Vice President of Clinical Operations

At Blue Zones Health we are redefining what it means to live a vibrant and healthy lifestyle. Inspired by long-living cultures around the world, we strive to empower people to make simple and sustainable lifestyle changes that lead to longer, better and more fulfilling lives. If you are ready to help transform well-being and be a pivotal part of our team, we want to meet with you!

Position Summary

The Vice President of Clinical Operations will oversee risk adjustment, coding integrity, and quality improvement programs for Blue Zones Health . This role is responsible for leading strategy and execution of clinical quality and risk adjustment initiatives across multiple health plan partnerships, with direct oversight of annual wellness visits, coding and documentation accuracy, HEDIS and STARs quality performance, vendor relationships, reconciliations, and operational excellence. The VP will manage a multidisciplinary team to ensure optimal clinical and financial performance while maintaining compliance with state and federal regulations.

Key Responsibilities

Risk Adjustment & Coding Oversight

• Provide strategic leadership and oversight of risk adjustment programs across all business lines to optimize revenue integrity and accuracy of coding.
• Oversee provider coding education, chart reviews, and audit programs to ensure accurate and compliant documentation.
• Own relationships with external coding vendors and internal clinical documentation teams.
• Manage reconciliation and reporting processes to identify gaps and ensure completeness of encounter submissions.

Quality Program Management

Operational Leadership

Regulatory & Compliance

Qualifications

Work Environment & Physical Requirements

Compensation & Benefits

Blue Zones Health

offers a competitive salary and benefits package, including health, dental, and vision insurance, retirement plan options, paid time off, and opportunities for professional growth and development.

The compensation range for this position is $140,000 - $160,000 depending on experience.

For more information about Blue Zones Health , check us out at www.bluezoneshealth.com.

Blue Zones Health does not discriminate on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, veteran status, or any other protected status under applicable law.