We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us.

Residency in or relocation to Louisiana is preferred for all positions.

Applicants must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support. Louisiana Blue will not provide current or future employment-based immigration sponsorship or other immigration support for this opportunity, including H-1B, L-1, O-1, H-1B1, E-3, TN, or J-1 sponsorship or F-1 OPT/STEM OPT/CPT support. Applicants who would require such sponsorship or employer support during their employment should not pursue this opportunity.

Position Summary

We are hiring a Value Based Operations Analyst to join the Value Based Operations team and are open to hiring at either the Senior Analyst or Lead Analyst level based on the selected candidate's experience, qualifications, and demonstrated competencies.

Reporting to the Manager or Director, Value Based Operations, this role provides analytical, technical, operational, research, system operations, project management, and implementation support for value-based, PCMH, and ACO strategies, initiatives, and mandates. The position partners with internal teams and external vendors to support effective implementation, operational accuracy, and continuous improvement of value-based initiatives. Lead Analysts independently research, design, and manage highly complex value-based arrangements, drive system and program design, and serve as subject matter experts and mentors for the broader team.

How You Contribute to the Organization's Mission in this Role

All Levels:

Provide analytical, technical, operational, research, system operations, project management, and implementation support for value-based, PCMH, and ACO strategies, initiatives, and mandates. Partner with all levels of senior and divisional management and staff in Institutional Reimbursement, Professional Reimbursement, Medical Coding, Network Operations/Administration, Health Informatics, IT, BET, Clinical Solutions, Benefits Administration, Corporate Project Management, EIM, external vendors and consultants, and the Blue Cross Blue Shield Association to support effective implementation and continuous improvement of value-based initiatives. Ensure accurate data submissions, departmental databases, reporting, and payment support and recommendations. Research healthcare industry developments, value-based care best practices, CMS initiatives, competitor activity, and other Blue Cross Blue Shield plan practices to identify impacts and recommend changes. Comply with all laws and regulations associated with duties and responsibilities.

Senior Analyst:

Serve as a senior advisor for value-based programs by developing methodologies, performing analysis, summarizing results, and preparing conclusions in accordance with established standards and processes. Recommend new programs, process improvements, and procedural changes that support operational effectiveness and value-based program goals. Monitor project and program progress, provide status updates, identify risks or issues, and consult with management to support successful outcomes. Serve as a subject matter expert for value-based program data to Information Technology, EIM, Accounting, Actuarial, Benefits Administration, Network Administration, Medicare Advantage, and entry-level Value Based Analysts. Analyze and reconcile value-based program payments and billings using utilization and financial data from internal and external sources. Operationalize and support BCBSA-mandated initiatives, and model and support new payment arrangements and process improvements for existing payment arrangements.

Lead Analyst:

Independently research, analyze, develop, implement, maintain, and monitor the performance of new and existing, very complex value-based arrangements. Serve as the primary technical value-based analyst for complex and/or special projects and requests. Design and implement system specifications that support program claims payment and criteria for databases that support analysis, as well as training documentation describing programming, billing, and payment guidelines for internal and external use. Lead the research, design, implementation, and maintenance of new complex value-based payment arrangements and billing methodologies and provide analytical support and guidance for Senior and entry-level Value Based Analysts. Calculate and coordinate value-based budget, accruals, and payments with Accounting and Actuarial, report BlueCard billing variances, and prepare ad hoc program financial reporting and program requirements for BCBSA. Identify value-based issues related to the provider registry, incentive payments, and ASO/BlueCard billings and standard reports; conduct data quality/integrity audits; and recommend and implement process and system changes to support departmental needs. Create and maintain special reports, analysis, and dashboards to support value-based operations, payments, billings, and mandated data exchange. Serve as lead analyst and subject matter expert on value-based projects, including BCBSA mandated semi-annual release projects, providing status updates and consulting with management to ensure successful outcomes.

Qualifications

All Levels:

Bachelor's degree in statistics, accounting, finance, math, business administration, healthcare administration, or a related field is required (four years of related experience may be used in lieu of a Bachelor's degree); an MBA, MHA, or CPA is preferred.

Must demonstrate a thorough understanding of how to interpret business needs and translate them into application and operational requirements.

Excellent organizational, mathematical, analytical, oral and written communication, and report preparation skills are required, including the ability to present complex information clearly to executive management and employees at all levels.

Requires strong research, analytical, problem-solving, and documentation skills, including the ability to locate and extract enterprise-wide data, develop business intelligence reports, interpret results, and recommend actions.

