Senior Business Transformation Product Manager - Total Cost of Care/Medical Economics
Providence, Rhode Island, United States · Hybrid
$102k–$164k/yr
Senior
Pay Range: $102,300.00 - $163,700.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Skills: Product management, Business transformation, Medical economics, Strategic planning, Data analysis
Pay Range: $73,600.00 - $110,400.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resour…
Skills: Case management, Behavioral healthcare, Utilization management, Care coordination, Health assessment
Pay Range: $73,600.00 - $110,400.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resour…
Skills: SQL, Python, Snowflake, Power BI, Data analysis
Senior Business Transformation Product Manager - Utilization Management
Providence, Rhode Island, United States · Hybrid
$102k–$164k/yr
Senior
Pay Range: $102,300.00 - $163,700.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Skills: Product management, Business transformation, Utilization management, Strategic planning, Process improvement
Pay Range: $209,000.00 - $388,180.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Skills: Medical leadership, Healthcare management, Clinical oversight, Strategic planning, Collaboration
Providence, Rhode Island, United States · Remote OK
Senior
Pay Range: $102,300.00 - $163,700.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Pay Range: $53,400.00 - $72,000.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resourc…
Skills: Data entry, Report management, Member communication, Medical terminology, Microsoft Office
Pay Range: $102,300.00 - $163,700.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Pay Range: $116,900.00 - $187,100.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Temporary No Surprises Act (NSA) Operations Specialist
Providence, Rhode Island, United States · Hybrid
Mid level
Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varyi…
Skills: Health plan operations, Analytical skills, Organizational skills, Communication skills, Microsoft Excel
Pay Range: $93,600.00 - $140,400.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resour…
Skills: SQL, Python, Power BI, Snowflake, Healthcare Data Analysis
Providence, Rhode Island, United States · Remote OK
$59k–$79k/yr
Mid level
Pay Range: $58,700.00 - $79,300.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resourc…
Skills: Benefit Plan Operations, Sales Operations, Written Communication, Verbal Communication, Stakeholder Management
Providence, Rhode Island, United States · Remote OK
$102k–$164k/yr
Senior
Pay Range: $102,300.00 - $163,700.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Skills: Financial Modeling, Forecasting, Data Analysis, Excel, SQL
Pay Range: $116,900.00 - $187,100.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Providence, Rhode Island, United States · Remote OK
$152k–$243k/yr
Senior
Pay Range: $151,900.00 - $243,100.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Skills: Data Architecture, ELT Frameworks, API Management, Cloud Engineering, AI Integration
Providence, Rhode Island, United States · Remote OK
$59k–$88k/yr
Mid level
Pay Range: $58,800.00 - $88,200.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resourc…
Skills: Consultative Selling, Relationship Management, Medicare Compliance, Public Speaking, Negotiation
Providence, Rhode Island, United States · Remote OK
$117k–$187k/yr
Senior+
Pay Range: $116,900.00 - $187,100.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Skills: Technical Leadership, Solution Architecture, Cloud Platforms, API Management, Microservices
Pay Range: $73,600.00 - $110,400.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resour…
Skills: Case Management, Care Coordination, Health Risk Assessment, Patient Education, Utilization Management
Providence, Rhode Island, United States · Remote OK
$102k–$164k/yr
Senior
Pay Range: $102,300.00 - $163,700.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Skills: Solution Design, Cloud Platforms, API Management, Microservices, Distributed Systems Architecture
Providence, Rhode Island, United States · Remote OK
$102k–$164k/yr
Mid level
Pay Range: $102,300.00 - $163,700.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resou…
Skills: Vendor Implementation, Project Management, Population Health Management, Business Requirements Gathering, Stakeholder Management
Senior Business Transformation Product Manager - Total Cost of Care/Medical Economics
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$102k–$164k/yr
Full-time
Health insurance, Dental insurance, Vision insurance, Paid time off, Tuition reimbursement, Student-loan repayment assistance
Posted 1d ago
~40 hrs/week
Responsibilities
Lead end-to-end business transformation initiatives to deliver measurable improvements in value and operational experience. Partner with cross-functional teams including engineering, data, and analytics to design and implement scalable, technology-driven solutions.
Requirements
Requires five to seven years of experience in product, operations, or transformation roles, preferably within the health insurance industry. Candidates must possess strong strategic thinking, problem-solving skills, and the ability to lead complex initiatives across diverse stakeholder groups.
Full job description
Pay Range:
$102,300.00 - $163,700.00
Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.
At BCBSRI, our greatest resource is our people.
