Total Cost of Care Program Specialist

Pay Range

$65,600.00 - $98,400.00

Please email ***email_hidden*** if 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 do—not 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.

It’s 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 you’re at in the organization, you’re 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.

We’re 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 state—building 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 enterprise’s 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.
• Bachelor’s 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

Role

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 today’s healthcare industry. BCBSRI is an equal opportunity employer.

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