Strong math/analytical skills are required, including variance analysis, statistical and algebraic formulas, percentages, multiplication and division, fractions, and reasonableness tests.

Requires advanced proficiency with Microsoft Office, including Excel Pivot Tables, and the ability to prioritize, organize, and coordinate multiple assignments under strict deadlines with minimal supervision.

Familiarity with healthcare claims processing systems and health plan operations is required, and familiarity with BCBSA and CMS value-based program guidelines and billing methodologies, and the BCBSLA corporate projects and BCBSA mandate governance processes, is preferred.

CPC coding designation is preferred. Minimal travel is required, as well as the ability to work extended hours if needed.

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Senior Analyst:

4 years of healthcare industry experience in accounting functions, financial analysis, business analysis, and/or project management is required, including at least 2 years solving business, financial, and clinical problems.

3 years of experience in provider contract financial analysis, reimbursement program implementation, payment administration systems, EDW, and/or claims systems is required.

2 years of direct business analyst experience is preferred, including experience developing scope, goals, work plans, timelines, and implementation strategies for moderate to large projects impacting stakeholders across multiple divisions.

Experience working with large data sets in a DBMS, such as SQL, SAS, or Teradata, is required. Experience may run concurrently with the requirements listed above.

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Lead Analyst:

7 years of experience in the healthcare industry, including accounting functions, financial analysis, business analysis, and/or project management, is required and must include 2 years of experience solving business, financial, and clinical problems.

Experience in value-based reimbursement concepts is strongly preferred.

2 years of extensive experience using at least one of the following is required: SQL Server, Teradata, and/or SQL Server Reporting Services (SSRS), for building complex queries and statistical reports (e.g., Tableau dashboards, scorecards) and performing advanced functions (e.g., macros, triggers, stored procedures) and efficient configuration of department databases and reports. Advanced MS Excel experience is required.

Provider contract analysis and/or reimbursement program implementation experience is strongly preferred.

Demonstrated excellence in program/system design and development is required (e.g., payment user interface design, developing BCBSA billing-compliant methodologies). Experience may run concurrently with the requirements listed above.

Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions

Perform other job-related duties as assigned, within your scope of responsibilities.
Job duties are performed in a normal and clean office environment with normal noise levels.
Work is predominately done while standing or sitting.
The ability to comprehend, document, calculate, visualize, and analyze are required.

An Equal Opportunity Employer

All internal employees please apply through Workday Careers.

PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)

Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact [email protected] for assistance.

In support of our mission to improve the health and lives of Louisianians, we encourage the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

We perform background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, we are a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

About the company

BCBSLA provides health insurance to residents of Louisiana, offering medical coverage, prescription drug plans, wellness programs, and social support services. Premiums from individuals, families, and businesses fund the plans, and members access a network of providers to receive covered services, prescriptions, and preventive care, with claims processed through the plan; added services may include gym memberships and health education. The company differentiates itself with a strong local focus in Louisiana, a broad in-state provider network, and value-added services plus clear, up-to-date benefit information. Its goal is to improve the quality of healthcare while making it affordable and accessible for Louisianians.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Inniswold, Louisiana

Founded

1934

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Simplify's Take

What believers are saying

Sabrina Hogan took government-programs leadership in July 2026, sharpening Medicare and Medicaid execution.
Louisiana Blue expanded MyLABlue access for Medicare Advantage members on June 8, 2026.
The company earned Civic 50 recognition for 2026, supporting employer brand and retention.

What critics are saying

The $421 million St. Charles case reached the Louisiana Supreme Court in September 2026.
Bryan Camerlinck announced retirement in February 2026, forcing a CEO search by year-end.
Loss of the Elevance sale leaves Louisiana Blue without a capital backstop against litigation.

What makes Blue Cross and Blue Shield of Louisiana unique

Louisiana Blue remains Louisiana-focused, with local offices, networks, and member branding.
Its 2026 Medicare Advantage and Healthy Blue leadership shows government-program specialization.
The company pairs insurance with visible community programs like Blue Bikes and Foundation grants.

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Benefits

Flexible Work Hours
Remote Work Options
Health Insurance
Dental Insurance
Vision Insurance
Paid Vacation
Paid Holidays
401(k) Retirement Plan
401(k) Company Match
Wellness Program
Mental Health Support
Phone/Internet Stipend

Growth & Insights and Company News

Headcount

6 month growth

1 year growth

2 year growth

Patient Access Collaborative

Aug 17th, 2026

Access as a value driver: connecting access to value-based care.

