Job Details

Current Employee Enrollment Specialist

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 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 bachelor's 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 levels. In 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 405-###-####.

Notice to applicants: Please add ...@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-###-####.

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.

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.

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