Blue Cross & Blue Shield of Rhode Island

Remote Jobs

Blue Cross & Blue Shield of Rhode Island (bcbsri.com) is a non-profit, community-focused health plan founded in 1939 to help Rhode Islanders finance their healthcare needs. Today, that’s still a big part of what we’re all about. We are committed to improving the health and peace of mind of our members by facilitating their access to affordable, high-quality healthcare. Our goal is to improve the quality of life of our customers and of the people of Rhode Island by improving their health for generations to come. We are an independent licensee of the Blue Cross and Blue Shield Association.

4 open rolesTeam 828Latest: Mar 9, 2026, 12:00 AM UTC
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4 Jobs

Case Manager - DSNP

Blue Cross & Blue Shield of Rhode Island

Blue Cross & Blue Shield of Rhode Island (bcbsri.com) is a non-profit, community-focused health plan founded in 1939 to help Rhode Islanders finance their healthcare needs. Today, that’s still a big part of what we’re all about. We are committed to improving the health and peace of mind of our members by facilitating their access to affordable, high-quality healthcare. Our goal is to improve the quality of life of our customers and of the people of Rhode Island by improving their health for generations to come. We are an independent licensee of the Blue Cross and Blue Shield Association.

Clinical Operations6 days ago
Full TimeRemoteTeam 828

Manage members through the healthcare delivery system; assess needs in order to identify appropriate interventions. Conduct telephonic or face-to-face health assessments to identify high-risk or emerging risk members who would benefit from education and intervention. Facilitate c...

RN LicenseCase ManagementUtilization ManagementCare CoordinationPopulation HealthChronic Condition ManagementHealthcare Delivery System Navigation
View details: Case Manager - DSNP
United States + 259 moreAll locations: United States, Afghanistan, Åland Islands, Albania, Algeria, American Samoa, Andorra, Angola, Anguilla, Antarctica, Antigua And Barbuda, Argentina, Armenia, Aruba, Australia, Austria, Azerbaijan, Bahamas, Bahrain, Bangladesh, Barbados, Belarus, Belgium, Belize, Benin, Bermuda, Bhutan, Bolivia, Plurinational State Of, Bosnia And Herzegovina, Botswana, Bouvet Island, Brazil, British Indian Ocean Territory, Brunei Darussalam, Bulgaria, Burkina Faso, Burundi, Cambodia, Cameroon, Canada, Cape Verde, Cayman Islands, Central African Republic, Chad, Chile, China, Christmas Island, Cocos (keeling) Islands, Colombia, Comoros, Congo, Congo, The Democratic Republic Of The, Cook Islands, Costa Rica, Côte D'ivoire, Croatia, Cuba, Cyprus, Czech Republic, Denmark, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, El Salvador, Equatorial Guinea, Eritrea, Estonia, Ethiopia, Falkland Islands (malvinas), Faroe Islands, Fiji, Finland, France, French Guiana, French Polynesia, French Southern Territories, Gabon, Gambia, Georgia, Germany, Ghana, Gibraltar, Greece, Greenland, Grenada, Guadeloupe, Guam, Guatemala, Guernsey, Guinea, Guinea-bissau, Guyana, Haiti, Heard Island And Mcdonald Islands, Holy See (vatican City State), Honduras, Hong Kong, Hungary, Iceland, India, Indonesia, Iran, Islamic Republic Of, Iraq, Ireland, Isle Of Man, Israel, Italy, Jamaica, Japan, Jersey, Jordan, Kazakhstan, Kenya, Kiribati, Korea, Democratic People's Republic Of, Korea, Republic Of, Kuwait, Kyrgyzstan, Lao People's Democratic Republic, Latvia, Lebanon, Lesotho, Liberia, Libyan Arab Jamahiriya, Liechtenstein, Lithuania, Luxembourg, Macao, Macedonia, The Former Yugoslav Republic Of, Madagascar, Malawi, Malaysia, Maldives, Mali, Malta, Marshall Islands, Martinique, Mauritania, Mauritius, Mayotte, Mexico, Micronesia, Federated States Of, Moldova, Republic Of, Monaco, Mongolia, Montenegro, Montserrat, Morocco, Mozambique, Myanmar, Namibia, Nauru, Nepal, Netherlands, New Caledonia, New Zealand, Nicaragua, Niger, Nigeria, Niue, Norfolk Island, Northern Mariana Islands, Norway, Oman, Pakistan, Palau, Palestinian Territory, Occupied, Panama, Papua New Guinea, Paraguay, Peru, Philippines, Pitcairn, Poland, Portugal, Puerto Rico, Qatar, Réunion, Romania, Russian Federation, Rwanda, Saint Barthélemy, Saint Helena, Ascension And Tristan Da Cunha, Saint Kitts And Nevis, Saint Lucia, Saint Martin (french Part), Saint Pierre And Miquelon, Saint Vincent And The Grenadines, Samoa, San Marino, Sao Tome And Principe, Saudi Arabia, Senegal, Serbia, Seychelles, Sierra Leone, Singapore, Slovakia, Slovenia, Solomon Islands, Somalia, South Africa, South Georgia And The South Sandwich Islands, Spain, Sri Lanka, Sudan, Suriname, Svalbard And Jan Mayen, Swaziland, Sweden, Switzerland, Syrian Arab Republic, Taiwan, Province Of China, Tajikistan, Tanzania, United Republic Of, Thailand, Timor-leste, Togo, Tokelau, Tonga, Trinidad And Tobago, Tunisia, Turkey, Turkmenistan, Turks And Caicos Islands, Tuvalu, Uganda, Ukraine, United Arab Emirates, United Kingdom, United States Minor Outlying Islands, Uruguay, Uzbekistan, Vanuatu, Venezuela, Bolivarian Republic Of, Viet Nam, Virgin Islands, British, Virgin Islands, U.s., Wallis And Futuna, Western Sahara, Yemen, Zambia, Zimbabwe
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Actuarial Analytics Director - Alternative Payment Models

