Principal Value-Based Care Operations Advisor
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 o