Chief Operating Officer

Vanna Health•San Francisco, CA

21h

About The Position

Vanna Health is reimagining care for individuals living with serious mental illness (SMI). Our mission is to empower members to lead healthy and meaningful lives by integrating physical and behavioral healthcare with community-based support. Through in-person and virtual engagement, our interdisciplinary teams of nurses, clinicians, and peer coaches partner with members to navigate housing, transportation, psychosocial rehabilitation, and other essential services. Our technology-enabled infrastructure, built by our internal engineering and design teams, supports scalable care delivery, performance visibility, and continuous quality improvement. We are building a model that not only improves lives—but sets a new industry standard for sustainable, community-based SMI care. Vanna Health is seeking a mission-driven, execution-oriented Chief Operating Officer (COO) to serve as a core member of the executive leadership team. The COO will own enterprise operations, quality, and performance strategy, ensuring consistent, compliant, and scalable delivery of Vanna’s care model across markets. This executive will translate organizational strategy into measurable operational outcomes—driving HEDIS performance, continuity of care metrics, workforce accountability, enrollment and engagement performance, unit economics, and enterprise-wide operating infrastructure. The COO will build the governance, systems, and operating cadence required to support sustainable growth while demonstrating clear value to members and payer partners. The ideal candidate is both a strategic thinker and disciplined operator who understands healthcare delivery, value-based performance, and the rigor required to build a durable business model in complex care environments.

Requirements

15+ years of progressive leadership experience in healthcare operations, quality, or program management
5+ years in a senior executive operational role
Proven experience leading large, multidisciplinary teams
Deep understanding of healthcare compliance, regulatory standards, and payer dynamics
Experience in managed care, behavioral health, Medicaid, or value-based care environments

Nice To Haves

Experience in startup or early-stage healthcare organizations
Background in serious mental illness or complex care populations
Track record of payer-provider partnerships and risk-bearing arrangements
Advanced degree (MBA, MPH, MHA, or related field)

Responsibilities

Lead and oversee day-to-day operations across Vanna Health, ensuring quality, efficiency, consistency, and measurable impact.
Translate strategic priorities into operational plans, KPIs, and accountable execution across markets.
Build and scale operational infrastructure to support rapid growth and geographic expansion.
Establish operating cadences, governance structures, and decision-making frameworks to support enterprise alignment.
Lead program delivery, member services, and clinical operations in partnership with clinical and market leaders.
Ensure high-quality implementation of Vanna’s care model across sites, including engagement, enrollment, and retention performance.
Drive continuous improvement in care coordination, quality performance, and member outcomes.
Oversee quality measurement strategies, including HEDIS and other value-based performance metrics.
Oversee core business operations including Product, IT, Operations, and Analytics in collaboration with functional leaders.
Implement enterprise-wide performance management frameworks, dashboards, and reporting systems to drive transparency and accountability.
Ensure compliance with federal and state healthcare regulations, payer requirements, and accreditation standards.
Partner with technology teams to strengthen systems infrastructure that enables scalability and operational excellence.
Manage operational relationships with health plans, provider organizations, and community partners to ensure successful program implementation and performance.
Support fundraising, business development, and partnership efforts with operational insight, implementation planning, and financial discipline.
Drive operational strategies that strengthen unit economics, value-based performance, and long-term sustainability.
Provide executive oversight of nurses, clinicians, and peer coaches with clear role definition and accountability
Build scalable staffing models and leadership structures
Align workforce performance with engagement and quality outcomes
Foster a culture of accountability, inclusion, and mission alignment
Own engagement performance metrics including outreach, intake, enrollment, activation, conversion, and retention
Optimize telephonic and community-based engagement strategies
Drive market-level and enterprise unit economics visibility
Use data-driven insights to improve operational efficiency and ROI