Chief Operating Officer (COO)

Chief Operating Officer (COO)

About the Company

Third-party administrator focused on self-funded healthcare operations and continued growth.

Industry
Insurance

Type
Privately Held

About the Role

The Company is seeking a Chief Operating Officer (COO) with a strong background in self-funded healthcare operations, stop-loss programs, and claims management. The successful candidate will be responsible for a combination of strategic and tactical activities to support the company's growth. This role demands expertise in areas such as technology, compliance, claims appeals, and regulation, as well as a focus on client service, employee development, and workflow optimization. The COO will also be tasked with establishing and monitoring KPI and performance benchmarks related to member services and implementation. Applicants for the COO position at the company should have a well-rounded skill set that includes a deep understanding of the healthcare industry, particularly in the context of self-funded plans. A background in benefits administration, payers, or another third-party administrator is essential. The role requires a professional who can effectively blend strategic and tactical responsibilities, with a strong emphasis on operational excellence and the ability to drive the business forward. The ideal candidate will be adept at managing a remote team, as the position is based in a remote setting with the expectation of regular travel.

Functions

• Operations