves as team leader in planning and coordinating daily member services activities, acting on behalf of or in the absence of managers.
Acts as a supervisor and assists in maintaining workflow during staff absences.
Provides comprehensive training to staff, contractors, agency partners, and stakeholders on SoonerCare policies and procedures.
Develops and implements training materials and represents OHCA in seminars, training forums, and conferences.
Answers complex incoming telephone and written inquiries from members, vendors, and other stakeholders, requiring individual research and interpretation of federal and agency rules.
Independently analyzes, investigates, and resolves complex inquiries and complaints from members in a timely manner.
Assists with the development, interpretation, and communication of written policies and materials related to member inquiries.
Keeps abreast of OHCA/SoonerCare policies and provides accurate interpretation to providers and members.
Identifies potential operational and contractual issues, communicates, and resolves issues with members and participates in the formulation of procedures to resolve conflicts.
Coordinates with appropriate departments to resolve system problems and develop timely solutions.
Determines eligibility, verifies, and enters data, and resolves issues related to enrollment and premium payments.
Processes enrollment, plan changes, and corrections to member enrollment data systems.
Facilitates claims adjudication, capitation, and reconciliation, and processes electronic claims inquiries.
Participates in the OHCA member call center, answering a wide variety of questions and resolving problems related to contract requirements, licensing, and electronic funds transfer.
Provides member training and keeps updated on OHCA/SoonerCare policies to provide accurate information to stakeholders.
Assists division leadership with special projects and the development of training materials.
Monitors incoming calls, staffing availability, and call wait times, ensuring agents understand and comply with performance standards and policies.
Identifies complex problem areas within MMIS and the telephone response system, making recommendations for overall improvements.
Other duties as assigned.
Knowledge, Skills, Abilities and Competency Requirements
This position requires in-depth knowledge of Medicaid policies, federal and state regulations, and program administration principles. Strong skills in communication, problem-solving, and relationship management are essential for resolving complex inquiries and coordinating across divisions. Key Korn Ferry competencies that align with this role include Optimizes Work Processes (ensuring efficiency and compliance in service delivery) and Customer Focus (addressing member needs while maintaining high service standards).
To be considered for this position your application must include a resume/CV with complete work and education history.
Education and/or Experience:
1 year of experience in clerical office work or as a customer services representative plus 3 years of experience in customer service, processing tax returns, bookkeeping or closely related work OR
An equivalent combination of education and experience, substituting 30 semester hours of college, including 6 semester hours in business or public administration for the required experience plus 3 years of experience in customer service, processing tax returns, bookkeeping or closely related work.
Preference Qualifications Include:
Certifications in any of the following areas: Certified Medicaid Professional (CMP), Project Management Professional (PMP) or Certified Associate in Project Management (CAPM), Certified Provider Credentialing Specialist (CPCS), Certified Customer Service Professional (CCSP)
Experience or certification in Lean Six Sigma or Process Improvement
Certifications in Health Information Technology (HIT) or Electronic Health Records (EHR)
Physical Demands and Work Environment
Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. In the course of performing job duties, employees are required to speak, 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.
Accommodation Statement
The Oklahoma Health Care Authority complies with applicable 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. If a reasonable accommodation is needed to participate in 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.
Notice to applicants:
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:
Agency Contact