Total Cost of Care Program Specialist

Pay Range:

Please emailif 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 donot 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.
Its 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 youre at in the organization youre 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.

Were 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 statebuilding 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:

Integral part of the TCOC team dedicated to managing the enterprises medical costs while continuously improving member outcomes quality and experience. Provides operational programmatic and analytical support for the TCOC portfolio and specific cost savings initiatives. The Program Specialist plays a critical role in streamlining processes and working with leaders across the organization to achieve enterprise TCOC goals.

What you will do:

• Support the planning and execution of Total Cost of Care initiatives across key medical spend categories.
• Maintain detailed tracking of initiative milestones deliverables risks and action items.
• Support the broader TCOC team with initiative sizing impact tracking and performance monitoring.
• Use Excel to organize summarize and validate data inputs.
• Follow up with stakeholders to ensure timely completion of assigned tasks and commitments.
• Identify and escalate potential delays or gaps in execution.
• Develop and update PowerPoint presentations for leadership updates governance forums and working sessions presenting information in a clear structured and visually effective manner.

• Coordinate recurring and ad hoc meetings including scheduling agenda development and materials preparation.
• Facilitate meetings as needed ensuring discussions stay focused and objectives are achieved.
• Capture clear meeting notes action items and decisions and distribute follow-ups in a timely manner.

• Draft professional concise email communications for stakeholders including updates requests and follow-ups.
• Support cross-functional coordination by ensuring clarity of roles timelines and expectations.

• Adopt a continuous process improvement mentality identifying opportunities to improve tracking tools reporting formats and team processes.
• Support standardization of TCOC templates documentation and workflows.
• Perform other duties as assigned.
• Bachelors degree in healthcare administration business finance public health or a related field.
• 3-5 years of experience in healthcare business operations consulting or a related environment.
• Strong organizational skills with the ability to manage multiple priorities simultaneously.
• Excellent written and verbal communication skills including meeting facilitation.
• Proficiency in Microsoft Office including Excel and PowerPoint.

What you need to succeed:

• Strong attention to detail and ability to track multiple workstreams simultaneously
• Ability to manage timelines follow-ups and deliverables with minimal oversight
• Clear concise and professional written communication (including email drafting)
• Effective meeting facilitation note-taking and follow-up coordination
• Ability to work effectively across cross-functional teams
• Strong accountability and responsiveness in a matrixed environment
• Ability to create polished well-structured PowerPoint presentations
• Strong sense of organization and storytelling in materials
• Ability to work with data in Excel (sorting filtering pivot tables)
• Basic understanding of data trends and willingness to develop analytical skills

The extras:

• Experience supporting cross-functional projects or initiatives.
• Exposure to healthcare data cost management or analytics environments.
• Experience using Excel for data organization and basic analysis (e.g. pivot tables lookups).
• Familiarity with PowerPoint for executive-ready presentations.

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 todays healthcare industry. BCBSRI is an equal opportunity employer.

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