Gainwell Technologies · 1 day ago
Vice President, Coordination of Benefits (COB) Delivery
Any city, TX, US, 99999
Full-time
Hybrid
Director/Executive
$160K/yr - $229K/yr
10+ years expGainwell Technologies is seeking an experienced and execution-driven Vice President of Coordination of Benefits (COB) Delivery to lead the end-to-end operations for our COB solutions across multiple clients and programs. This executive will be accountable for P&L performance, delivery excellence, operational scalability, product innovation, and quality outcomes across all COB services.
Health CareInformation Technology
Responsibilities
Provide executive oversight for all COB operational functions, ensuring timely, accurate, and compliant delivery across the entire service lifecycle
Own full P&L responsibility, including budgeting, forecasting, margin management, and performance against financial targets
Lead day-to-day operations across intake, file operations, cycle management, eligibility/claims matching, call center workflows, recovery operations, lockbox/payment processing, and invoicing
Ensure operational models, staffing, and performance structures support scalability and client growth
Manage operational KPIs, SLAs, productivity standards, and quality metrics to ensure top-tier delivery performance
Implement robust quality assurance, workflow controls, compliance protocols, and continuous improvement practices across all COB functions
Monitor production trends, identify performance risks, and implement corrective actions to protect service quality and client satisfaction
Drive standardization and automation of COB processes to reduce variability, improve accuracy, and increase throughput
Partner with Technology, Analytics & Shared Operational Services partners to evolve COB products, workflows, and service capabilities
Identify operational inefficiencies, gaps, and opportunities for enhancement to drive product modernization and competitive differentiation
Support roadmap planning for new features, analytic capabilities, automation, and client-driven enhancements
Champion innovation initiatives that strengthen Gainwell’s position in the COB marketplace
Serve as the senior operational executive for COB clients, ensuring transparency, performance accountability, and proactive communication
Participate in client governance meetings, performance reviews, and strategic planning sessions
Collaborate with Client Relationship Management and Sales teams on renewals, expansions, solution design, and service delivery alignment
Act as a trusted advisor to clients on COB operations, performance improvements, and industry best practices
Build, mentor, and lead high-performing teams across operations, quality, workflow management, and recovery operations
Establish workforce planning, performance management, and talent development strategies to support service excellence
Foster a culture of accountability, continuous improvement, innovation, and operational discipline
Ensure organizational structure and staffing align with demand, client commitments, and business objectives
Work closely with Technology, Data Management, Analytics, Shared Operational Services, and other operational leaders to ensure seamless execution and service delivery
Support implementations teams in onboarding and transitioning new COB clients into steady-state operations
Partner with Finance, Compliance, and Legal to ensure operational integrity, financial accuracy, and regulatory adherence
Qualification
Required
10+ years of leadership experience in healthcare operations, COB, TPL, payment integrity, claims operations, or related payer services
Proven success leading large operational teams with full end-to-end ownership, including delivery performance and P&L accountability
Strong understanding of COB rules, eligibility and claims structures, payer coordination requirements, and recovery operations
Experience managing complex operational environments with high-volume workflows and strict performance requirements
Demonstrated ability to build and manage KPIs, operational dashboards, quality frameworks, and productivity models
Excellent executive communication skills, client-facing experience, and ability to influence cross-functional leaders
Ability to travel up to 15% within the United States
Preferred
Experience with Medicaid, Medicare, or large commercial payer COB programs
Background implementing process automation, system enhancements, or operational transformation initiatives
Experience supporting or collaborating with product development or solution innovation teams
Six Sigma, Lean, or similar process-improvement certification
Benefits
Flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Gary Call
Chief Medical Officer
Recent News
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2025-12-12
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2025-12-11
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