Senior Program Manager - Value Based Care Programs

Blue Cross NC is seeking a Senior Program Manager of Value Based Care Programs to ensure the success and operational integrity of their Value-Based Care programs. This role involves overseeing operations, managing stakeholder relationships, and implementing program changes to align with business objectives.

Responsibilities:

• Ensure operational deliverables are met on schedule and within scope
• Identify and resolve operational issues; escalate risks when necessary and maintain a formal escalation process
• Provide program subject matter expertise to implementation teams and operational stakeholders
• Manage program changes and risks; develop mitigation and contingency plans
• Develop and execute communication plans to ensure clarity and alignment across stakeholders
• Maintain strong relationships with provider partners and vendors by fostering trust, ensuring open communication, and aligning on program changes and deliverables
• Maintain a program playbook and implement process improvements for efficiency
• Lead implementation of new programs or major program changes when required
• Track stakeholder commitments and follow up to maintain accountability
• Analyze and develop business processes to improve operational efficiency
• Monitor program performance and report KPIs, benefit realization, and engagement metrics
• Work with provider vendors to optimize performance and maximize program impact
• Represent the organization in meetings with external parties, including consultants and vendors, and manage vendor service delivery as needed
• Support contract and financial oversight, including performance guarantees, vendor invoicing, and develop/tracking budgets, operating plans, and financial forecasts
• Apply strategic thinking to balance competing priorities and align program decisions with business objectives

Requirements:

• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field
• Proven experience in healthcare – clinical background a plus
• Experience managing Value-Based Care programs, including quality measurement, risk adjustment, financial performance, and data-driven decision-making
• Strong program management expertise with the ability to resolve bottlenecks, drive accountability, and maintain alignment with business objectives
• Exceptional communication and relationship-building skills to engage executive leadership, internal stakeholders, provider partners, and vendors effectively
• Strategic thinker with strong problem-solving and analytical abilities to balance priorities, interpret data, and deliver actionable insights
• Demonstrated leadership and organizational skills to manage multiple priorities, foster vendor trust, and ensure timely, efficient program execution