Román Macaya Hayes is a Costa Rican scientist, entrepreneur, diplomat, and public servant. He currently serves as the executive president and chairman of the board of the Costa Rican Social Security [Caja Costarricense de Seguro Social (CCSS)], the institution that finances and provides universal coverage of public health care services in Costa Rica and manages the largest pension fund of the country. In this role he has led the health care delivery response to the COVID-19 pandemic. Macaya is spearheading key priority programs, such as deploying the largest investment in physical and technological infrastructure in the history of the CCSS, promoting innovation throughout the institution, implementing the most ambitious digital transformation agenda, and revamping both the health care deli