Chief Medical Officer

Job Posting Title

Chief Medical Officer

807 HEALTH CARE AUTHORITY

EGID

Refer to the date listed at the top of this posting, if available. Continuous if date is blank.

Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

Full time

Regular

At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values,
Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best-in-Class, Outcome-Driven, and Servant Leadership , we foster a workplace where people feel supported, respected, and empowered to make an impact. Learn more about OHCA.

We know your great work deserves great support. Here’s a snapshot of what we offer for all eligible employees.

• 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.

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 Chief Medical Officer (CMO) serves as the senior clinical leader responsible for the oversight, direction, and continuous improvement of the agency’s medical functions across the Medicaid program and the Health Choice / Employees Group Insurance Division (EGID). As a licensed Medical Doctor (MD) or Doctor of Osteopathy (DO), the CMO provides strategic clinical leadership and medical expertise to ensure the quality, effectiveness, accountability, and regulatory compliance of medical services.

Working in close coordination with executive leadership, the CMO directs medical policy development, clinical guidelines, and operational strategies to advance health care delivery, program innovation, and system integrity. This role ensures that covered services and medical practices align with accepted standards of care, statutory and regulatory requirements, agency goals, and fiscal stewardship, while optimizing health outcomes for members and supporting sustainable, cost‑effective programs.

• Medical Oversight and Clinical Guidance :
  Provide expert medical review and executive-level clinical leadership for utilization management, case management, medical necessity determinations, appeals, quality improvement, program integrity, and policy development activities. Ensure all medical determinations meet accepted standards of care, evidence-based guidelines, and applicable federal and state requirements.
• Strategic Planning and Operational Leadership :
  Lead the development and execution of divisional goals; adjust operational strategies to enhance program performance; supervise professional staff; and systematically evaluate division operations to implement improvements in efficiency, effectiveness, and fiscal accountability.
• Policy Interpretation, Development, and Regulatory Alignment :
  Interpret federal and state legislation and regulations affecting medical, behavioral health, dental, and pharmacy policy. Provide regular clinical and strategic input on the potential impact of policy and operational decisions on health care delivery. Advise internal leadership and collaborate with OMES/EGID, actuaries,…