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BCBSM, Inc.1 day ago

Lead Total Cost of Care Program Manager

$102,300–$163,700 year

Hybrid · Providence, Rhode Island, United States

Type
Full Time
Level
Senior Level
Education
Bachelors Degree
Company size
Large

Job Summary

Lead and support Total Cost of Care initiatives across key medical spend categories; synthesize complex data into clear, executive-ready insights; develop sizing analyses and financial impact estimates; track initiative status and performance with governance materials; partner with analytics and finance to monitor savings and outcomes; stay informed on industry trends and regulatory considerations; typical responsibilities include planning, facilitating cost-driver analyses, translating findings into actionable recommendations, and collaborating across matrixed teams to drive enterprise TCOC goals.

Required Qualifications

  • Bachelor’s degree in healthcare administration, business, finance, public health, analytics, or a related field
  • Seven to ten years of experience in healthcare, health plan operations, medical economics, consulting, or value-based care
  • Experience supporting or leading cross-functional initiatives with measurable financial or utilization impact
  • Strong analytical skills, including experience working with healthcare cost and utilization data
  • Advanced proficiency in Microsoft Excel, including pivot tables, complex formulas, and data analysis techniques
  • Experience sizing initiatives, including estimating addressable population and financial impact
  • Strong written and verbal communication skills
  • Ability to build and interpret financial models and forecasts
  • Ability to manage multiple initiatives with competing priorities
  • Strong stakeholder management and follow-through
  • Master’s degree (MBA, MHA, MPH, or similar) is a plus
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$102k – $164k / yr

Lead Total Cost of Care Program Manager · BCBSM, Inc.

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