Blue Cross & Blue Shield of Rhode Island

Lead Strategic Finance Analyst

Blue Cross & Blue Shield of Rhode Island · Full Time · 21 days ago

Blue Cross & Blue Shield of Rhode Island

🌎 United States 💵 $102K - $163K per year ⭐ 5-10 yrs exp 💼 Finance

Lead financial modeling and analytics for value-based care programs, risk adjustment forecasting, and pharmacy rebate performance. Translate complex financial and clinical data into actionable insights to drive strategic decision-making for senior leadership.

accounting insurance creative forecasting budgeting communication reporting leadership documentation organization human-resources

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Data Warehousing Analyst

Blue Cross & Blue Shield of Rhode Island · Full Time · a month ago

Blue Cross & Blue Shield of Rhode Island

🌎 United States 💵 $83200 - $124K per year ⭐ 2-5 yrs exp 💼 Others

Analyze, define, and manage business data within the enterprise data warehouse while ensuring data integrity through mapping and verification. Act as a liaison between business stakeholders and technical teams to translate requirements into functional designs and documentation.

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Actuary

Blue Cross & Blue Shield of Rhode Island · Full Time · a month ago

Blue Cross & Blue Shield of Rhode Island

🌎 United States 💵 $116K - $187K per year ⭐ 2-5 yrs exp 💼 Finance

The Actuary supports pharmacy benefit programs through the analysis of claims experience, drug utilization, and cost trends. Key duties include financial forecasting, developing actuarial models for rate adequacy, and preparing regulatory reports.

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Medicare Outside Sales Representative

Blue Cross & Blue Shield of Rhode Island · Full Time · a month ago

Blue Cross & Blue Shield of Rhode Island

🌎 United States 💵 $58800 - $88200 per year ⭐ 2-5 yrs exp 💼 Sales

Drive Medicare product sales and growth within an assigned territory by educating beneficiaries and building community partnerships. Ensure all enrollment activities adhere to CMS marketing guidelines and regulatory requirements.

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Lead Technical Software Architect

Blue Cross & Blue Shield of Rhode Island · Full Time · a month ago

Blue Cross & Blue Shield of Rhode Island

🌎 United States 💵 $116K - $187K per year ⭐ 10+ yrs exp 💼 Software Development

Provides technical leadership and architectural direction across multiple domains to ensure scalable solutions and architectural integrity. Accountable for end-to-end technical solution delivery, mentoring junior architects, and governing design reviews and enterprise standards.

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Senior Technical Software Architect

Blue Cross & Blue Shield of Rhode Island · Full Time · a month ago

Blue Cross & Blue Shield of Rhode Island

🌎 United States 💵 $102K - $163K per year ⭐ 5-10 yrs exp 💼 Software Development

Lead the technical solution design and documentation for medium-to-high complexity features while ensuring alignment with business objectives and regulatory standards. Drive innovation through proof-of-concepts and govern design reviews to maintain the current-state ecosystem.

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Manager Data & Integration Platforms

Blue Cross & Blue Shield of Rhode Island · Full Time · a month ago

Blue Cross & Blue Shield of Rhode Island

🌎 United States 💵 $151K - $243K per year ⭐ 5-10 yrs exp 💼 Software Development

Provide strategic and operational leadership for the enterprise data ecosystem, overseeing data, ELT, API, and AI platforms. Lead multidisciplinary teams to design and optimize data ingestion, transformation, and governance to support advanced analytics and cloud adoption.

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Lead Total Cost of Care Implementation Manager

Blue Cross & Blue Shield of Rhode Island · Full Time · a month ago

Blue Cross & Blue Shield of Rhode Island

🌎 United States 💵 $102K - $163K per year ⭐ 2-5 yrs exp 💼 Others

Manage the onboarding lifecycle of population health vendors, including eligibility, financial arrangements, and data exchanges. Serve as the Business Lead for the EPMO to ensure timely project completion and delivery per contractual terms.

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Lead Provider Payment Integrity Analyst

Blue Cross & Blue Shield of Rhode Island · Full Time · 2 months ago

Blue Cross & Blue Shield of Rhode Island

🌎 United States 💵 $92700 - $139K per year ⭐ 5-10 yrs exp 💼 Others

Conduct complex analysis of claim payments to identify overpayment recovery opportunities and cost avoidance. Develop solutions for payment integrity issues and ensure compliance with state, federal, and provider contract guidelines.

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