Job Posting Title
EGID Business AnalystAgency
807 HEALTH CARE AUTHORITYSupervisory Organization
EGIDJob 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
Full timeJob Type
RegularCompensation
$60,000 / annualWhy You’ll 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.
Let’s Talk Benefits
We know your great work deserves great support. Here’s 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
Location: 4345 N Lincoln Blvd, Oklahoma City, OK 73105
Salary: $60,000 / Annual
Work Schedule: Monday – Friday
Primary Hours: 8:00 a.m. – 5:00 p.m.
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.
The Business Analyst within the Internal Audit and Fiscal Analysis division of EGID plays a critical role in ensuring the integrity and accuracy of health, dental, and life claim audits. This position is responsible for conducting detailed audits, supporting data analysis projects, and collaborating with internal and external stakeholders to ensure compliance with plan design and benefits. The role also involves developing processes and procedures for efficient auditing, maintaining comprehensive reports, and providing expert support across various functions within the division to ensure accountability and optimize operations.
Audit health, dental, and life claims to ensure correct plan design, benefits, pricing, provider matching, etc. have been performed by the TPA.
Utilize software to analyze large data sets for audit focus areas.
Review processed claims to determine adherence to plan design, benefits, and pricing methodologies.
Work with the TPAs to identify deficiencies in claims processing and appraise the adequacy of corrective measures taken.
Appraise plan design and benefits to determine compliance with applicable state and federal coverage mandates.
Use a tracking system or other tools to monitor audit activities and document work.
Make written and oral presentations quantifying areas of focus and results.
Develop and use data analytics methods to identify and report on plan healthcare cost trends.
Develop processes and procedures to assist with effective and efficient claim audits.
Develop and maintain reporting of audit results.
Support claim appeals function, provider Network Management unit, TPA Management unit, and other areas within the division.
Coordinate with external auditors for audits related to health and dental claims.
Other duties as assigned.
The Business Analyst requires a strong understanding of health, dental, and life claim auditing processes, expertise in data analytics, and effective communication skills for coordination with auditors and other stakeholders. Additionally, the role demands the ability to develop and implement processes for efficient audits and perform root cause analysis for claims adjustments. The most relevant Korn Ferry competencies for this position include Decision Quality, as the analyst must accurately assess claims and audit findings, and Optimizes Work Processes, reflecting the need to enhance audit procedures for efficiency and accuracy.
**To be considered for this position your application must include a resume/CV with complete work and education history.**
Bachelor’s degree AND
2 years of professional auditing experience OR
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.
Bachelor’s degree in accounting, finance, or business.
Certifications in any of the following areas: Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), Certified Information Systems Auditor (CISA), or Certified Government Auditing Professional (CGAP)
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 this position.
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 405-522-7335.
Please 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.
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.
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