Migoya has served as president and CEO of Jackson Health System since May 2011. The system employs 12,836 people and operates on a nearly $2 billion annual budget. Migoya went public in March with news that he had contracted the coronavirus. In a tweet on the health system's account, he said he initially kept his status and testing private to ensure he didn't take the focus away from the healthcare workers treating patients. Migoya also led Jackson into entering with four other Miami-area hospitals to create a coalition early during the pandemic to collaborate as spikes hit the community.