Principal Value-Based Care Operations Advisor
Blue Cross NC · US
Job Description Leads enterprise efforts supporting the design, operationalization, and optimization of value-based care programs across the full operational...
Job description
Job Description Leads enterprise efforts supporting the design, operationalization, and optimization of value-based care programs across the full operational lifecycle. The Principal Value-Based Care Operations Advisor provides subject matter expertise spanning program design, contract execution, performance measurement, operational workflows, and financial reconciliation to ensure value-based care initiatives achieve intended clinical, financial, and operational outcomes. This role partners across clinical, network, finance, actuarial, analytics, and operational teams to translate strategic value-based care objectives into scalable operating models. The position drives alignment across federated stakeholders and ensures programs are operationally executable, measurable, and sustainable. What You Will Do: 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. Par...