Chief Operations Officer

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market – to do more for clients – and take them beyond the standard “Point A to Point B.” We have researched the most effective cost containment strategies and are driving down the cost of plans with innovative solutions such as, network and payment integrity, pharmacy benefits and care management. There are many companies with a mission. We are a mission with a company.

The Chief Operations Officer (COO) will lead all operational aspects of Point C’s TPA business, overseeing a broad portfolio including Operations, Client Services, Compliance and Project Management. This role is critical to scaling the business through seamless integration of acquired TPAs, driving operational efficiency, and ensuring a consistently exceptional client and member experience. With an acquisitive growth strategy and a focus on integrated service delivery, we’re reshaping the TPA landscape for our clients, partners, and members. The COO will serve as a key member of the executive leadership team and a strategic partner to the CEO and Board of Directors. 

Primary Responsibilities:  

• Lead and oversee all day-to-day TPA operations, including claims, customer service, eligibility, plan building, consumer-driven products, quality assurance, audit, and implementation. 
• Develop and implement operational strategies in collaboration with the CEO and senior leadership to support short- and long-term business goals. 
• Drive continuous process improvement and efficiency by analyzing workflows, identifying gaps, and implementing scalable solutions. 
• Define and monitor KPIs to ensure performance targets are met, using data to inform strategic decisions and course corrections. 
• Lead operational due diligence and post-close integration efforts for acquired TPAs, aligning systems, processes, and teams to a unified platform. 
• Oversee Client Services, Compliance, and Project Management to ensure exceptional client satisfaction, regulatory alignment, and effective execution of key initiatives. 
• Foster strong cross-functional collaboration with HR, IT, Finance, and other departments to drive alignment and execution. 
• Manage operational budgets and capital investments, ensuring cost control and alignment with financial targets. 
• Build and maintain strong relationships with clients, partners, and vendors to ensure high-quality service delivery and alignment. 
• Oversee implementation of new products and services, managing from planning through execution in collaboration with internal teams. 
• Represent operations in board meetings and with private equity partners, providing clear, business-focused updates on strategy, integration, and performance. 
• Recruit, mentor, and develop senior operational leaders, building succession plans and high-performing teams ready for scale. 

Minimum Qualifications 

• 15+ years of experience in healthcare operations, ideally in the TPA space or closely related industry 
• Proven track record of leading operational teams in high-growth and acquisitive environments 
• Deep understanding of claims administration, client servicing, implementation, compliance and eligibility operations 
• Demonstrated ability to lead complex integration projects and align diverse teams 
• Exceptional communication skills, with the ability to engage and influence a wide range of stakeholders including executives, board members, clients, and frontline teams 
• Strategic thinker with excellent leadership, collaboration, and decision-making capabilities 
• Ability to operate effectively in a matrixed and evolving environment 
• Experience working with executive leadership and Boards of Directors 

Preferred Qualifications: 

• Experience in private equity-backed or fast-paced scaling companies 
• Strong understanding of self-funded health plans and consumer-driven healthcare products 
• Lean Six Sigma certification or demonstrated experience applying continuous improvement methodologies 

• Comprehensive medical, dental, vision, and life insurance coverage
• 401(k) retirement plan with employer match
• Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
• Paid time off (PTO) and disability leave
• Employee Assistance Program (EAP)

Equal Employment Opportunity: At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.