Senior Business Transformation Product Manager - Utilization Management

About the Role

Lead end-to-end improvement of a 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.

Responsibilities

• 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.

Requirements

• 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

Schedule

BCBSRI offers 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

Benefits

• Flexible work arrangements that include remote and hybrid opportunities
• Paid time off
• Tuition reimbursement and student-loan repayment assistance
• Health, dental, and vision insurance
• Programs that support mental health and well-being
• Competitive pay and bonuses
• Investment plans
• Professional growth and development opportunities
• Additional paid time to volunteer

Pay

Pay Range: $102,300.00 - $163,700.00