Vice President, Quality, Stars, Risk Adjustment & Performance Operations Greater Nashville, TN Area

The Company is seeking a Vice President for Quality, Stars, Risk Adjustment, and Performance Operations. The successful candidate will be responsible for leading the enterprise strategy and operational execution in these areas, with a strong focus on Medicare Advantage, Quality Stars, HEDIS, and compliance standards. This role requires a leader who can set and drive the achievement of performance goals, develop payer-specific strategies, and ensure the translation of opportunities into scalable clinical and operational workflows. The Vice President will also be tasked with managing payer relationships, overseeing coding and clinical documentation integrity, and building a high-performing multidisciplinary team. Applicants for the Vice President position at the company should have a Bachelor’s degree, with a Master’s degree preferred, and a minimum of 10 years of progressive healthcare leadership experience, including at least 5 years in related programs. The role demands advanced analytical and financial skills, as well as a proven track record in leading large-scale operational teams. Experience with Medicare Advantage payer relationships, value-based contracts, and a deep understanding of Stars incentives and risk adjustment economics are essential. The ideal candidate will be adept at defining requirements and driving delivery across various teams, and will be capable of managing complex operational and financial challenges in a fast-paced, matrixed environment.

Hiring Company

Monogram Health