CareOregon
Job Summary
The Chief Operations Officer (COO) is responsible for ensuring the operational effectiveness of company operations, overseeing multiple operational units of the organization. This position oversees the development, implementation, and maintenance of policies, practices, and programs in conjunction with the Chief Executive Officer (CEO) and company leadership to meet customer performance targets, regulatory requirements, strategic goals, and company-wide initiatives. This position actively participates in strategic planning and collaborates with leaders to design and implement strategic changes using improvement methodology.
Estimated Hiring Range
$459,090.00 - $561,110.00
Bonus Target
Bonus - SIP Target, 15% Annual
Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Provide strategic leadership for the organization’s operational functions.
Evaluate and advise on the impact of long-range planning, introduction of new programs/strategies and regulatory action on plan operations.
Provide periodic reports, operational assessments, future capital needs, and budget performance and trends in order to assist the Board and CEO in performing their responsibilities.
Enhance and/or develop and implement policies and procedures of the organization.
Participate in continual improvement of processes through education of department leaders on issues impacting their operations and budgets.
Provide strategic input and leadership on decision-making issues affecting the organization (e.g., evaluation of potential alliances, partnerships, new business opportunities, and acquisitions).
Evaluate the organization’s structure and implementation of continual improvement of the efficiency and effectiveness.
Strategic Planning and Visioning
Participate in development of the vision and direction of the organization in partnership with executive team.
Lead development and oversight of strategic plans and goals in alignment with organizational vision and mission.
Oversee operational structure for areas of oversight and participate in organizational policy discussions.
Perform effective short- and long-term planning to ensure progressive and effective team operations.
Financial/Resource Oversight Develop and approve budgets for areas of oversight in alignment with strategic planning.
Ensure teams have sufficient resources to perform their work.
Ensure budgets are monitored and managed effectively across areas of oversight.
Identify and approve resource allocations within budget, including people, finances, and timelines; make decisions on exceptions.
Employee Supervision
Direct team(s) and establish team direction and goals in alignment with the organizational mission, vision, and values.
Identify work and staffing models; recruit, hire, and oversee a team to meet work needs, using an equity, diversity, and inclusion lens.
Identify department priorities; ensure employees have information and resources to meet job expectations.
Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff.
Manage, coach, motivate, and guide employees; promote employee development.
Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making.
Ensure team adheres to department and organizational standards, policies, and procedures.
Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action).
Perform supervisory tasks in collaboration with the People and Culture Department as needed.
Organizational Responsibilities Perform work in alignment with the organization’s mission, vision and values.
Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
Strive to meet annual business goals in support of the organization’s strategic goals.
Adhere to the organization’s policies, procedures and other relevant compliance needs.
Perform other duties as needed.
Experience and Education Bachelor’s degree in public health, health care administration, business administration, or related field
Minimum 10 years’ progressive experience working in a senior leadership role managing health plan operations and managed care
Preferred Master’s degree in public health, healthcare administration, business or related field
Minimum 5 years’ experience in a supervisory position
Knowledge Strong knowledge and understanding or the ability to learn the tenants of managed care in the healthcare world, including the following:
Oregon Health Authority
Health Share of Oregon
Care Oregon as a Risk Accepting Entity
HIPAA privacy and security
Health Exchanges
Accountable Care Act
Understanding of health plan financing, health care costs, health outcome measures such as HEDIS and CAHPS, and health plan operations, such as claims payment, customer service, medical management, and quality improvement
Understanding of CareOregon, including its market, vision/mission, strategies, management, operations and financial structure
Skills And Abilities Interpersonal skills, including exceptional relationship-building skills to promote an open and positive atmosphere
Problem solving skills; ability to identify and resolves problems in a timely manner and gathers and analyzes information skillfully
Strong communication and presentation skills; ability to speak effectively and persuasively in positive or negative situations
Ability to delegate effectively, set expectations, and monitor delegated activities
Excellent leadership skills, including the ability to inspire and motivate others to perform well; accepts feedback from others, and develops high-performing teams
Ability to apply sound judgment and willingness to make decisions, and make timely decisions
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
Ability to hear and speak clearly for at least 3-6 hours/day
Working Conditions
Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used. Work Location: Office - 3 days/week
We offer a strong Total Rewards Program.
This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre‑tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility.