We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well.
We recognize that to do your best work, you have to be your best self. It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.
Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued.
Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders.
We’re dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer.
Why this job matters:
Lead end-to-end improvement of a (customize: business journey or domain), delivering measurable gains in value and experience. Work across business, data & analytics, research & discovery, and engineering partners to design and implement capabilities that combine technology, workflow redesign, and operating model change. The role is aligned to a particular business unit and/or customer journey, and is responsible for delivering strong, measurable outcomes for that space.
What you will do:
Lead, develop, promote and champion solutions that solve the most complex business needs, as well as align with transformation strategy. Identify options based on the business strategy, recommend the best solution that fits the business need, and gain consensus from business associates.
Proactively identify and prioritize the highest impact opportunities across processes, policies, and systems within a defined domain.
Translate opportunity into a focused, sequenced roadmap of capabilities and solutions with expected impact.
Partner closely with business leaders, AI discovery leads, engineers, and analytics teams to design integrated solutions. Ensure solutions address both technology and process, to drive meaningful change.
Work with full-stack, forward-deployed engineering teams to deliver scalable solutions using modern development practices.
Lead rapid pilots and iterative rollout of improvements, adjusting based on real-world performance.
Enable adoption, behavior change, and alignment with business partners to ensure solutions are embedded within day-to-day operations.
Ensure delivered improvements result in sustained, measurable cost and performance gain.
Responsible for the measurement and delivery of financial and operational outcomes. Ownership of both the value and experience improvements.
Maintain alignment across stakeholders and manage tradeoffs to keep work focused on highest-value outcomes.
May work on integration and customization of products/platforms, inclusive of AI/agentic solutions.
Perform other duties as assigned.
What you need to succeed:
Five to seven years in product, operations, or transformation roles
Experience working across business and technology teams
Experience in health insurance preferred
Strong problem-solving and prioritization skills
Proven ability to drive measurable results in complex environments
In depth knowledge of the healthcare (or related) industry, of technology, and of processes, such as cross-functional business processes for major operational areas, project management, vendor management, and project life cycle, as well as a broad understanding of government and Blue Cross Blue Shield Association regulations,
Business thinking and highly strategic in order to define practical solutions that align with corporate strategy while requiring the least amount of funding and people to implement.
Strong business acumen and political savvy
Ability to lead and manage initiatives
Ability to collaborate while dealing with complex situations
Ability to think creatively and to drive innovation
Ability to motivate, lead and inspire a diverse group to a common goal/solution with multiple stakeholders
Ability to convert business strategy into action-oriented objectives and measurable results
Strong negotiating, influencing, and consensus-building skills
Ability to mentor, coach and provide guidance to others
Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:
In-office: onsite 5 days per week
Hybrid: onsite 2-4 days per week
Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer.
A nonprofit health insurer helping all Rhode Islanders live their healthiest lives.
Industry
Insurance
Company size
501-1,000 employees
Founded
1939
Headquarters
Providence, Rhode Island
LinkedIn followers
20,936
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), we know that health is more than what happens at the doctor’s office. Our vision is to improve health and well-being by leading access to high-quality, affordable, and equitable care. That means focusing on innovation, from opening retail stores across the state to expanding access to behavioral health services to helping address food insecurity among our neighbors.
BCBSRI is connected nationwide as an organization of 33 independent Blues plans, working locally and together to transform care from the ground up and serve members wherever they are. Whether you're an individual looking to join our team or an employer looking to protect your employees' health, let's work together to make a difference.
BCBSRI is an independent licensee of the Blue Cross and Blue Shield Association.
Offices: 500 Exchange Street, Providence, Rhode Island 02903, US
A nonprofit health insurer helping all Rhode Islanders live their healthiest lives.
Industry
Insurance
Company size
501-1,000 employees
Founded
1939
Headquarters
Providence, Rhode Island
LinkedIn followers
20,936
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), we know that health is more than what happens at the doctor’s office. Our vision is to improve health and well-being by leading access to high-quality, affordable, and equitable care. That means focusing on innovation, from opening retail stores across the state to expanding access to behavioral health services to helping address food insecurity among our neighbors.
BCBSRI is connected nationwide as an organization of 33 independent Blues plans, working locally and together to transform care from the ground up and serve members wherever they are. Whether you're an individual looking to join our team or an employer looking to protect your employees' health, let's work together to make a difference.
BCBSRI is an independent licensee of the Blue Cross and Blue Shield Association.
Offices: 500 Exchange Street, Providence, Rhode Island 02903, US