Soonerselect Quality Director

Job Posting Title

SoonerSelect Quality Director

Agency

807 HEALTH CARE AUTHORITY

Supervisory Organization

Quality

Job Posting End Date

Refer to the date listed at the top of this posting, if available. Continuous if date is blank.

Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

Estimated Appointment End Date (Continuous if Blank)

Full/Part-Time

Full time

Job Type

Regular

Compensation

$90,523/annual

Why You'll Love Working Here

At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values, Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best-in-Class, Outcome-Driven, and Servant Leadership, we foster a workplace where people feel supported, respected, and empowered to make an impact. Learn more about OHCA.

Let's Talk Benefits

We know your great work deserves great support. Here's a snapshot of what we offer for all eligible employees.

• Generous state-paid benefit allowance to offset insurance premiums.

• A wide selection of insurance plans with no pre-existing condition exclusions.

• Flexible Spending Accounts for health care and dependent care.

• Retirement Savings Plan with employer contributions.

• 11 paid holidays annually.

• 15 days of vacation and 15 days of sick leave in the first year.

• Longevity Bonus recognizing years of public service.

• Public Service Loan Forgiveness eligibility and tuition reimbursement.

• Wellness benefits, including an on-site gym and fitness center discounts.

Job Description

Location: 4345 N Lincoln Blvd, Oklahoma City, OK 73105

Salary: $90,523/annual

Work Schedule: Monday- Friday

Primary Hours: 8:00 a.m.- 5:00 p.m.

Agency/Division Information

The SoonerSelect Quality Director provides strategic leadership and oversight of all quality initiatives, reporting, and performance improvement efforts for the SoonerSelect managed care program. This position serves as a subject matter expert (SME) and liaison between OHCA, Managed Care Organizations (MCOs), Dental Benefit Plans (DBPs), the External Quality Review Organization (EQRO), and the SoonerSelect Quality Advisory Committee (QAC). The role oversees quality survey administration, performance improvement project reviews, contract compliance, and health and wellness initiatives, ensuring alignment with federal and state quality standards. The Director oversees a team of quality professionals, drives data-informed decision making, and leads initiatives to improve member and provider satisfaction and health outcomes.

Position Purpose

The purpose of this position is to provide strategic leadership and management across the agency, 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 incumbent will manage agency division(s), direct professional-level staff, assist in directing major multifunctional divisions, and hold overall responsibility for major division activities involving the principal operations of the agency. Additionally, the role includes developing policies, advising agency management, ensuring program effectiveness, and managing budgets to support divisional objectives.

Principal Activities May Include

Provide strategic direction for all SoonerSelect quality initiatives, including program evaluation, compliance, and performance improvement, ensuring alignment with state and federal requirements.

Oversee development, administration, and analysis of CAHPS and Provider Satisfaction Surveys for SoonerCare and SoonerSelect. Partner with vendors and the EQRO to drive actionable quality improvement strategies.

Lead review and approval of MCO/DBP Performance Improvement Projects (PIPs) and monitor quality metrics, reports, and outcomes to ensure measurable progress.

Serve as the primary liaison between OHCA, MCOs, DBPs, EQRO, and the Quality Advisory Committee. Facilitate regular meetings to coordinate quality initiatives and reporting efforts.

Manage the EQRO contract, including deliverable oversight, invoice review, and quality review activities.

Supervise the Quality Manager and quality staff. Direct quality improvement initiatives in population health, wellness, and preventive care, including tobacco cessation, diabetes management, nutrition therapy, Food is Medicine research, and pediatric oral health projects.

Other duties as assigned.

Supervisory Responsibilities: This position has supervisory responsibilities.

Knowledge, Skills, Abilities and Competency Requirements

The SoonerSelect Quality Director must demonstrate advanced knowledge of healthcare quality management, managed care operations, regulatory requirements, and performance improvement methodologies. This role requires exceptional analytical and problem-solving skills, the ability to synthesize complex data into actionable strategies, and expertise in leading cross-functional initiatives. Success is built on ensuring accountability by holding both self and teams responsible for delivering high-quality results, applying a strategic mindset to anticipate future trends and shape innovative solutions, and fostering collaboration to build strong relationships across internal and external stakeholders. Strong communication, stakeholder engagement, and contract management skills are essential, along with the ability to drive organizational change and maintain compliance with federal and state standards.

To be considered for this position your application must include a resume/CV with complete work and education history.

Education and/or Experience

Bachelor's degree AND 5 years of professional business or public administration experience, including 2 years in a supervisory or administrative capacity OR An equivalent combination of education and experience, substituting one year of professional or technical administrative experience in business or public administration for each year of the required education.

NOTE: No substitution will be allowed for the required professional experience in a supervisor or administrative capacity.

Preference Qualifications Include

Master's degree in Public Health, Healthcare Administration, Nursing, Business Administration, or a related field (Bachelor's degree required).

Certification(s) in healthcare quality, performance improvement, or project management preferred (e.g., CPHQ, Lean Six Sigma, PMP).

7-10 years of progressively responsible leadership experience in healthcare quality management, managed care, or population health programs.

Experience managing vendor contracts, vendor interactions, regulatory compliance, and performance improvement initiatives.

Strong background in data analysis, quality reporting, and developing/implementing actionable quality improvement plans.

Proven ability to lead multidisciplinary teams and collaborate with internal and external stakeholders, including MCOs, regulatory agencies, and advisory committees.

Physical Demands and Work Environment

Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. In the course of performing job duties, employees are required to speak, stand, walk, and reach with their hands and arms. This position requires extended periods of sitting and daily use of computers and phones. Employees must be willing to complete all job related travel associated with this position. Being present at the office is an essential function of this position.

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.

Notice to applicants:

Please add OHCAHR@okhca.org to the address book or "safe-senders" list in your email. All correspondence will come from this address. Be sure to check your junk folder. If you have questions about the status of your application, you can contact the HR team at 405-522-7093.

Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

Current State of Oklahoma employees must apply for open positions internally through Workday Jobs Hub.

Equal Opportunity Employment

The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.

Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.

If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information:

Agency Contact