Blue Cross Blue Shield of Rhode Island

Senior Business Transformation Product Manager - Utilization Management

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years in product, operations, or transformation roles
  • Experience collaborating across business and technology teams
  • Strong problem-solving and prioritization skills
  • Proven ability to deliver measurable results in complex settings
  • In-depth knowledge of healthcare industry regulations
  • Polished business acumen with strategic insight
  • Ability to lead diverse teams towards common goals

Responsibilities

  • Lead and champion innovative solutions for complex business challenges
  • Proactively prioritize opportunities for process and policy improvement
  • Transform opportunities into a roadmap of impactful capabilities
  • Collaborate with leaders and engineers to design integrated solutions
  • Oversee full-stack engineering teams to implement scalable solutions
  • Conduct rapid pilots and adjust based on performance feedback
  • Ensure solutions are integrated into daily operations for sustained impact

Benefits

  • Various work location options: in-office, hybrid, or remote
  • Support for associate well-being and work/life balance
  • Convenient location near public transportation
  • Opportunity for mentorship and leadership development
  • Focus on fostering innovation and a collaborative culture
Full Job Description

Pay Range:

$102,300.00 - $163,700.00 

Please email  if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

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
     

About Blue Cross Blue Shield of Rhode Island

Blue Cross Blue Shield of Rhode Island is a non-profit health insurance company that provides medical, dental, and vision coverage to individuals and businesses in Rhode Island. The company also offers Medicare Advantage plans and prescription drug coverage. Blue Cross Blue Shield of Rhode Island was founded in 1939 and is headquartered in Providence, Rhode Island.
Learn more about Blue Cross Blue Shield of Rhode Island
Size
800 employees
Industry
Founded
1939

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