Senior Value-Based Care Operations Leader

Blue Cross and Blue Shield of North Carolina; Georgia; On-site; USD 131,000 - 209,000; Full time

Benefits offered by this job

Annual Incentive Bonus

401(k) match

Health benefits

Paid Time Off

Job summary

Blue Cross NC is seeking a Principal Value-Based Care Operations Advisor to lead end-to-end operational design of value-based care programs across the full lifecycle, coordinating with clinical, network, finance, analytics, and provider teams.

You will champion scalable operating models, ensure measurable, sustainable outcomes, and mentor teams while presenting insights and recommendations to senior leadership.

Qualifications

• Bachelor's degree or advanced degree in healthcare administration, business, public health, or related field.
• 8+ years of experience in healthcare operations, value-based care programs, payer-provider strategy, or healthcare consulting.
• Demonstrated experience supporting or operating value-based care models including total cost of care or risk-based arrangements.

Responsibilities

• Lead end-to-end operational design of value-based care programs, including shared savings, downside risk, and alternative payment models.
• Translate strategic program objectives into operational workflows, governance structures, and execution plans.
• Identify operational gaps across contracting, attribution, performance measurement, reporting, and financial settlement processes.
• Partner with clinical, finance, actuarial, analytics, and network teams to ensure alignment between program design and operational execution.
• Support development and refinement of VBC operating models and cross-functional processes.
• Evaluate program performance drivers and recommend operational improvements to enhance outcomes and financial sustainability.

Skills

Healthcare Operations

Value-based care programs

Payer-provider strategy

Project Management

Leadership

Education

Bachelor's degree or advanced degree in healthcare administration, business, public health, or related field

Job description

Blue Cross NC is seeking a Principal Value-Based Care Operations Advisor to lead end-to-end operational design of value-based care programs across the full lifecycle, coordinating with clinical, network, finance, analytics, and provider teams.

You will champion scalable operating models, ensure measurable, sustainable outcomes, and mentor teams while presenting insights and recommendations to senior leadership.