Senior Business Operations Advisor

Blue Cross and Blue Shield of North Carolina•Durham, CA

1d•$89,174 - $142,679•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 serves as the business owner for performance measures and dashboards, partnering with technical reporting teams to deliver tools for monitoring organizational performance. The advisor oversees planning, budgeting, forecasting, workforce planning, program evaluation, and operational reporting. The role consolidates financial, workforce, clinical, vendor, and implementation-readiness information; analyzes performance across multiple clinical operations; and develops recommendations and materials for leadership. It also builds partnerships across Finance, Human Resources, clinical and operational leadership, analytics teams, vendors, consultants, and other stakeholders.

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 SHP Clinical Operations 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.
Oversee program evaluations across SHP Clinical Operations and consolidate results into a consistent 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 reports by 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 clear, 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 turn 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.