Current Employee Enrollment Specialist

State of Oklahoma

5d•Onsite

About The Position

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.

Requirements

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.
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.

Nice To Haves

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

Responsibilities

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.