Former Employee Enrollment Specialist

Job Posting Title

Agency

Supervisory Organization

Job Posting End Date (Continuous if 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/PartTime

Job Type

Compensation

Job Description

AGENCY/DIVISION INFORMATION

The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better health and better care. The agencys core values include passion for purpose trust and transparency empowerment and accountability best in class and outcomedriven and servant leadership. As part of the interview process candidates may be required to attend an inperson interview at our Oklahoma City office.

Position Purpose: The Former Employee Enrollment Specialist is responsible for ensuring the accurate processing of enrollment forms change forms termination forms and other assigned correspondence. This role involves adherence to unit procedures and EGID rules and regulations managing daily mail productivity and maintaining compliance with CMS and HIPAA regulations. The specialist also oversees the accuracy of feedback files lowincome subsidy reports and recurring large and small tasks processing.

Principle Activities May Include:

• Process all enrollment change and termination forms within five working days maintaining established ranges of accuracy and productivity.

• Generate and mail COBRA packets and billing statements in addition to processing enrollments within the required Department of Labor timeframes.

• Process feedback files and lowincome subsidy reports within specified accuracy ranges while adhering to CMS PDP Guidance.

• Protect privacy and confidentiality of program participants information and comply with HIPAA regulations.

• Recognize and deny forms/requests that are considered to be noncompliant within the required accuracy ranges. When necessary create internal Workflows to address a form/request at a future date. Produce response letters for all noncompliant forms/requests that adhere to all CMS PDP guidance federal guidelines and EGID rules.

• Process recurring large reports and queries within the required accuracy ranges and adhering to all CMS PDP guidance federal guidelines and EGID rules.

• Process monthly assignments as well as small reports and queries within the required accuracy ranges and adhering to all CMS PDP guidance federal guidelines and EGID rules.

• Create and mail letters regarding PreMedicare and Medicare enrollments changes disenrollments cancellations or changes within the required accuracy ranges and adhering to all CMS PDP guidance federal guidelines and EGID rules.

• Complete special projects as assigned. Respond accurately to inquiries within established timeframes.

• Attend recurring unit/department/division/agency meetings and any mandatory trainings provided by Member Accounts leadership or Human Resources.

• Other duties as assigned.

KNOWLEDGE SKILLS ABILITIES AND COMPETENCIES

The key Knowledge Skills and Abilities (KSAs) for the Former Employee Enrollment Specialist position include a solid understanding of CMS PDP guidance COBRA and HIPAA regulations proficiency in processing forms and reports accurately and strong organizational and problemsolving skills to meet deadlines and ensure compliance. Effective communication and customer service skills are also critical. The Korn Ferry competencies that best align with this role are Decision Quality which relates to the ability to make sound decisions while processing complex forms and Ensures Accountability focusing on adherence to compliance and meeting productivity standards.

**To be considered for this position your application must include a resume/CV with complete work and education history.**

Education and/or Experience:

• A bachelors degree and 1 year of experience in the health insurance industry in areas such as benefits analysis claims review or analysis or medical/dental review or report preparation; OR

• An equivalent combination of education and experience substituting 1 year of qualifying experience for each year of the required degree.

Preference may be given to candidates with:

• A bachelors degree; OR

• two years of experience in bookkeeping work insurance eligibility determination or closely related work; OR

• two years of experience in the maintenance analysis and reconciliation of insurance or benefits accounts; OR

• an equivalent combination of education and experience.

Physical Demands:

• Must be able to remain sitting for prolonged periods at a desk and working on a computer.

• Must be able to move or lift up to 15 pounds at various times.

Work Environment: The office work environment includes regular exposure to general office equipment such as computer equipment phones and copy machines.

Why Youll Love Working Here

At the Oklahoma Health Care Authority (OHCA) were proud to create a workplace where employees thrive. Named a Top Workplace in Oklahoma for five consecutive years this achievement reflects the dedication and collaborative spirit of our incredible team. Heres what we offer to support employees and their family:

• Generous statepaid benefit allowance to offset insurance premiums.

• A wide selection of toptier health insurance plans.

• Optional flexible spending accounts for health care or dependent care expenses.

• Employee Assistance Program (EAP) offering confidential support.

• Wellness benefits including an onsite gym and fitness center discounts.

• 11 paid holidays annually.

• 15 vacation days and 15 sick days in your first year.

• Retirement Savings Plan with substantial employer contributions.

• Longevity Bonus to reward years of service.

• Public Service Loan Forgiveness eligibility and reimbursement for educational expenses.

• Professional development training opportunities including CEU support.

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.

Notice to applicants:

Please add to the address book or safesenders 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.

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 WorkdayJobs 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.