Chief Operating Officer

About the role

The Chief Operating Officer (COO) is the senior executive responsible for the performance, integration, and strategic leadership of Longevity Health Plan's operating platform. The COO oversees all core business operations, including Membership (Growth, Sales, Markets, and Implementation), Network Management and Provider Relations, Health Plan Operations, Business Enablement, and IPA Operations.

Requirements

• Key Responsibilities:

  • Serves as the primary operational partner to Clinical Leadership to ensure alignment between business operations and clinical strategy.
  • Collaborates with Clinical Leadership to establish enterprise priorities, strategic initiatives, and operational plans that improve member outcomes and financial performance.
  • Shares accountability for enterprise P&L performance, including membership growth, medical expense management, risk adjustment performance, quality outcomes, and operating margin.
  • Pairs with Clinical Leadership to develop and execute value-based care strategies that enhance quality, member experience, provider engagement, and cost efficiency.
  • Ensures operational infrastructure, workflows, analytics, and resources effectively support clinical programs and care delivery models.
  • Collaborates on market performance reviews, identifying opportunities to improve operational, clinical, quality, and financial outcomes.
  • Aligns operational and clinical leadership teams around shared goals, performance expectations, and organizational priorities.
  • Facilitates resolution of cross-functional issues and promotes coordinated decision-making across operational and clinical teams.
  • Pairs with Clinical Leadership in evaluating new clinical programs, service models, pilots, and strategic growth opportunities.

• Enterprise Operations Leadership:

  • Provides executive leadership and strategic direction for all operational functions across the organization.
  • Develops and executes operating strategies that support organizational growth, profitability, quality performance, member experience, and value-based care objectives.
  • Aligns people, processes, technology, and resources to achieve enterprise goals and operational excellence.
  • Establishes performance metrics, accountability structures, and governance processes to ensure consistent execution across all operating areas.
  • Creates scalable operational models that support growth while maintaining efficiency, compliance, and service excellence.
  • Leads cross-functional collaboration among Clinical, Finance, Technology, Compliance, Quality, and Market leadership teams.
  • Pairs with Clinical Leadership to ensure business operations support clinical excellence, quality improvement, and population health objectives.
  • Establishes joint operational and clinical performance goals and accountability measures.
  • Ensures operational decisions appropriately balance member outcomes, provider experience, regulatory requirements, and financial performance.

• Membership (Growth, Markets, Sales & Implementation):

  • Oversees the organization's membership strategy, including growth, sales performance, market operations, implementations, and expansion initiatives, all in compliant fashion.
  • Ensures successful launch, integration, transition, and operational readiness for new markets, partnerships, and products.
  • Drives sustainable membership growth through strong market execution and partner engagement strategies.
  • Provides oversight of market performance and develops action plans to improve operational, financial, quality, and membership outcomes.
  • Safeguards consistency in operational standards, member experience, and performance expectations while allowing markets flexibility to address local healthcare dynamics and provider relationships.
  • Strengthens relationships with Skilled Nursing Facility (SNF) partners, ownership groups, and regional healthcare stakeholders.

• Network Management:

  • Provides executive oversight of provider and facility network strategy, contracting, performance, and optimization.
  • Safeguards development of high-performing provider and facility networks that support quality outcomes, member access, and financial objectives.
  • Oversees network growth, provider engagement, and strategic partnerships across all markets.
  • Safeguards provider contracting strategies support organizational goals, value-based care objectives, risk arrangements, and market expansion plans.
  • Pairs with Clinical and Quality leadership to improve provider performance and care delivery outcomes.

• Health Plan Operations:

  • Oversees all health plan operational functions, including enrollment, eligibility, member services, claims administration, appeals and grievances, configuration, operational readiness, and delegated operations (vendor performance and accountability).
  • Safeguards operational compliance with CMS, state regulatory agencies, and contractual requirements.
  • Drives service excellence and operational efficiency through process optimization and continuous improvement initiatives.
  • Establishes performance standards and service-level expectations to ensure superior member and provider experiences.
  • Maintains operational performance metrics and implements corrective actions as necessary.

• Business Enablement:

  • Leads enterprise business enablement functions that support organizational effectiveness, scalability, and execution.
  • Safeguards operational infrastructure, business processes, project management, reporting, analytics, and technology solutions effectively support strategic priorities.
  • Sponsors enterprise transformation and process improvement initiatives.
  • Promotes operational standardization, workflow optimization, and automation opportunities.
  • Oversees governance structures that improve prioritization, resource allocation, accountability, and cross-functional execution.

• IPA Operations:

  • Provides strategic and operational oversight of IPA development, growth, and performance.
  • Safeguards alignment between IPA strategy, organizational value-based care objectives and partners of IPA business.
  • Oversees financial, operational, quality, and compliance performance of IPA operations.
  • Pairs with Clinical and Network leadership to improve provider engagement, care coordination, population health outcomes, and risk performance.

• Strategic Leadership:

  • Presents opportunities for growth, innovation, operational improvement, and organizational effectiveness.
  • Led enterprise operational planning efforts and ensured successful execution of strategic priorities.
  • Provided executive-level visibility into operational performance through dashboards, governance reviews, and reporting structures.
  • Built organizational alignment, resolved cross-functional barriers, and drove accountability for results.
  • Promoted a culture of collaboration, innovation, transparency, accountability, and continuous improvement.

• Financial & Performance Management:

  • Shares accountability with Clinical Leadership for enterprise P&L performance and achievement of organizational financial objectives.
  • Led the operational drivers of financial performance, including membership growth, implementation effectiveness, market execution, administrative efficiency, network optimization, and operational scalability.
  • Paired with Clinical Leadership to improve medical cost performance, quality outcomes, risk adjustment accuracy, utilization management effectiveness, and value-based care results.
  • Oversees operational budgeting, forecasting, workforce planning, and resource allocation activities.
  • Maintained enterprise performance metrics and drove corrective actions when operational or financial performance deviated from established goals.
  • Safeguarded organizational resources were deployed effectively to support sustainable growth and long-term profitability.

• Leadership & Culture:

  • Recruited, developed, mentored, and retained high-performing leaders and teams.
  • Promoted collaboration across departments and markets.
  • Established succession planning and leadership development strategies.
  • Modelled Longevity's mission, values, and leadership expectations.
  • Performs other duties as assigned.

Supervisory Responsibilities

• Recruits, selects, develops, and retains high-performing team members.
• Provides coaching, mentoring, and performance management.
• Establishes clear expectations and accountability measures.
• Conducts performance evaluations and succession planning activities.
• Implements and enforces organizational policies and procedures.
• Ensures efficient utilization of organizational resources.
• Fosters employee engagement and professional development.
• Contributes to team effort by accomplishing related results as needed.