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

Why Youll 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.

Lets Talk Benefits

We know your great work deserves great support. Heres 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

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 Current Employee Enrollment Specialist is responsible for processing enrollment forms changes and terminations ensuring compliance with EGID policies and procedures. This role includes daily mail processing handling non-compliant forms providing customer service conducting trainings for web-based enrollment tools and supporting special projects.

Principle Activities May Include:

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

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

• Recognize and reject non-compliant forms create response letters within accuracy ranges and comply with EGID rules and regulations.

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

• Demonstrate commitment to excellent customer service through timely responses consistent availability and quick accurate resolution measured on standardized reports.

• Provide guidance and assistance to Insurance Coordinators via telephone and email adhering to unit procedures and EGID rules with proficiency measured by performance ratings.

• Conduct classroom and on-the-job instruction in V3 Web Application procedures using proven adult education and training principles achieving specified performance ratings.

• 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 Current Employee Enrollment Specialist role requires knowledge of EGID policies procedures and regulations along with strong customer service skills to meet client needs and develop solutions. Key skills include decision-making problem-solving and proficiency in compliance with health insurance regulations. The Korn Ferry competencies that best fit this position are Customer Focus for ensuring client satisfaction and Decision Quality for consistently delivering accurate and timely decisions.

**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:

• Certifications in any of these areas: Certified Employee Benefits Specialist (CEBS) Health Insurance Portability and Accountability Act (HIPAA) Certification Certified Health Insurance Specialist (CHIS)

• Experience with V3 Web Application

• Licensed Insurance Agent

Physical Demands and Work Environment

Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise 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 the job.

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.

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