Access as a value driver: connecting access to value-based care. Date posted August 17, 2026 Posted By: Elizabeth Woodcock in Podcast Ambulatory access has long been framed as an operational function. Answer the phones. Send appointment reminders. Fill the schedule. Reduce no-shows. But what if we have been underestimating its value? Across health systems, access leaders are performing work that directly improves outcomes, reduces unnecessary utilization, and strengthens performance under value-based arrangements. The challenge is not the work itself. It is how that work is positioned - and recognized. Too often, efforts to improve the performance of ambulatory access are internally focused. We work to improve workflows, redesign templates, and streamline intake. And in many cases, we encounter resistance along the way. Stakeholders question the changes - after all, there are decades of experience in the workstreams that exist. As these changes are occurring in reducing barriers to access for patients and families, value-based care conversations are happening in parallel. These discussions are often led by population health or contracting teams - and typically focused on specific payer populations. What is missing is the connection between these two worlds. Because the reality is this: access is not separate from value-based care. It is foundational to it. In a recent discussion with experienced leaders, this disconnect came into sharp focus. On one side, access leaders are working to close care gaps, improve timeliness to specialty care, manage post-discharge follow-up, and help patients navigate to the most appropriate setting. On the other, payers are designing programs to achieve those exact same outcomes. Yet the work is rarely translated into a shared language. Dr. Stephanie Mills, founder of consulting firm atelierHealth and former Executive Vice President of Health Service and CMO of Louisiana Blue, joined the conversation to elucidate the payer's perspective. Value-based programs are built around measurable impact. Not activity, but outcomes. Improved preventive care rates. Reduced emergency department utilization. Lower hospital readmission rates. Better chronic disease management. These are the metrics that matter, reveals Dr. Mills. As access leaders know, these elements are directly influenced by access. The challenge is that most health systems are reacting to payer-designed programs, rather than proactively bringing attention to the value they are already creating. As Dr. Michael Kraft, Emory Healthcare's Vice President of Clinical Performance & Operational Excellence, explained, we are often "responding to the program" instead of shaping it. What would it look like to flip that dynamic? At Emory Healthcare, one example offers a glimpse into what is possible. Faced with low completion rates for annual wellness visits (AWVs) among Medicare patients, Dr. Kraft and his team did not start by adding more capacity. Instead, they redesigned access to those visits. Leveraging his former role as Associate Chief Health Information Officer (CHIO), Dr. Kraft advocated for pushing questionnaires directly to patients, simplifying documentation for clinicians, and leveraging the electronic health record to highlight only what required attention, thereby removing friction from the process. Within 12 months, completion rates of AWVs astoundingly increased from 30 percent to 84 percent. But the real story is what followed. Higher completion rates led to improved identification of care gaps, increased preventive screenings, and better performance across quality measures. In parallel, more accurate documentation improved diagnostic accuracy and reflected better management of chronic conditions. The result was not just better patient care, but significant financial return tied to value-based performance. Emory Healthcare's CMS Star Rating skyrocketed - and, as stakeholders saw results, this single initiative led to dozens more. This is the intersection we have been missing. Access is not just about getting patients in the door. It is about ensuring they receive the right care, at the right time, in the right place. When designed effectively, it becomes a mechanism for managing populations, not just schedules. And yet, many access leaders are not at the table when value-based strategies are defined. Part of the challenge is structural. Health systems are typically organized around contracting efforts that are aligned to specific payers, while access teams are responsible for all patients. Academic health systems, in particular, have limited a primary care footprint, making it more difficult to see where they fit into traditional value-based models, which are largely rooted in primary care. But this is exactly where the opportunity lies. Specialty care access, care coordination, and transitions of care in the low-cost ambulatory setting are increasingly central to value. Timely access to specialty services prevents unnecessary emergency department visits. Efficient post-discharge follow-up reduces hospital readmissions. Virtual care expands capacity without adding physical resources. These are not theoretical concepts. They are operational realities already being executed across health systems. The next step is to make that work visible and valued. That begins with connecting access efforts to outcomes. Not just what is being done, but what it produces. Natalie McCall, MSHCT, a principal with atelierHealth explores: Where are care gaps being closed? Where is high-cost utilization being avoided? Where is timeliness improving patient outcomes? Where is health being managed? From there, the work must be translated into the language of value. Financial impact matters. Whether through shared savings, care gap closure, condition management, care coordination, or avoided cost, the ability to quantify contribution changes the conversation. And finally, access leaders have an opportunity to be more proactive. Rather than waiting for payer-defined programs, there is a path for access leaders to bring forward a clear value proposition at the negotiation table. In its simplest form, that could be a concise articulation of how access initiatives improve outcomes, supported by data and aligned to payer priorities. This is not about changing the work itself. It is about reframing it. When positioned correctly, access becomes a lever for improving quality and safety, reducing cost - and delivering on the promise of value-based care. The work is already happening. The opportunity now is to ensure it is recognized, measured, and brought to the forefront of the conversation. Join the conversation: atelierHealth's Dr. Mills (linkedin.com/in/stephanie-mills-mdmhcm) and Ms. McCall join Dr. Kraft of Emory Healthcare as our guests for the Patient Access Collaborative's All-Access Pass to Access podcast.

