PIA Unit Coordinator

State of Oklahoma•Oklahoma City, OK

6d•Onsite

About The Position

The Oklahoma Health Care Authority (OHCA) is seeking a PIA Unit Coordinator to provide support and coordination for program integrity audits and support functions. This role requires specialized knowledge of state agency policies, procedures, regulations, and laws, with a primary focus on coordinating various activities and understanding specific audit policies and procedures. The position demands strong computer and internet research skills, the ability to maintain confidentiality, flexibility, excellent interpersonal skills, project coordination experience, and the capacity to work effectively with internal staff, legislators, providers, members, advocates, and vendors.

Requirements

2 years of clerical office experience OR An equivalent combination of education and experience.
Strong analytical skills to evaluate data.
Proficiency in statistical methods and software for report generation.
Ability to communicate findings effectively to stakeholders.
Knowledge of agency policies, state and federal regulations.
Ability to coordinate across divisions for optimal program implementation.
Tech Savvy (leveraging technology to enhance efficiency and effectiveness).
Ensures Accountability (holding self and others responsible for meeting commitments and achieving high standards of performance).
Resume/CV with complete work and education history must be included.

Nice To Haves

Proficiency in Business Intelligence tools
Advanced excel certification

Responsibilities

Perform general office management duties, including sorting and filing tasks, answering phones, taking messages, disseminating information, and handling incoming/outgoing mail.
Compose, prepare, and route official correspondence for supervisor signatures; respond to routine inquiries and dispose of routine correspondence.
Produce, run, and analyze database reports using software such as Access, Excel, PowerPoint, PI Case Tracker, and Business Objects.
Prepare comprehensive periodic and status reports throughout the year and communicate results to division management.
Record referrals, open new cases, and maintain accurate and current data in PI Case Tracker and other online tracking systems.
Mail, track, and document audit reports and related correspondence in PI Case Tracker.
Work with the unit supervisor to ensure purchase orders and contracts are current and that provider progress reports are submitted timely.
Procure supplies and maintain inventory records.
Work with vendors to review and verify accuracy of submitted invoices.
Organize and maintain central files and records; act as Records Officer to dispose of, archive, or microfilm data in accordance with federal and state requirements.
Examine, check, and verify reports and documents for completeness, appropriateness, adequacy, and conformity to requirements; follow up on discrepancies.
Coordinate daily unit activities and office services such as personnel, budget, and records management.
Plan, coordinate, and participate in meetings, seminars, conferences, and trainings.
Maintain workflow during staff absences and serve as backup for other programs and committees.
Maintain confidentiality and adhere to protected health information guidelines, ensuring minimum necessary access.
Perform duties as necessary to support agency operations and program objectives.
Forward recoupment letters and close cases according to PI procedures; notify auditors and/or OHCA Finance as required.
Track closure/recoupment due dates and notify management and auditors within required timeframes.
Prepare records requests, self-audit requests, audit reports, and other certified mailings.
Update, review, and analyze Payment Accuracy databases; run reports and queries for correctness, completeness, validity, and clarity.
Adhere to timelines, deadlines, and scheduled tasks; notify supervisor in advance when deadlines cannot be met.
Contact Payment Accuracy providers, outside agencies, and others regarding records requests and related activities; follow up within required timeframes.
Organize and maintain Payment Accuracy hardcopy records storage and prepare records for electronic conversion per OHCA policy.
Other duties as assigned.