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 Former Employee Enrollment Manager oversees the enrollment processes for former employees ensuring accuracy compliance and timely handling of all related forms correspondence and special projects. This role is vital in maintaining up-to-date procedures supporting system operations and ensuring compliance with federal guidelines.

Principal Activities May Include:

• Routinely audit work performed by staff to ensure all Medicare Part D correspondence referrals special projects and required letters are handled in accordance with CMS compliance. Oversee and audit non-Medicare work and correspondence and ensure accuracy and professionalism.

• Protect the privacy and confidentiality of program participants information in compliance with HIPAA regulations and complete all required training.

• Ensure all enrollment forms change forms electronic files and reject records are processed within 5 working days with 96% accuracy adhering to all unit procedures and EGID regulations.

• Lead recurring unit meetings and trainings. Attend department/division/agency meetings and any mandatory trainings provided by the division or agency.

• Manage the distribution of special projects to the unit assist in the completion of special projects serve on committees as requested respond to internal and external inquiries within designated timeframes while maintaining confidentiality and compliance with EGID regulations and participate in implementation projects for the department division and/or agency.

• Lead mentor and develop the former employee enrollment team to ensure high performance and adherence to best practices and company policies.

• Manage the distribution of incoming reports and queries for the unit to ensure work is distributed evenly and deadlines are being met.

• Assign daily weekly and monthly tasks to staff and track progress to completion.

• Ensure that COBRA packets are sent billing statements are produced and enrollments are processed within the required Department of Labor federal timeframes.

• Ensure all Medicare EGWP files are received on schedule and that all enrollments/disenrollments/changes are processed within the required timeframes and according to CMS guidance.

• Other duties as assigned.

Supervisory Responsibilities: This position supervises.

Qualifications: 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.

Knowledge Skills Abilities and Competency Requirements

The key Knowledge Skills and Abilities (KSAs) for the Former Employee Enrollment Manager position include a deep understanding of eligibility rules for health and dental plans proficiency in COBRA and CMS guidelines strong leadership and organizational skills and the ability to audit and review documents for compliance. The Korn Ferry competencies that best correlate with this role are Builds Effective Teams and Ensures Accountability as the position involves leading a team and ensuring compliance with complex regulations.

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

Education and/or Experience:

• A masters degree and 2 years of professional experience;

OR

• A bachelors degree and 3 years of professional experience;

• An equivalent combination of education and experience substituting one year of professional or technical administrative experience in business or public administration for each year of the required education.

• NOTE: No substitution will be allowed for the required professional experience in a supervisor or administrative capacity.

Preference Qualifications Include:

• A candidate that is proficient in Microsoft Office

• Has managerial experience in a professional level position

• Has obtained bachelors degree in accounting business finance or closely related field and two years of experience in insurance eligibility determination; the maintenance analysis and reconciliation of insurance or benefits accounts or closely related work

OR

• An equivalent combination of education and experience.

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