West Centrals Best

Jul 18th, 2026

Louisiana Blue names Sabrina Hogan senior vice president, Government Programs.

Louisiana Blue names Sabrina Hogan senior vice president, Government Programs. * Louisiana Blue * 5 hrs ago BATON ROUGE, LA - Blue Cross and Blue Shield of Louisiana (Louisiana Blue) named industry veteran Sabrina Hogan senior vice president (SVP), Government Programs. Hogan has served on the company's Senior Management Team since 2019, most recently as SVP, Care Delivery and president of Louisiana Blue's wholly owned subsidiary, eleHealth. In her new role, Hogan will set and execute the strategic direction for the company's Medicare Advantage business and Healthy Blue joint venture (Medicaid), with full accountability for performance across growth, operations, financial results, regulatory compliance and vendor partnerships. "Since expanding our Medicare Advantage offerings statewide almost a decade ago, we have made meaningful progress growing our membership and we believe that growth will only accelerate," said Brian Keller, Louisiana Blue's chief growth officer. "However, sustainable success in this space requires more than growth alone. It requires a deeper understanding of the complex needs of our members so we can deliver the right care, services and experiences. Sabrina's leadership, guided by her passion and experience, will drive our success in government programs." Sabrina's healthcare career spans more than three decades, grounded in advanced nursing degrees and a focus on health systems management. She has held senior roles at St. Francis Medical Center and St. Francis Medical Group in Monroe. Her community service includes past board roles with the YMCA and Wellspring and current positions on the University of Louisiana at Monroe Foundation Board and the Louisiana Community and Technical Colleges Board of Supervisors, appointed by Louisiana Gov. Jeff Landry. "Throughout my career as a nurse, caregiver and healthcare leader, I have been passionate about caring for those who once cared for us. As more Louisianians become eligible for Medicare each year, we have a tremendous opportunity - and responsibility - to help them navigate the healthcare system and access the care, support and services they need to live their healthiest lives," said Hogan. "I am honored to lead Louisiana Blue's Government Programs division and work alongside colleagues across our organization to deliver exceptional member experiences, improve health outcomes and ensure we remain a trusted partner for Louisianians, no matter their stage of life."

Keep Louisiana Beautiful

May 27th, 2026

Louisiana Blue and Keep Louisiana Beautiful continue partnership for clean and healthy communities.

