Senior Business Transformation Product Manager - Utilization Management

Blue Cross & Blue Shield of Rhode Island•Providence, RI

3d•$102,300 - $163,700•Hybrid

About The Position

This role is responsible for leading the end-to-end improvement of a business journey or domain, delivering measurable gains in value and experience. The Senior Business Transformation Product Manager will 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.

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

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.