Jobs at Blue Cross & Blue Shield of Rhode Island

Conduct in-depth analyses of claim payments, identify trends, ensure compliance with guidelines, propose solutions, and manage audits and recoveries.

Lead BCBSRI's corporate strategy and corporate development functions, advise executive leadership, identify and evaluate growth and partnership opportunities, and drive execution of strategic initiatives across the organization to achieve long‑term value and alignment with board and corporate priorities.

Lead end-to-end bi-weekly payroll processing and Workday Payroll system support, including troubleshooting, configuration, testing, vendor oversight, payroll tax and garnishment support, process documentation, and continuous improvement. Partner with HR, Finance, and vendors to ensure accurate, timely, and compliant payroll operations and support Workday expense report processes.

Lead design, development, and maintenance of Power BI dashboards and self-service analytics. Translate stakeholder requirements into clear visualizations, collaborate with data engineering, write and optimize SQL and DAX, ensure data accuracy and performance, document models and assumptions, apply visualization best practices, and evolve dashboards using user feedback and AI tools.

Lead actuarial support for provider contracting and alternative payment models, ensuring accurate financial reporting and strategic forecasting. Collaborate with finance to analyze impacts and guide decision-making processes.

Support the Data, Analytics and AI team by creating learning materials, coordinating AI programs, and summarizing engagement insights. Assist in role-based AI training and content creation while promoting AI literacy.

As a Case Manager, you'll coordinate and promote access to healthcare, conduct health assessments, manage interventions, and facilitate communication among members, providers, and stakeholders to enhance member care and well-being.