Louisiana Blue and Keep Louisiana Beautiful continue partnership for clean and healthy communities. Louisiana Blue partnered with Keep Louisiana Beautiful (KLB) for the fifth annual Love the Boot Week, held April 18-26, 2026, to highlight the connection between a clean environment and a healthy Louisiana. As one of the first and longest-running supporters of Love the Boot Week, Louisiana Blue recognizes that litter negatively impacts community health and quality of life. This year, Louisiana Blue supported four cleanup and beautification projects in regions where their offices are located. In addition to providing funding, Louisiana Blue encouraged employee participation, offering staff a hands-on opportunity to engage in meaningful, community-strengthening volunteer work. In the Monroe area, Keep Ouachita Parish Beautiful led an event to both clean up and beautify an area near downtown Monroe. Louisiana Blue team members volunteered alongside other community partners to pick up litter and refurbish gardens in front of the Parish Police Jury building. They planted flowers and installed a memorial sign dedicating the garden to the late director of Keep Ouachita Parish Beautiful, Lisa Richardson, who was a fierce advocate for her community. In the New Orleans area, Louisiana Blue supported lowernine.org, an organization working to restore and revitalize New Orleans' Lower 9th Ward. This collaborative event brought together volunteers from Louisiana Blue, Entergy, the Green Project, NORD, New Orleans City Department of Sanitation, The New Orleans Saints, and community members from across the Lower 9th Ward. Forty-five volunteers worked together clearing illegally dumped trash and debris from the streets, cleaning and beautifying Oliver Bush Park, and clearing overgrown corner lots. They removed an estimated 6,000 pounds of waste tires, and many of these were repurposed and painted to create colorful flower planters around the playground at Oliver Bush Park. In Shreveport, the Love the Earth Day Celebration at Shreveport Green's Urban Farm expanded its reach and impact by bringing together environmental organizations, educators, local farmers, artists, and community partners for a day of hands-on learning and environmental action. Through interactive activities, educational demonstrations, garden-to-table cooking experiences, and youth engagement opportunities, the event promoted sustainability and strengthened connections to local food systems and environmental stewardship. A highlight was the unveiling of a community-painted mural on a 5,000-gallon cistern, creating a lasting symbol of Louisiana's ecosystems and community pride. Support from Louisiana Blue, including volunteer participation and funding, helped make the mural and the event possible. Louisiana Blue also played a key role in KLB's kickoff event held in downtown Baton Rouge. The celebration included networking, a partner expo, speakers, and a litter cleanup. Louisiana Blue employees were returning volunteers for both the reception and the cleanup. Each year, a large group of Team Blue volunteers can be counted on to roll up their sleeves and make an impact in their community. Through their ongoing sponsorship and employee involvement, Louisiana Blue continues to demonstrate a strong commitment to community wellness and environmental stewardship. Their support helps amplify local efforts and reinforces the message that a clean Louisiana is a healthy Louisiana.

Medisys Inc.

Apr 13th, 2026

Blue Cross Blue Shield updates highlight financial pressure, policy shifts across southern states.

Blue Cross Blue Shield updates highlight financial pressure, policy shifts across southern states. Blue Cross Blue Shield (BCBS) plans continue to face financial strain and policy changes across multiple states, with several developments in the South reflecting ongoing cost pressures, reimbursement adjustments, and pharmacy initiatives. Financial and performance trends in southern states. BCBS plans in southern states show mixed financial results as medical and pharmacy costs rise: * Elevance Health (BCBS Georgia/Anthem) reported strong overall profitability but continues to face regulatory and compliance pressures in Medicare Advantage operations. * BCBS Texas has been involved in litigation related to alleged misuse of the independent dispute resolution (IDR) process. * BCBS Florida (Florida Blue) reported significant savings initiatives through specialty pharmacy programs, generating millions in monthly drug cost reductions. * BCBS Louisiana (Louisiana Blue) and BCBS Kansas City are both undergoing leadership transitions, with CEO retirements and succession planning underway. Leadership changes in southern markets. Several southern BCBS-affiliated plans are experiencing executive turnover: * Louisiana Blue CEO Bryan Camerlinck plans to retire at the end of 2026 * BCBS Kansas City CEO Erin Stucky will also retire by 2026, with a successor already named * BCBS Georgia and BCBS Indiana (both under Elevance) announced new regional leadership appointments Policy and legal developments affecting southern states. Southern BCBS plans are actively reshaping reimbursement and claims policies: * Florida Blue and BCBS Texas are engaged in disputes tied to out-of-network billing and IDR process concerns * Elevance Health is implementing network penalties across 13 states, including southern markets, for certain out-of-network utilization patterns * BCBS Texas is also involved in broader legislative and legal efforts targeting IDR reform Reimbursement and pharmacy initiatives. Policy changes are also impacting provider payments and pharmacy costs in the region: * Florida Blue is expanding specialty pharmacy programs aimed at lowering drug spending through competitive contracting * Southern BCBS-affiliated plans are participating in broader national trends toward stricter evaluation and management coding reviews and reimbursement adjustments Bottom line. Across southern states, BCBS plans are balancing financial pressure with aggressive cost-control strategies, leadership transitions, and increased scrutiny of reimbursement and pharmacy spending models - reflecting a broader national push toward tighter payment oversight and value-based reimbursement. Post navigation.

BIZ Magazine

Jun 5th, 2025

Points of Light Names Louisiana Blue No. 1 for Integrating Community Impact Into Business Operations

Louisiana Blue and its employees were recognized for the second year in a row as the best in the nation for integrating community service and support into business operations.

Blue Cross and Blue Shield of Louisiana

Senior or Lead Value Based Operations Analyst

About the job