EGID Manager of Internal Audit

EGID Manager Of Internal Audit

The purpose of this position is to provide strategic leadership and management for the EGID Internal Audit and Fiscal Analysis Unit, ensuring that departmental goals align with the organization's overall mission and vision. The role involves overseeing departmental operations, developing and managing teams, and driving performance excellence while maintaining strong relationships with key stakeholders. The position directly oversees professional-level staff and holds overall responsibility for major unit activities involving the principal operations of the unit. Additionally, the role includes ensuring program effectiveness and managing budgets to support divisional objectives.

Principle activities may include :

• Supervision of claims auditors.
• Perform audits of claims processed by the health claims administrator (TPA) for adherence to plan design, benefits, and pricing directives.
• Formulate audit program areas and processes.
• Develop automation of functional unit activities using Microsoft programs (Access, Excel).
• Analysis of audit results and audit processes and direction of further efforts.
• Compile, track, and report results utilizing Microsoft programs (Access, Excel, PowerPoint).
• Direct and coordinate activities of external audit partners.
• Collaboration with TPA to identify errors and develop improvements in systematic program processes.
• Financial analysis of claim payments to identify trends in health care spend.
• Works closely with Provider Network Management to understand and improve Provider Reimbursement methodologies.
• Works collaboratively with multiple teams across the EGID Division.
• Strategic future planning for improved auditing program processes.
• Other duties as assigned.

Qualifications : 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.

This position requires proficient knowledge of, and practical experience with, financial statements and related audit functions. Key skills include audit planning, financial and data analysis, medical record review coordination, and comprehensive report development. The role requires the ability to manage complex, cross-functional processes, assess risk, and clearly communicate findings to diverse stakeholders. Strong organizational, analytical, and problem-solving skills are essential, along with the ability to influence outcomes without formal supervisory authority. The most relevant competencies include Ensures Accountability, Manages Complexity, Plans and Aligns, Decision Quality, and Collaborates, which reflect the importance of accuracy, critical thinking, effective planning, sound decision-making, and teamwork in delivering successful outcomes.

Education and / or experience : Bachelor's degree AND 4 years of professional experience with financial statements, health claims auditing, medical billing, or health insurance. NOTE : No substitution will be allowed for the required professional experience in a supervisor or administrative capacity.

Preference may be given to candidates with :

Physical demands :

Work environment :

The office work environment includes regular exposure to general office equipment such as computer equipment, phones, and copy machines.

Why you'll love working here :

Accommodation statement :

The Oklahoma Health Care Authority complies with applicable State and Federal civil rights laws and does not discriminate. All qualified applicants will receive consideration for employment without regard to race, color, sex, religion, disability, age, national origin, or genetic information. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and / or to receive other benefits and privileges of employment, please contact the Civil Rights Coordinator at 405-522-7335.