COO, Pediatric Health Plan - Strategic Operations Leader

Morgan Consulting Resources, Inc.; Fort Worth (TX); Hybrid; USD 250,000 - 350,000; Full time

Job summary

Cook Children’s Health Plan seeks a veteran operations leader to drive strategic planning, execution, and transformation across the health plan. You will align provider contracts, reimbursement strategies, and regulatory compliance with the parent system’s mission, values, and community commitments.

The COO will partner with the President, supervise health plan operations, and foster innovation in digital capabilities while ensuring an exceptional member experience and strong financial

Qualifications

• 8 years of executive-level management experience in healthcare.
• Proven track record leading health plan operations and transformational programs.
• Experience with Medicaid/Managed care contracts.
• Strong expertise in data, quality, and regulatory compliance.
• Bachelor’s degree and a Master’s degree in relevant fields.

Responsibilities

• Lead strategic planning and execution for health plan operations.
• Oversee performance management and organizational transformation.
• Manage provider reimbursement strategies and value-based contracts.
• Ensure regulatory compliance and NCQA standards.
• Build cross-functional relationships across Cook Children’s System.

Skills

Executive leadership

Strategic planning

Healthcare operations

Medicaid/Managed care

Budget management

Vendor management

Communication

EPIC knowledge

Digital transformation

Education

Bachelor's degree

Master's degree

Tools

EPIC

Job description

Cook Children’s Health Plan seeks a veteran operations leader to drive strategic planning, execution, and transformation across the health plan. You will align provider contracts, reimbursement strategies, and regulatory compliance with the parent system’s mission, values, and community commitments.

The COO will partner with the President, supervise health plan operations, and foster innovation in digital capabilities while ensuring an exceptional member experience and strong financial