Blue Cross & Blue Shield of Rhode Island

Blue Cross & Blue Shield of Rhode Island (bcbsri.com) is a non-profit, community-focused health plan founded in 1939 to help Rhode Islanders finance their healthcare needs. Today, that’s still a big part of what we’re all about. We are committed to improving the health and peace of mind of our members by facilitating their access to affordable, high-quality healthcare. Our goal is to improve the quality of life of our customers and of the people of Rhode Island by improving their health for generations to come. We are an independent licensee of the Blue Cross and Blue Shield Association.

Actuary6 days ago
Full TimeRemoteTeam 828

This role involves leading actuarial support for provider contracting, including feasibility analysis of payment models, and modeling financial impacts to inform negotiations and strategic decisions. The director will also support risk adjustment projections, forecast quality incentive payments, and collaborate with finance to integrate actuarial outputs into financial planning.

Actuarial ScienceFinancial ModelingRisk AdjustmentMedicare AdvantageProvider ContractingForecastingData AnalysisExcelSQL
View details: Actuarial Analytics Director - Alternative Payment Models
United States
$160K - $266K / year
Apply

Actuarial Analytics Director - Alternative Payment Models

Blue Cross & Blue Shield of Rhode Island

Blue Cross & Blue Shield of Rhode Island (bcbsri.com) is a non-profit, community-focused health plan founded in 1939 to help Rhode Islanders finance their healthcare needs. Today, that’s still a big part of what we’re all about. We are committed to improving the health and peace of mind of our members by facilitating their access to affordable, high-quality healthcare. Our goal is to improve the quality of life of our customers and of the people of Rhode Island by improving their health for generations to come. We are an independent licensee of the Blue Cross and Blue Shield Association.

Actuary9 days ago
Full TimeRemoteTeam 828

This role involves bridging operational activities and financial processes to enable accurate forecasting, financial reporting, and strategic decision-making. Lead actuarial support for provider contracting, including feasibility analysis of proposed alternative payment models an...

Actuarial ScienceFinancial ModelingRisk AdjustmentMedicare AdvantageProvider ContractingAlternative Payment ModelsForecastingData Analysis
View details: Actuarial Analytics Director - Alternative Payment Models
United States
Apply

Actuarial Analytics Director - Alternative Payment Models

Blue Cross & Blue Shield of Rhode Island

Blue Cross & Blue Shield of Rhode Island (bcbsri.com) is a non-profit, community-focused health plan founded in 1939 to help Rhode Islanders finance their healthcare needs. Today, that’s still a big part of what we’re all about. We are committed to improving the health and peace of mind of our members by facilitating their access to affordable, high-quality healthcare. Our goal is to improve the quality of life of our customers and of the people of Rhode Island by improving their health for generations to come. We are an independent licensee of the Blue Cross and Blue Shield Association.

Actuary27 days ago
Full TimeRemoteTeam 828

Lead actuarial support for provider contracts, analyze financial impacts, forecast financial outcomes and engage in risk adjustment activities to align strategic goals.

EconomicsFinancial ModelingMathematicsStatistics
View details: Actuarial Analytics Director - Alternative Payment Models
Rhode Island
$160K - $266.5K / year
Apply