Senior Business Operations Advisor

Blue Shield of North Carolina•Durham, NC

1d•Hybrid

About The Position

The Senior Business Operations Advisor provides advanced business operations, financial, workforce, and performance analytics support for State Health Plan (SHP) Clinical Operations. The role translates operational and financial data into actionable insights, staffing and capacity recommendations, and leadership-ready reporting. It also serves as the business owner for performance measures and dashboards, partnering with technical reporting teams to provide tools for monitoring organizational performance. The advisor leads planning and performance-management processes; manages the operating budget, financial forecast, workforce plan, and staffing model; and supports business cases, forecasts, scenario models, process improvements, and change management. The role oversees program evaluations across SHP Clinical Operations and develops consistent frameworks for evaluating performance, outcomes, and opportunities. The position consolidates and analyzes financial, workforce, operational, clinical, vendor, and implementation-readiness data. It defines dashboard measures and reporting requirements, validates reporting solutions, identifies trends and performance gaps, and provides analyses and recommendations to leadership. The advisor also builds partnerships across Finance, Human Resources, clinical and operational teams, technical reporting teams, vendors, consultants, and other stakeholders. The role uses a Hybrid-Flex or Remote-Flex work arrangement depending on the nature of the work and distance from the Durham headquarters. Hybrid-Flex employees work in the office at least two days per week; Remote-Flex employees work virtually with a few in-office visits each year. Onsite expectations are discussed during the interview process.

Requirements

Bachelor's degree or advanced degree where required.
At least 5 years of experience in a related field.
In lieu of a degree, at least 7 years of experience in a related field.

Responsibilities

Build and facilitate repeatable planning and performance-management processes for SHP Clinical Operations, evaluating progress, risks, priorities, and outcomes.
Manage the SHP Clinical Operations operating budget and financial forecast, including labor, vendor, implementation, and administrative expenses.
Own and maintain the workforce plan and staffing model, including authorized and filled positions, vacancies, hiring assumptions, capacity ratios, and projected resource requirements.
Evaluate staffing and capacity needs by comparing approved plans and assumptions with actual workload, productivity, and service demand.
Support business cases, forecasts, and scenario models for strategic initiatives, resource decisions, cost management, and operational planning.
Support the development, adoption, and continuous improvement of standard operating processes, metric definitions, and performance-management practices.
Facilitate change-management activities that support business improvements and organizational effectiveness.
Provide central oversight for program evaluations across SHP Clinical Operations and consolidate results into a portfolio-level view of performance.
Establish and maintain a standard program evaluation framework, including templates, outcome measures, metric definitions, and reporting cadence.
Evaluate best and next practices, industry developments, and improvement opportunities, and develop recommendations for leadership.
Gather and synthesize evaluation inputs from program managers, analytics partners, vendors, and other stakeholders; identify cross-program trends, gaps, and interdependencies.
Support vendor performance management by reviewing key performance indicators, service-level performance, implementation progress, and operational trends.
Prepare consolidated program evaluation summaries and leadership recommendations on program effectiveness, return on investment, and resource priorities.
Consolidate and standardize financial, workforce, operational, clinical, vendor, and implementation-readiness reporting for SHP Clinical Operations.
Monitor and analyze performance across Utilization Management, Care Management, Intake, and Behavioral Health, including volumes, caseloads, productivity, turnaround times, queues, backlogs, engagement, and staffing capacity.
Track budget performance, forecast accuracy, workforce trends, staffing ratios, productivity, service levels, and other key performance indicators.
Serve as business product owner for operational dashboards and recurring reporting, defining measures, business rules, targets, thresholds, source-data needs, and drill-down requirements.
Partner with technical analytics and reporting teams to develop dashboards and reporting solutions, and validate that results are reliable and operationally meaningful.
Identify trends, variances, risks, and performance gaps; investigate business drivers and recommend corrective actions, process improvements, or resource adjustments.
Develop monthly operating reviews, financial scorecards, executive dashboards, staffing recommendations, productivity assessments, vendor summaries, and scenario analyses.
Translate complex financial and operational data into actionable insights and leadership-ready recommendations.
Build and strengthen partnerships with Finance, Human Resources, clinical leaders, technical reporting teams, vendors, consultants, and other stakeholders.
Partner with Finance and clinical and operational leaders to define reporting needs, interpret results, quantify the financial impact of operational changes, and convert insights into measurable actions.
Coordinate vendor relationships as needed, including performance discussions, reporting requirements, and follow-up actions.
Provide leadership with analyses, briefing materials, and recommendations for executive, governance, and stakeholder discussions.

Benefits

Medical, dental, and vision coverage.
Health and wellness programs.
Parental leave and support.
Adoption and surrogacy assistance.
Career development programs.
Tuition reimbursement for continued education.
401(k) match, including an annual company contribution.
Annual incentive bonus based on annual corporate goal achievement and individual performance.
Paid Time Off (PTO).
Work-life balance, flexibility, and autonomy.