Chief Operating Officer

Minimum Education
Bachelor's Degree (Required)
Master's Degree advanced degree (Preferred)

Minimum Work Experience
8 years years of experience in managed care. (Required)
3 years years in managed care administration. (Required)

Job Functions
Essential job duties:

• Oversight of the operational functions in the Health Plan which could include Administrative Support, Claims, Provider Relations, and Information Technology as appropriate based on Plan design.

• Serves as Plan liaison to Shared Services support functions as well as providers and regulators as needed.

• Provides input on overall strategic direction of Health Plan and assist in developing policy and programs to achieve business results.

• Ensures a strong connection and working knowledge of current status with local network development, provider relations, regulatory and contractual compliance.

• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

• Develop, execute and maintain a provider network strategy, business plans, and goals.

• Collaborates with the Plan management team and others to develop and implement action plans for the operational infrastructure of systems, processes, and personnel designed to accommodate the growth objectives of the organization.

• Assist CEO with aspects of local and state government relationships, including dealing with regulators as necessary to establish and continue effective working relationships.

Other job duties:

• May perform other duties in addition to those outlined in this job description.

DC RESIDENTS ENCOURAGED TO APPLY