SoonerSelect Quality Director

SoonerSelect Quality Director

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.

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 :

Preference may be given to candidates with :

Physical Demands :

Work Environment :

Why You'll Love Working Here :

At the Oklahoma Health Care Authority (OHCA), we're 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 :

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 : 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.

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.