Chief Operating Officer

Position Overview

Metro Plus
Health
is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

Reporting to the President & Chief Executive Officer, the Chief Operating Officer (COO) provides the leadership, management, and vision necessary to ensure that Metro Plus
Health has the proper operational systems and controls, administrative and reporting procedures, and people systems to effectively operate the Plan while ensuring financial strength and operational efficiency. The COO provides overall management and oversight for product lines of business, member services (including call center operations), facilities, and claims management. In addition, the COO is directly responsible for management of the Medicaid line of business.

The COO is a collaborator, interfacing and supporting ongoing relationships with H+H and other partners, representing Metro Plus
Health
’s culture and values. The broad and diverse span of responsibilities reporting to this position makes the COO accountable for achievement of key corporate goals and objectives, thus contributing significantly to fulfillment of the Plan’s mission and vision. As a member of the Executive Staff, this position is also expected to provide leadership and vision for the Plan and to provide direction to corporate-wide strategic and business planning, priority-setting, and decision‑making.

Scope of Role & Responsibilities

• Recognizes, adopts, and implements operational best practices and metrics to obtain desired strategic and tactical results.
• Provides day‑to‑day leadership, directing, aligning and overseeing the staff who manage and operate the organization’s core business processes that effect facilities, and Metro Plus
  Health staff, ensuring a desired organizational culture while fulfilling the mission and core values of Metro Plus
  Health
  .
• Responsible for the effectiveness and measurement of internal and external operations processes and outcomes, ensuring timely reporting.
• Ensures the effective execution of operational implementations for major strategic priorities, clinical and/or operational transformation initiatives, oversee the operating structure to ensure both efficient and cost‑effective contributions at every stage of the healthcare management process.
• Implements new initiatives, resolving problems that cross multiple departments, reducing the impact of faulty processes, workflows and automation that could negatively impact providers and members.
• Collaborates internally and externally to establish direction and enhance alliances to accomplish strategic results.
• Ensures the highest level of member experience through call center oversight and development, implementation and measured success of policies, programs, and practices in the organization.
• Ensures effective, efficient, accurate and timely claims processing.
• Collaborates with the Executive team to develop and implement plans for the operational infrastructure of systems, processes, and personnel which accommodate the aggressive growth objectives of Metro Plus
  Health
  .
• Responsible for facility operations.
• Serves as a member of the Executive Staff, sharing responsibility for and contributing to policy formation, strategic direction, high‑level priority setting and decision‑making, and overall leadership of the organization. In this capacity provides information, support, and advice to the governing Board of Directors, as requested.
• Mentors, coaches, and motivates others while inspiring them to develop the skills and knowledge to succeed,
• Fosters and upholds a success oriented, accountable, customer focused environment within Metro Plus
  Health
  .
• Performs other tasks as necessary, including representing Metro Plus
  Health on appropriate local, state, and national trade groups, governmental and industry work groups and committees, and similar external venues.

Required Education, Training & Professional Experience

• Bachelor’s degree from an accredited college or university in an appropriate…