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Job Overview
Location
Oklahoma City
Job Type
Full-time
Category
Product Management
Date Posted
January 1, 2026
Full Job Description
đź“‹ Description
- • Serve as the statewide subject-matter expert for Oklahoma’s Electronic Visit Verification (EVV) system within the ADvantage Waiver Administration, ensuring every Medicaid-funded personal care and home-based service visit is accurately captured, documented, and compliant with 21st Century Cures Act mandates.
- • Own the end-to-end EVV data life-cycle: ingest daily files from 300+ provider agencies, run automated validation scripts, triage anomalies, and deliver concise, actionable reports to executive leadership, federal auditors, and provider partners within 24 hours of data receipt.
- • Act as the primary liaison between independent home-care providers, state-contracted fiscal management agents, and OKDHS policy teams—translating complex federal regulations into plain-language guidance, hosting monthly virtual office hours, and resolving escalated issues within SLA timeframes.
- • Conduct on-site and virtual EVV compliance audits, surveying provider agencies on system usage, documentation accuracy, and fraud-prevention controls; produce findings memos, recommend corrective action plans, and track remediation progress through the Harmony provider-management system.
- • Detect, investigate, and refer suspected fraud, waste, or abuse uncovered through EVV analytics; partner with the Office of Inspector General to build evidentiary packets, testify in administrative hearings, and implement safeguards that protect millions in annual Medicaid expenditures.
- • Generate recurring dashboards and ad-hoc analyses that spotlight geographic service gaps, overtime trends, and caregiver retention rates; use insights to inform program-development initiatives that expand access for 8,000+ ADvantage members while maintaining cost neutrality.
- • Provide tier-two technical support to providers navigating EVV mobile apps, telephony systems, and web portals; maintain a knowledge base of quick-reference guides, video tutorials, and FAQ documents that reduce call volume and improve first-call resolution metrics.
- • Represent the ADvantage Program at statewide stakeholder meetings, legislative briefings, and national Medicaid conferences; present data-driven success stories and policy recommendations that position Oklahoma as a national leader in home- and community-based services innovation.
- • Coordinate cross-functionally with IT security, legal, and privacy offices to ensure EVV data handling meets HIPAA, state confidentiality statutes, and federal cybersecurity frameworks; participate in quarterly penetration-testing reviews and incident-response drills.
- • Mentor new hires and interns on EVV policy nuances, SQL querying techniques, and customer-service best practices; foster a culture of continuous improvement by leading lunch-and-learn sessions and contributing to the team’s Lean Six Sigma certification efforts.
- • Maintain a high-speed, non-hotspot internet connection to support hybrid telework; demonstrate adaptability by transitioning to full-time, in-office operations if connectivity or business needs dictate, while keeping productivity and service levels consistently above 95 percent.
🎯 Requirements
- • Master’s degree in social work, public administration, nursing, rehabilitation counseling, or related field plus three years of professional experience in a Medicaid, social services, or compliance environment—or equivalent combination of education and qualifying experience.
- • Demonstrated expertise with Electronic Visit Verification systems, Medicaid home- and community-based services waivers, or federal compliance auditing; hands-on experience with SQL, Excel pivot tables, or similar data-analysis tools strongly preferred.
- • Proven ability to interpret federal regulations (21st Century Cures Act, CMS HCBS waiver rules) and translate them into operational policies, training curricula, and provider communications that drive measurable compliance improvements.
- • Exceptional customer-service orientation, evidenced by prior roles requiring direct provider or stakeholder engagement, conflict resolution, and the delivery of complex technical guidance via phone, email, and virtual platforms.
- • Strong analytical and investigative skills, including the capacity to detect anomalies, conduct root-cause analyses, and prepare concise investigative reports suitable for legal or administrative proceedings.
🏖️ Benefits
- • Full State Employee Benefits package including comprehensive health, dental, vision, and life insurance with low employee premiums and robust retirement contributions through the Oklahoma Public Employees Retirement System (OPERS).
- • Hybrid telework flexibility—work from home up to three days per week with state-provided laptop and secure VPN access, while retaining the option to transition to full-time remote or in-office arrangements as operational needs evolve.
- • Annual salary of $54,275.15 with guaranteed step increases, cost-of-living adjustments, and eligibility for performance-based bonuses tied to EVV compliance and fraud-prevention metrics.
- • 11 paid holidays, generous vacation and sick leave accrual, and access to the state’s employee assistance program, wellness initiatives, and tuition reimbursement for job-related coursework or advanced certifications.
Skills & Technologies
Remote
Degree Required
About Oklahoma Department of Human Services
The Oklahoma Department of Human Services (OKDHS) is the state agency responsible for administering social services across Oklahoma. It manages programs including child welfare, adult protective services, food assistance, child support enforcement, disability determination, and temporary assistance for needy families. Employing thousands of staff statewide, OKDHS operates through county offices and centralized divisions to ensure vulnerable residents receive support, safety, and pathways to self-sufficiency while upholding federal and state regulations governing public benefits and human services delivery.
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