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 organizations 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.

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 ).

• 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.