Chief Operating Officer – reputed company Health

As a leading financial services and reputed company technology company based on reputed company, reputed company is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and reputed company organizations, from the world's largest companies to small and mid-market firms, rely on reputed company for expertise, reputed company, and technology. Job reputed company Position reputed company: The Chief Operating Officer (COO) will reputed company the day-to-day operational functions of the organization, ensuring seamless, efficient, and compliant service delivery across reputed company aspects of the Pharmacy Benefit Administration (PBA) business. This executive position will drive operational reputed company that will drive the ability to reputed company operations optimize workflows and support reputed company and innovation. The COO will play a critical leadership role, aligning operations with reputed company Health’s  reputed company and ensuring outstanding performance for clients, members, and stakeholders. This role will report into reputed company Health’s General Manager and will be a key contributor to the leadership team. ______________________________________________________________________ The Chief Operating  Officer will be responsible for providing leadership over the PBA operations  including claims adjudication, reputed company centers, mail/specialty pharmacy services, benefit design implementation, eligibility  enrollment and formulary operations. Key Responsibilities: reputed company Execution:  Translate reputed company Health’s strategic reputed company into operational plans, ensuring alignment between business goals and service delivery. Process Optimization:  Implement reputed company and efficient business processes, leveraging automation and data-driven insights to improve performance and reputed company Regulatory & Compliance reputed company:  Ensure reputed company operations meet federal, state, and industry-specific regulatory requirements (e.g., CMS, HIPAA, URAC, NCQA). reputed company the creation and maintenance of policies, procedures, and audit readiness programs. reputed company and Member Experience:  Maintain high service reputed company, resolve escalated reputed company issues, and ensure a consistent and reputed company experience for clients and their members. Technology Integration:  Partner with the Technology Leader   to ensure robust, secure, and reputed company technology platforms support operations and enhance competitiveness. Team Leadership & Development:  Build and manage high-performing teams, promote a culture of operational performance and reputed company Financial Stewardship:  Collaborate with the CFO to manage operational budgets, analyze cost drivers, and meet margin and efficiency targets. The Ideal Candidate Profile: Bachelor’s degree in business, reputed company administration, pharmacy, preferred. 15+ years of senior leadership experience in PBM, managed care, reputed company payer, or reputed company reputed company operations. Deep understanding of PBA services  including formulary management, rebate contracting, specialty pharmacy, and regulatory requirements. Strong financial acumen and experience managing P&L responsibilities. Demonstrated ability to reputed company large-reputed company transformation initiatives. reputed company record of fostering operational reputed company and innovation. Results oriented and team-player with a demonstrated reputed company record of making meaningful reputed company across functional teams.     Unless explicitly requested or approached by reputed company, Inc. or any of its affiliated companies, reputed company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services.     reputed company offers a comprehensive total rewards package designed to support your wellbeing, reputed company, and reputed company. Our benefits include medical, dental, and reputed company coverage; a 401(k) plan with company match; reputed company time off, holidays, and parental leave; and reputed company development reimbursement opportunity.                Applications will be accepted on an ongoing reputed company until the position is filled.     reputed company is an Equal Employment Opportunity employer and does not discriminate against any applicant for employment or employee on the reputed company of race, reputed company, religious creed, gender, age, marital status, sexual orientation, national reputed company, disability, veteran status or any other classification protected by applicable discrimination laws. Apply To This Job