Job Posting Title

Agency

Supervisory Organization

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

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 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 Level of Care Evaluation Unit (LOCEU) Program Review Analyst plays an essential role in supporting the Oklahoma Health Care Authority by serving as a medical eligibility and audit analyst. This position will independently determine medical eligibility for the OHS TANF Incapacity Aid to the Disabled Medical Assistance Aid to the Blind Alien Emergency Services TEFRA and DDS programs. The LOCEU Program Analyst will be responsible for designing producing and analyzing complex database reports using various software tools consulting with internal divisions and external stakeholders and supporting the agencys mission to deliver better health outcomes for Oklahomans. They will facilitate communication and correspondence between the LOCEU unit OHCA and multi-agency a marginal role the LOCEU Program Analyst will cross train to support the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 program and the Program of All- inclusive Care for the Elderly (PACE). The role also involves overseeing reporting activities evaluating program measures and identifying operational issues contributing to the agencys strategic goals through data-driven insight to ensure compliance with federal and state regulations.

Principal Activities May Include:

• Independently determine medical eligibility for the DHS TANF Incapacity Aid to the disabled Medical Assistance and Aid to the Blind Alien Emergency Services TEFRA and DDS recipients programs

• Consult with interagency divisions and external organizations to drive program objectives and recommend standards for monitoring and evaluating program measures.

• Serve on teams and workgroups to facilitate new or innovative thinking and perform related tasks as assigned.

• Create and maintain various unit computer reports/files/charts/graphs/data.

• Compile statistics on the OHS Advantage Waiver program as federally mandated.

• Properly identify & resolves inquiries and unit issues.

• Takes initiative to problem solve issues found in the unit communicates with supervisor and suggests solutions and/or assists when a unit need arises.

• Utilize OHCA/OHS network programs like IMS/ICE/CCM/PASRR as well as OHCA/OHS Medicaid policy and procedure.

• Facilitate communication among LOCEU Unit OHCA and multi-agency programs as required.

• Prepares analysis of data and the presentation of that data collected.

• Consistently support OHCA mission vision and goals through engagement in learning and demonstration of OHCA competencies code of ethics core values and adherence to policies and procedures.

• Other duties as assigned.

Knowledge Skills Abilities and Competencies

The LOCEU Program Review Analyst requires strong analytical skills to design produce and evaluate complex data reports alongside advanced problem-solving abilities to address program objectives and resolve operational issues. Effective communication and collaboration are essential for consulting with internal and external stakeholders and aligning program measures with organizational goals. The Korn Ferry competencies that align best with this role include Optimizes Work Processes reflecting the need for continuous improvement in research and data processes and Manages Complexity emphasizing the ability to handle multifaceted data challenges and regulatory requirements.

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

Education and/or Experience:

• Bachelors degree and 1 year of professional or technical administrative* experience in business or public administration OR

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

• *Technical administrative experience would include highly complex clerical work gained under the direct supervision of a professional supervisor or manager.

Preference may be given to candidates with:

• Experience with assessing program eligibility or determining and applying appropriate LOC criterion for MAGI HAP population the TEFRA Medicaid program PACE Program and Home and Community-Medicaid Waivers recipients who categorically relate to blindness and disability in the state of Oklahoma according to regulation statute established policy procedure and process.

• Advanced education.

• Knowledge of federal and state rules and regulations pertaining to Medicaid eligibility; medical terminology injuries diseases human anatomy psychological/physiological factors and how they affect the individuals family support/work capabilities and social casework statistical techniques quality control techniques training techniques and computer functions.

• Experience working with Medicaid-funded programs Long-Term Services and Supports (LTSS) Long-Term Care or Aged Blind and Disabled (ABD) initiatives.

• Strong customer service or case management background ideally in a health or human services agency.

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 state-paid benefit allowance to offset insurance premiums.
• A wide selection of top-tier 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 on-site 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 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 .

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.

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