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Principal Value-Based Care Operations Advisor

March 10, 2026

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.
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.
Provide expertise supporting implementation of new reimbursement models and provider partnership strategies.
Lead complex cross-functional initiatives requiring coordination across enterprise stakeholders and external partners.
Support provider engagement strategies by ensuring operational readiness and clarity of performance expectations.
Establish repeatable processes and controls supporting program scalability and measurement integrity.
Identify risks to program execution and develop mitigation strategies across operational domains.
Present operational insights, performance implications, and strategic recommendations to senior leadership.
Serve as a subject matter expert for value-based care operations and enterprise transformation initiatives.
Mentor and guide team members supporting value-based care program delivery.

What You Bring

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.
Experience working across multiple healthcare domains including clinical operations, finance, analytics, and network/provider engagement.
Strong understanding of healthcare reimbursement and performance measurement concepts.

In lieu of degree:10+ years of directly related healthcare experience.

Preferred Qualifications

Experience operationalizing Medicare Advantage and Commercial VBC programs.
Experience supporting shared savings reconciliation or financial settlement processes.
Familiarity with attribution methodologies, performance measurement frameworks, and population health analytics.
Experience working within payer organizations or integrated delivery systems.
Consulting or enterprise transformation experience supporting healthcare operating model design.
This role provides operational leadership ensuring value-based care strategies translate into executable and sustainable programs. The position bridges strategy and execution by aligning program design, operational workflows, and performance measurement across enterprise stakeholders.
The Principal Value-Based Care Operations Advisor focuses on operational execution and program performance and does not function as a project management or reporting role.

#LI-Hybrid

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$130,560.00 - $208,896.00

Skills

Healthcare Operations, Healthcare Process Improvement, Healthcare Reimbursement, Operational Efficiency, Operational Process Improvements, People Management, Project Management, Provider Reimbursement, Reporting and Analysis, Strategic Planning

_____________________________________________________________________

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...