Senior Director of Program Integrity and Accountability

Senior Director Of Program Integrity And Accountability

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.

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 :

• Overseeing the planning, writing and completion of audit programs, documenting planning, assessment, fieldwork and reporting components of the audit.
• Directing staff to, and participating 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.
• Making 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.
• Reviewing 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.
• Working in collaboration with the Attorney General's Medicaid Fraud Control Unit on audits / reviews which appear to be fraudulent in nature.
• Creating strong departmental processes to ensure efficient and effective performance, leveraging technology and automated audit tools.
• Managing the Performance Management Process for the audit staff; developing job accountabilities, designating accountability priority, performing employee evaluation, documenting performance and conveying such to employee, and creating employee development plan.
• Other duties as assigned.

Supervisory responsibilities : This position has supervisory responsibilities.

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 navigate complex federal and state requirements to ensure program integrity. The individual must demonstrate exceptional leadership and communication abilities to manage professional audit teams, collaborate across divisions, and represent the agency before executive leadership, federal entities, and oversight bodies. Success in this position hinges on the ability to make sound, timely decisions grounded in analysis and regulatory understanding (Decision Quality), establish and uphold clear standards of accountability across teams and projects (Ensures Accountability), and effectively manage multifaceted and high-stakes audit processes that demand precision and adaptability (Manages Complexity).

To be considered for this position your application must include a resume / CV with complete work and education history.

Education and / or experience : Bachelor's degree and 7 years of professional business or public administration experience, including 4 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 : The following certifications : CPA - Certified Public Accountant, CIA - Certified Internal Auditor or CPIP Certified Program Integrity Professional.

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 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.