This position is located in Oklahoma City, Oklahoma. The Administrative Programs Officer, Level II (E12B) role involves responsibilities related to Benefit Integrity, Client Accountability, and Provider Accountability. The successful candidate will develop targeted audit sampling, maintain objective thresholds for review selection and escalation, identify root causes of improper payments and mis-approvals, monitor compliance, issue corrective actions, and support fraud-detection triage. This includes conducting targeted audits of subsidy approvals, renewals, and changes, coordinating case correction and overpayment recovery, and performing provider integrity reviews to identify fraud through attendance and billing anomalies.
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Job Type
Full-time
Career Level
Mid Level