Troy Smith

Troy Smith is Vice President of Healthcare Strategy and Payment Transformation at Blue Cross Blue Shield of North Carolina (BCBSNC), one of the Southeast’s largest Blues with over 3.8 million members. Troy joined BCBSNC in 2008, and has been part of the Healthcare Division since 2011.

Reporting directly to BCBSNC’s Chief Medical Officer, Troy and his team work toward future savings and innovation by structurally redesigning internal healthcare operations, enhancing external provider partnerships and updating BCBSNC’s healthcare strategy. He is responsible for enterprise-wide medical expense management, value-based reimbursement and network strategy, and driving the Healthcare division’s transformation portfolio.. He has led ACO contracting and development for the company, as well as refined BCSBNC’s bundled payment strategy and approach to value-based reimbursement. During his tenure, Troy has also helped lead the implementation of BCBSNC’s tiered and narrow-network products.

Prior to joining BCBSNC, Troy held various roles in Information Technology and Finance, with extensive experience leading transformative projects. A Minnesota native, Troy received both his Bachelor of Science in Business and his Master of Business Administration from the University of Minnesota’s Carlson School of Management.

Troy lives in Cary, North Carolina with his wife and two children, and enjoys spending time with his family on trips to North Carolina’s mountains and beaches.