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 $90,523.00/annual Job Description 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 Competencies 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: Bachelors 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 may be given to candidates with: Masters degree in Public Health, Healthcare Administration, Nursing, Business Administration, or a related field (Bachelors degree required). Certification(s) in healthcare quality, performance improvement, or project management preferred (e.g., CPHQ, Lean Six Sigma, PMP). 710 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: Must be able to remain sitting for prolonged periods at a desk and working on a computer. Must be able to move or lift up to 15 pounds at various times. Work Environment The office work environment includes regular exposure to general office equipment such as computer equipment, phones, and copy machines. Why Youll Love Working Here At the Oklahoma Health Care Authority (OHCA), were proud to create a workplace where employees thrive. Named a Top Workplace in Oklahoma for five consecutive years, this achievement reflects the dedication and collaborative spirit of our incredible team. Here's what we offer to support employees and their family: Generous state-paid benefit allowance to offset insurance premiums. A wide selection of top-tier health insurance plans. Optional flexible spending accounts for health care or dependent care expenses. Employee Assistance Program (EAP) offering confidential support. Wellness benefits, including an on-site gym and fitness center discounts. 11 paid holidays annually. 15 vacation days and 15 sick days in your first year. Retirement Savings Plan with substantial employer contributions. Longevity Bonus to reward years of service. Public Service Loan Forgiveness eligibility and reimbursement for educational expenses. Professional development training opportunities, including CEU support. 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 Oklahoma State Government is the largest employer in the state of Oklahoma, employing over 35,000 diverse and talented employees in more than 100 state agencies, boards and commissions. Our workplaces can be found across the state from Boise City to Idabel, Hollis to Miami, and everywhere in between. To learn more about our state agencies, visit here. Industries: Government Administration Worker Size: 10,001+ Employees Headquarters: Oklahoma City, Oklahoma Utilizing the Office of Veterans Placement provides eligible veterans additional services and interview opportunities for State of Oklahoma employment. Visit the webpage for additional details and information on how to apply.