COO – Healthplans – Remote

s
Company: Cameron Craig Group
Location: Indianapolis, IN

Apply

Highly regarded and rapidly growing healthcare company seeks a Chief Operating Officer – COO – to lead a multi-state, multi-plan organization. The COO – Health Plans will be responsible for improving operations and scalability in these areas: claims, credentialing, provider data management, call center, configuration – core transactional platform work for a health plan.
We are searching for candidates who reach beyond the status quo – who will bring fresh ideas to the table, and are interested in driving this company to a new, exciting level. This is a transformative healthcare leadership opportunity.
The COO will:
  • Develop, implement and manage a multi-year strategic plan to improve the company’s core transactional platform including claims, credentialing, provider data management, call center.
  • Lead and drive company overall goals for growth, financial performance and margin sustainability.
  • Improve performance through continuous improvement, digital transformation, operational excellence and leadership.
  • Build scalable, efficient operations to meet all requirements of government customers.
  • Lead the transformation and adaption to new technologies, developing “ build or buy” criteria for all health plan functions.
  • Remediate gaps in core functional areas including: delegation and vendor oversight, network, provider data management, claims, credentialing and call centers
Requirements;
  • Bachelor’s degree, MBA preferred, Six Sigma Black Belt preferred
  • 10+ years in managed care leadership positions
  • 10+ years with Medicaid and Medicare operations
  • Demonstrated ability to manage operations in a larger multi-site matrixed healthcare system including delivery of integrated care delivery, population management, strategic planning and budget process.
  • A track record of success in improving transactional operations eg. claims, credentialing, provider data management, call center.
  • Deep systems knowledge including managed healthcare delivery systems to include critical components and interdependencies
  • Demonstrated track record of process improvement
  • Knowledge of variety of financial and operational structures viable in managed care.
  • Ability to plan, organize, schedule, direct, control, and monitor large-scale, multifunctional project activities.
  • Strong business and leadership acumen