Strategic Health Plan Operations Leader

Sfhp; San Francisco (CA); Hybrid; USD 350,000 - 400,000; Full time

Benefits offered by this job

Medical plans

Dental plans

Vision coverage

Retirement plans

PTO & holidays

Tuition reimbursement

Job summary

San Francisco Health Plan is seeking a Chief Operating Officer to lead all primary service operations from our Downtown San Francisco office. This hybrid role requires onsite work at least 4 days per month, rising to 8 days, and candidates must reside in California.

Reporting to the CEO and joining the Executive Team, you will guide strategic execution, oversee multiple departments, and drive performance against KPIs while partnering with Finance and regulators to support Medi-Cal and Medicare

Qualifications

• Bachelor's degree in a related field is required.
• 15+ years of progressive leadership experience, including 5+ years in a senior leadership role overseeing multi-dept operations.
• Experience in a managed care organization or health plan such as Medi-Cal/Medicare lines of business.
• Demonstrated experience in budget development, financial planning and analysis, and resource management.
• Expertise developing and monitoring systems to manage complex operational work.
• Knowledge of the California health care landscape and regulations (DHCS, DMHC, CMS).

Responsibilities

• Serve as a member of the Executive Team and work with the CEO to implement SFHP's strategic plan.
• Oversee the leadership of Operations and related departments, ensuring accountability and performance.
• Translate strategy into a multi-year operational plan and drive execution with measurable results.
• Lead enterprise initiatives to improve efficiency, scalability, and the member/provider experience.
• Assess regulatory and policy impacts and guide the operational response.
• Advise the CEO on risks, opportunities, and resource needs, and report to the Governing Board.
• Maintain KPIs and report performance to internal and external stakeholders.
• Collaborate with Finance on budgeting, staffing, and vendor investments.

Skills

Executive leadership

Operational management

Stakeholder management

Regulatory compliance

Education

Bachelor's degree in related field

Master's degree in business administration or related field preferred

Tools

Budgeting & forecasting tools

Job description

San Francisco Health Plan is seeking a Chief Operating Officer to lead all primary service operations from our Downtown San Francisco office. This hybrid role requires onsite work at least 4 days per month, rising to 8 days, and candidates must reside in California.

Reporting to the CEO and joining the Executive Team, you will guide strategic execution, oversee multiple departments, and drive performance against KPIs while partnering with Finance and regulators to support Medi-Cal and Medicare