Principal Value-Based Care Operations Advisor
About The Position
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. 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.
Requirements
- 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.
Nice To Haves
- 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.
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.
- 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.
Benefits
- Annual Incentive Bonus
- 401(k) with employer match
- Paid Time Off (PTO)
- competitive health benefits and wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Principal
