SoonerSelect Quality Director jobs in United States
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State of Oklahoma · 7 hours ago

SoonerSelect Quality Director

The State of Oklahoma is seeking a SoonerSelect Quality Director to provide strategic leadership and oversight of all quality initiatives for the SoonerSelect managed care program. This role involves managing quality professionals, ensuring compliance with federal and state standards, and driving performance excellence across the agency.

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Comp. & Benefits

Responsibilities

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

Qualification

Healthcare quality managementManaged care operationsPerformance improvement methodologiesData analysisContract managementStakeholder engagementLeadershipCommunicationProblem-solvingCollaborationStrategic mindset

Required

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
No substitution will be allowed for the required professional experience in a supervisor or administrative capacity
Advanced knowledge of healthcare quality management, managed care operations, regulatory requirements, and performance improvement methodologies
Exceptional analytical and problem-solving skills
Ability to synthesize complex data into actionable strategies
Expertise in leading cross-functional initiatives
Strong communication, stakeholder engagement, and contract management skills
Ability to drive organizational change and maintain compliance with federal and state standards

Preferred

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

Benefits

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.

Company

State of Oklahoma

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State of Oklahoma is a government organization that provides community development, education, employment, and health services.

Funding

Current Stage
Late Stage

Leadership Team

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Dan Cronin
CIO and Chief Transformation Officer
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David Ostrowe
Chief Operational Officer
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