Brian R. Wheeler

Brian R. Wheeler

Vice President, Provider Collaboration and Network Transformation
CareFirst BlueCross BlueShield

Brian serves as Vice President of Provider Collaboration and Network Transformation for CareFirst BlueCross BlueShield. He is accountable for leading the company’s overall provider and network-related business functions, including network strategy, network operations, practice transformation, provider contracting, advanced payment model (APM) design, and healthcare delivery partner relations.

He is leading the execution of a 5-year transition from “Volume to Value” in all the company’s lines of business, moving from fee-for-service to payment models designed to drive value creation and improvements in outcomes. Brian is supported in this effort by a team of experts in value-based payment models, practice transformation, data analytics, contracting strategies, and relationship managers, each dedicated to making healthcare more affordable, accessible, and equitable for the people in communities CareFirst serves.

Brian has worked in the healthcare sector for over 25 years, serving in various leadership roles, in large and small provider organizations, two start-up companies, and a multi-national Fortune 500 company. He served on several corporate, non-profit and community Boards of Directors in the past and currently serves on the Boards of Maryland and DC’s Health Information Exchange (CRISP), the Prince George’s Chamber of Commerce, and the Advisory Board for Health Payer Specialist.