Job Description

Location: 4345 N Lincoln Blvd Oklahoma City OK 73105

Salary: $22.81875 per hour

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 agencys core values include passion for purpose trust and transparencyempowermentand accountability best in class and outcome-driven and servant leadership.As part of the interview process candidates maybe requiredto attend an in-person interview at our Oklahoma City office.

Position Purpose

The Provider Relations Specialistis responsible forprovider communications and directories reimbursement escalations ensuring compliance with various regulations and rules and providing exceptional customer service through effective communication and problem-solving skills. This role is essential inmaintainingthe accuracy and integrity of provider information and supporting the overall efficiency of the Network Management team.

PrincipalActivitiesMay Include:

• Manage provider communications update provider directories and ensure accuracy and timeliness of information.

• Conduct monthly provider directory audits handle inactive provider terminations and compile statutorily required reports.

• Respond to provider emails and phone callsmaintaina high levelof customer service and recruitments.

• Maintain SharePoint sitemonitorunit reports communicate andassistwith reimbursement and fee schedules andassistin the development and implementation of business reports and project plans.

• Other duties as assigned.

Knowledge Skills Abilities and Competency Requirements

The Provider Relations Specialist role requires strong analytical and communication skills to manage provider communicationsmaintainaccuratedirectories and respond to provider inquiries witha high levelof customer service. The position demands knowledge of healthcare reimbursement practices claims processing insurance regulations and benefit planadministration.Proficiencyin Microsoft Office particularly Excel and SharePoint and familiarity with health care terminology and compliance requirements are essential. Success in this role hinges on the ability to interpret complex regulations manage detailed data sets and support cross-functional initiatives. The three Korn Ferry competencies most relevant to this position are Ensures Accountability (formaintainingaccurateandtimelyprovider data and reports) Customer Focus (for effectively responding to provider needs) and Optimizes Work Processes (for streamlining communication and directory updates in compliance with 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:

• Abachelors degree and2 years of experience in health insurance benefit administration or health care industry provider contracting

OR

• An equivalent combination of education and experience.

Preference Qualifications Include:

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.