Medical Director
Medical Director
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Posting Title
Medical DirectorAgency
807 HEALTH CARE AUTHORITYSupervisory Organization
Medical ServicesJob Posting End Date (Continuous if Blank)
June 24 2025Note: 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 timeJob Type
RegularCompensation
Based on education and experience.Job Description
Agency/Division Information
The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better health and better care. The agencys core values include passion for purpose trust and transparency empowerment and accountability best in class and outcome-driven and servant leadership. As part of the interview process candidates may be required to attend an in-person interview at our Oklahoma City office.
Position Purpose
The Medical Director a licensed medical doctor (MD) doctor of osteopathy (DO) is responsible for providing strategic leadership and medical expertise across the Oklahoma Health Care Authority (OHCA) to ensure the delivery of high-quality evidence-based healthcare services. This role involves overseeing the evaluation of medical necessity guiding the development of medical policies and offering consultative medical input to various OHCA units. The Medical Director supports program integrity quality assurance initiatives and helps align medical operations with OHCAs mission to enhance access to better health outcomes for Oklahomans. Additionally this role requires close collaboration with internal and external stakeholders to drive performance excellence foster innovation in healthcare and maintain alignment with the agencys values of accountability transparency and servant leadership. This position is ideal for an experienced physician specifically a medical doctor (MD) or doctor of osteopathy (DO) who is committed to improving healthcare systems through thoughtful leadership and clinical insight. It calls for a mission-driven physician who brings a blend of clinical experience and systems-level thinking.
Principle Activities May Include:
Serve as a medical consultant to units within OHCA to provide input regarding medical services.
Make determinations of medical necessity by reviewing clinical records and direct contact with providers as necessary. Participate in the peer-to-peer email line by communicating with providers providing information guidance and possible solutions as appropriate.
Provide medical advice and review to the Program Integrity (PI) unit in identifying providers with potential inappropriate utilization and conducting PI audits.
Identify medical technologies and assist the MASS unit in research medicine technologies that require a newor updated guideline based on evidence and the current standard of care.
Become familiar with and develop relationships with the appropriate staff in other divisions to fulfill the responsibilities of the medical director.
Summarize documentation and records for discussion internally and to present as needed at beneficiary appeals before the ALJ and other venues as directed.
Provide guidance and support to the Director of Quality Assurance regarding the quality of care delivered determining quality of care and medical home standards and assist with claims review guidelines. Coordinate QI activities the EQRO with SoonerSelect CMOs and Quality Directors.
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.
Knowledge Skills Abilities and Competencies
The Medical Director role requires in-depth knowledge of healthcare policies state and federal legislation and clinical standards along with strong skills in program administration and medical evaluation to ensure compliance and effectiveness. This position demands exceptional communication abilities to collaborate across divisions and provide expert medical advice along with strategic thinking to align medical operations with the broader organizational goals. The most fitting Korn Ferry competencies are Global Perspective due to the need for understanding healthcare trends and policies and Decision Quality as the role involves making informed high-impact decisions on medical necessity and program effectiveness.
**To be considered for this position your application must include a resume/CV with complete work and education history.**
Education and/or Experience:
A current license to practice medicine as a medical doctor (MD) or doctor of osteopathy (DO) in the state of Oklahoma
3 years of clinical practice experience as a licensed physician.
Preference may be given to candidates with:
Certifications in any of the following areas: Board Certification Certified Physician Executive Certification in Healthcare Quality Medical Review Officer (MRO) Certification Lean Six Sigma or similar process improvement certification
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. Heres 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 .
Notice to applicants:
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 WorkdayJobs 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.
Required Experience:
Director
Employment Type
Full-Time
