Lead Provider Payment Integrity Analyst
Blue Cross & Blue Shield of Rhode Island
About this role
The role conducts complex, in-depth analysis of medical claim payments and methodologies to identify cost avoidance and overpayment recovery opportunities. The analyst ensures claims compliance with state and federal guidelines, provider contracts, BCBSRI policy, and industry coding standards while coordinating implementation and reporting with internal and external stakeholders.
Skills
Qualifications
About Blue Cross & Blue Shield of Rhode Island
bcbsri.comN/A
Recent company news
Rhode Island CurrentBlue Cross RI retirees and spouses to lose health coverage in cost-cutting move
Oct 16, 2025
WPRI.comBlue Cross RI will end health plan for 275 retirees as losses continue into 2025
Oct 15, 2025
The Business JournalsBlue Cross knocks down $1.7M suit from shuttered lab that's sued insurers nationwide
1 month ago
AHIPHealth plans are making voluntary commitments to support patients and providers
Jun 23, 2025
Providence Business NewsBlue Cross partners with Daymark Health to support members with cancer
Oct 5, 2025
About Blue Cross & Blue Shield of Rhode Island
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Blue Cross & Blue Shield of Rhode Island.
Salary
$93k – $139k
per year
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