Financial Analyst II

State of Oklahoma•Oklahoma City, OK

2d•$23•Onsite

About The Position

The Financial Analyst II plays a critical role in ensuring the effective financial management and administration of Medicaid services within the Oklahoma Health Care Authority. This position is responsible for analyzing and resolving complex claims and fund recoveries, monitoring financial transactions, and ensuring compliance with state and federal guidelines. By collaborating with internal and external stakeholders, the Financial Analyst II contributes to the accuracy, efficiency, and integrity of financial processes, while supporting the agency's mission to provide better health care for Oklahomans. The role requires a strong understanding of agency policies, financial acumen, and attention to detail to optimize financial outcomes and uphold the agency’s core values of trust, accountability, and servant leadership.

Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
The Financial Analyst II position requires in-depth knowledge of agency policies, state and federal legislation, and Medicaid financial systems.
Strong skills in data analysis, problem-solving, and financial management are essential, along with the ability to communicate effectively with stakeholders.
The competencies that align with this role include Ensures Accountability (demonstrating ownership for work quality) and Financial Acumen (understanding and applying financial concepts to decision-making).
To be considered for this position your application must include a resume/CV with complete work and education history.
An Associate’s degree and 18 (eighteen) months of technical administrative or fiscal related work OR An equivalent combination of education and experience totaling 3 years and (6) months of experience.

Nice To Haves

Customer service experience
SoonerCare experience
ICE experience
Experience with Microsoft Word and Excel

Responsibilities

Analyze, research, and/or investigate technically difficult claims, adjustments, and fund recoveries related to the delivery of Medicaid or other health services.
Resolve discrepancies on paid claims, credits, adjustments, and fund recoveries.
Identify and report system discrepancies to lead worker.
Attend meetings with agency personnel and other officials.
Initiate contact with claimants, third-party administrators, clients, or other agents to solicit information, correct errors or omissions on claim forms, and investigate questionable data.
Respond to oral and written inquiries and answer phone calls from medical providers, HMOs, recipients, court and county clerks, attorneys, and third-party administrators on medical-related issues.
Assist in training providers and others on Finance issues, especially remittance advice statements, submission of claims, and the recoupment process.
Under direction, initiate action to process recoupment of funds from a Medicaid or other health provider.
Maintain control of transactions initiated, which interface with the fiscal agent’s computer system.
Monitor accuracy of processing and ensure transactions are completed in accordance with agency policy and state and federal guidelines.
Prepare and file legal documents for the recovery of funds from third-party payers, including liens on estates, probates, and income pensions, and workers' compensation documentation.
Arrange for reimbursement to the agency payments made on behalf of a client, which were made erroneously or which should have been paid by a third-party payor; e.g., Worker’s Compensation, health insurance, casualty insurance, Medicare, etc.
Assist with the monitoring and tracking of unit-based productivity measures through data entry or other routine tasks.
Make recommendations and assist in the decision-making process of all MMIS sub-systems.
Other duties as assigned.