Provider Contracts Analyst III

Agency/Division Information The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better health and better care. The agency’s 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 Provider Contracts Analyst III plays a key role in supporting the Oklahoma Health Care Authority’s (OHCA) mission by independently handling complex provider inquiries, resolving contractual issues, and ensuring compliance with OHCA policies and federal/state regulations. This position involves managing provider contracts, maintaining database integrity, and providing accurate information and training to providers. The role is essential in fostering strong provider relationships, coordinating with various departments to address system challenges, and ensuring timely and efficient provider enrollment and credentialing processes. Additionally, the Analyst contributes to continuous improvement in provider engagement and support, while upholding the agency’s core values of accountability, transparency, and outcome-driven excellence.Principle Activities May IncludeAnswers complex incoming telephone and written inquiries from providers, requiring individual research. Independently analyzes, investigates, and resolves complex inquiries and complaints from providers in a timely manner. Identifies potential operational and contractual issues, communicates, and resolves issues with providers and participates in the formulation of procedures to resolve conflicts.Coordinates with appropriate departments to resolve system problems and develop timely solutions. Determines eligibility, verifies and enters data, and resolves issues related to enrollment. Maintains provider database integrity and ensures compliance with system, legal, and policy requirements for provider contracts. Participates in the OHCA provider call center, answering a wide variety of questions and resolving problems related to contract requirements, licensing, and electronic funds transfer. Provides provider training and keeps updated on OHCA/SoonerCare policies to provide accurate information to providers. Screens potential providers through databases and advances provider applications, maintaining timelines on enrollment and credentialing schedules. Other duties as assigned. Knowledge, Skills, Abilities And CompetenciesThe Provider Contracts Analyst III requires in-depth knowledge of OHCA policies, state and federal legislation, and principles of program administration, along with strong problem-solving abilities to resolve complex provider issues. The position demands advanced communication and organizational skills to coordinate across divisions and manage provider relationships. The Korn Ferry competencies that align best with this role are Decision Quality (ability to make sound decisions in complex situations) and Customer Focus (maintaining a strong commitment to addressing provider needs and ensuring satisfaction).To be considered for this position your application must include a resume/CV with complete work and education history.**Education And/or Experience1 year of experience in clerical office work or as a customer service representative plus 3 years of experience in customer service, processing tax returns, bookkeeping or closely related work ORAn equivalent combination of education and experience, substituting 30 semester hours of college, including 6 semester hours in business or public administration for the required experience plus 3 years of experience in customer service, processing tax returns, bookkeeping or closely related work.Preference May Be Given To Candidates WithCertifications in any of the following areas: Certified Contract Manager (CCM), Certified Professional in Healthcare Quality (CPHQ), Certified Public Manager (CPM), Certified Provider Credentialing Specialist (CPCS), Project Management Professional (PMP), or Lean Six Sigma CertificationExperience with Medicaid/Medicare RegulationsPhysical DemandsMust 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 EnvironmentThe office work environment includes regular exposure to general office equipment such as computer equipment, phones, and copy machines.Why You’ll Love Working HereAt The Oklahoma Health Care Authority (OHCA), We’re 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. Here's What We Offer To Support Employees And Their FamilyGenerous 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 StatementThe 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 405-522-7335.Notice To ApplicantsPlease add OHCAHR@okhca.org 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 405-522-7093.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 Workday Jobs Hub.