Chief Operating Officer, Insurance Operations

Hartz Search; Danville (PA); Hybrid; USD 180,000 - 240,000; Full time

Job summary

Geisinger in Danville, PA seeks a Chief Operating Officer, Insurance Operations to lead the operational strategy and execution for Geisinger Insurance Operations, including Health Plan, Indemnity, and Quality Operations. The role reports to executive leadership and guides Customer Service, Claims, and Membership functions.

Candidates should have 10+ years in healthcare leadership, with a strong focus on governance, budget forecasting, and cross-functional collaboration in a large healthcare

Qualifications

• Bachelor's degree required.
• Minimum of 10 years of healthcare experience.
• Minimum of 10 years of progressive leadership experience.

Responsibilities

• Deliver the full portfolio of GIO operational initiatives and drive process/system changes.
• Provide vision and leadership for Customer Service, Claims, and Membership operations.
• Oversee HR function and regulatory compliance for GIO.
• Lead strategic planning, resource prioritization, budgeting, and communications.
• Advance self-service capabilities for Members, Providers, and Employer Groups.

Skills

Healthcare leadership

Operations management

Strategic planning

Regulatory compliance

Team leadership

Education

Bachelor's degree

Job description

Chief Operating Officer, Insurance Operations

CHIEF OPERATING OFFICER, INSURANCE OPERATIONS

GEISINGER

DANVILLE, PENNSYLVANIA – HQ (HYBRID)

HARTZ Search invites you to explore an exciting opportunity for the Chief Operating Officer, Insurance Operations, with our client, Geisinger, in Danville, PA.The Chief Operating Officer, Insurance Operations is responsible for leading, planning, and overseeing the operational strategy, performance, and execution of Geisinger's Insurance Operations functions. Geisinger Insurance Operations (GIO) includes Geisinger Health Plan, Geisinger Indemnity Insurance Company, and Geisinger Quality Operations.

Geisinger is among the nation’s leading providers of value-based care, serving 1.2 million people in rural and urban communities across central and northeastern Pennsylvania. Founded in 1915 by philanthropist Abigail Geisinger, the nonprofit system generates $9 billion in annual revenues across more than 130 care sites — including 10 hospital campuses — and Geisinger Health Plan, with 509,000+ enrollees in commercial and government plans.

Geisinger College of Health Sciences educates more than 600 medical professionals annually and conducts more than 1,600 clinical research studies. With 28,000 employees, including 1,900 employed physicians and 5,400 registered nurses, Geisinger is among Pennsylvania’s largest employers with an estimated economic impact of $18 billion on the state’s economy. In 2024, Geisinger joined Risant Health, a nonprofit charitable organization created to expand and accelerate value-based care across the country.

JOB DESCRIPTION:

• Responsible and accountable for successfully delivering the entire portfolio of GIO operational initiatives. Drives the changes to the processes and related system capabilities needed to facilitate the delivery of those initiatives across the organization.
• Ensures member-centric culture and communications. Provides vision, organization, and leadership to the Customer Service, Claims, and Membership operations for the GIO. Responsible for compliance with state and federal regulatory requirements applicable to these operational areas.
• In conjunction with peers; provides vision, organization, and leadership in the implementation of activities around strategic planning, resource prioritization, resource coordination, budget forecasting, and effective communications to all appropriate levels.
• Responsible for driving the self-service capabilities available to Members, Providers, and Employer Groups.
• Communicates and consults with GIO and Geisinger leadership with regard to the overall condition and performance of the GIO. Advises leadership regarding new programs / financial issues of these areas, making recommendations about the overall implications of a decision.
• Fosters and promotes a positive work environment with teamwork, respect, and communication; supports personal growth and development of people. Creates an environment of accountability, responsibility, and ownership through consistent leadership, direction, and support.
• Responsible for GIO oversight of the Human Resources function.

ROLE DETAILS:

• COO, Insurance Operations reports directly to the President of Geisinger Health Plan.
• The COO, Insurance Operations will have 5 direct reports.

REQUIREMENTS & QUALIFICATIONS:

• Education :
  • Bachelor’s Degree required
• Experience :
  • Minimum of 10 years of healthcare experience.
  • Minimum of 10 years of progressive leadership experience.

LOCATION: DANVILLE, PENNSYLVANIA

Danville is a quiet and charming town in Central Pennsylvania, located on the Susquehanna River, 50 miles west of Scranton and 100 miles from Philadelphia. Living in Danville, PA is a wonderful experience. The community is close-knit and full of friendly faces. There are plenty of activities to keep you busy, such as local parks and trails, restaurants, shops, and entertainment venues. With its vibrant downtown area and plentiful outdoor recreation opportunities, there's something for everyone in Danville. On top of that, the town offers excellent schools and services, making it a great place to raise a family or start a business. No matter what type of lifestyle you’re looking for, Danville has something to offer everyone.