Oklahoma AG

The Oklahoma Health Care Authority (OHCA) seeks a Senior Medical Audit Specialist to safeguard healthcare integrity through clinical audits and investigations. You will ensure billing compliance with OHCA policies and federal regulations, analyzing claims to confirm medical necessity and appropriate documentation. Key responsibilities include collaboration with multiple stakeholders, presenting audit findings, and representing OHCA in formal proceedings when required. #J-18808-Ljbffr

The Oklahoma Health Care Authority (OHCA) seeks a Senior Medical Audit Specialist to safeguard healthcare integrity through clinical audits and investigations. You will ensure billing compliance with OHCA policies and federal regulations, analyzing claims to confirm medical necessity and appropriate documentation. Key responsibilities include collaboration with multiple stakeholders, presenting audit findings, and representing OHCA in formal proceedings when required. #J-18808-Ljbffr