Equal Opportunity Employer
CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
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The Chief Operations Officer (COO) is responsible for ensuring the operational effectiveness of company operations, overseeing multiple operational units of the organization. This position oversees the development, implementation, and maintenance of policies, practices, and programs in conjunction with the Chief Executive Officer (CEO) and company leadership to meet customer performance targets, regulatory requirements, strategic goals, and company-wide initiatives. This position actively participates in strategic planning and collaborates with leaders to design and implement strategic changes using improvement methodology.
Estimated Hiring Range
$459,090.00 - $561,110.00
Bonus Target
Bonus - SIP Target, 15% Annual
Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Provide strategic leadership for the organization’s operational functions.
Evaluate and advise on the impact of long-range planning, introduction of new programs/strategies and regulatory action on plan operations.
Provide periodic reports, operational assessments, future capital needs, and budget performance and trends in order to assist the Board and CEO in performing their responsibilities.
Enhance and/or develop and implement policies and procedures of the organization.
Participate in continual improvement of processes through education of department leaders on issues impacting their operations and budgets.
Provide strategic input and leadership on decision-making issues affecting the organization (e.g., evaluation of potential alliances, partnerships, new business opportunities, and acquisitions).
Evaluate the organization’s structure and implementation of continual improvement of the efficiency and effectiveness.
Strategic Planning and Visioning
Participate in development of the vision and direction of the organization in partnership with executive team.
Lead development and oversight of strategic plans and goals in alignment with organizational vision and mission.
Oversee operational structure for areas of oversight and participate in organizational policy discussions.
Perform effective short- and long-term planning to ensure progressive and effective team operations.
Financial/Resource Oversight Develop and approve budgets for areas of oversight in alignment with strategic planning.
Ensure teams have sufficient resources to perform their work.
Ensure budgets are monitored and managed effectively across areas of oversight.
Identify and approve resource allocations within budget, including people, finances, and timelines; make decisions on exceptions.
Employee Supervision
Direct team(s) and establish team direction and goals in alignment with the organizational mission, vision, and values.
Identify work and staffing models; recruit, hire, and oversee a team to meet work needs, using an equity, diversity, and inclusion lens.
Identify department priorities; ensure employees have information and resources to meet job expectations.
Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff.
Manage, coach, motivate, and guide employees; promote employee development.
Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making.
Ensure team adheres to department and organizational standards, policies, and procedures.
Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action).
Perform supervisory tasks in collaboration with the People and Culture Department as needed.
Organizational Responsibilities Perform work in alignment with the organization’s mission, vision and values.
Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
Strive to meet annual business goals in support of the organization’s strategic goals.
Adhere to the organization’s policies, procedures and other relevant compliance needs.
Perform other duties as needed.
Experience and Education Bachelor’s degree in public health, health care administration, business administration, or related field
Minimum 10 years’ progressive experience working in a senior leadership role managing health plan operations and managed care
Preferred Master’s degree in public health, healthcare administration, business or related field
Minimum 5 years’ experience in a supervisory position
Knowledge Strong knowledge and understanding or the ability to learn the tenants of managed care in the healthcare world, including the following:
Oregon Health Authority
Health Share of Oregon
Care Oregon as a Risk Accepting Entity
HIPAA privacy and security
Health Exchanges
Accountable Care Act
Understanding of health plan financing, health care costs, health outcome measures such as HEDIS and CAHPS, and health plan operations, such as claims payment, customer service, medical management, and quality improvement
Understanding of CareOregon, including its market, vision/mission, strategies, management, operations and financial structure
Skills And Abilities Interpersonal skills, including exceptional relationship-building skills to promote an open and positive atmosphere
Problem solving skills; ability to identify and resolves problems in a timely manner and gathers and analyzes information skillfully
Strong communication and presentation skills; ability to speak effectively and persuasively in positive or negative situations
Ability to delegate effectively, set expectations, and monitor delegated activities
Excellent leadership skills, including the ability to inspire and motivate others to perform well; accepts feedback from others, and develops high-performing teams
Ability to apply sound judgment and willingness to make decisions, and make timely decisions
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
Ability to hear and speak clearly for at least 3-6 hours/day
Working Conditions
Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used. Work Location: Office - 3 days/week
We offer a strong Total Rewards Program.
This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre‑tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility.
Equal Opportunity Employer
CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
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