Job Posting Title

Senior Director of Program Integrity and Accountability

Agency

807 HEALTH CARE AUTHORITY

Supervisory Organization

Finance

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

Based on education and experience.

Job Description

In accordance with 62 O.S. § 34.301(h)(6) and OAC 260:130-1-2, this position has been designated as executive management and is exempt from the civil service and human capital modernization act and applicable rules.

Agency/Division Information

The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better health and better care. The agency’s 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 Senior Director of Program Integrity and Accountability provides strategic leadership and oversight of all provider and member audit activities to ensure compliance with state and federal regulations, accuracy of financial transactions, and protection of Medicaid funds. This position directs the federally mandated Payment Error Rate Measurement (PERM) project, coordinates external audits of the agency, and ensures timely corrective actions in collaboration with federal and state partners. Serving as the agency’s audit liaison and subject matter expert, the role oversees professional audit staff, ensures the integrity of audit outcomes, and advances process improvements that strengthen transparency, accountability, and fiscal stewardship across OHCA programs.

Principal Activities May Include:

• Oversees the planning, writing and completion of audit programs, documenting planning, assessment, fieldwork and reporting components of the audit.

• Directs staff to, and participates in, obtaining, analyzing and appraising of evidentiary data as a basis for an informed and objective opinion.  Directs and performs fieldwork and maintains workpapers which support established objectives, documents work performed and also support any additional audit work which may be deemed to be within the scope of the audit / review during the course of the audit / review.

• Makes oral and / or written presentations to management and others during and at the conclusion of the reviews / audits, discussing deficiencies and opportunities for improvement.  Reports results of audits or special projects in a timely manner, including information which satisfies the original objectives, and objectively disclosing the necessary report elements.

• Reviews completed and partially completed work assigned to staff to ensure that staff adequately understand the assignment, workpapers are adequate, conclusions reached are adequately supported, draft reports reflect conclusions reached and are objectively stated, and that work is being performed in a timely manner considering the urgency of the audit / project.

• Works in collaboration with the Attorney General’s Medicaid Fraud Control Unit on audits / reviews which appear to be fraudulent in nature.

• Creates strong departmental processes to ensure efficient and effective performance, leverages technology and automated audit tools.

• Manages the Performance Management Process for the audit staff; develops job accountabilities, designates accountability priority, performs employee evaluation, documents performance and conveys such to employee, and creates employee development plan.

• Other duties as assigned.

Supervisory Responsibilities: This position has supervisory responsibilities.

Knowledge, Skills, Abilities and Competencies

The Senior Director of Program Integrity and Accountability must possess comprehensive knowledge of auditing principles, healthcare compliance, and Medicaid program operations, supported by strong analytical, financial, and regulatory expertise. This role requires advanced skills in audit strategy, data interpretation, and policy application, with the ability to na