CareFirst

Lead design, development, and implementation of complex software applications and mentor junior engineers. | Requires 5+ years software design and development experience with expertise in microservices, APIs, cloud technologies, and leadership skills. | Resp & Qualifications PURPOSE: Performs complex analysis, design, development, automated unit and integration testing, and debugging of computer software ranging from operating system architecture integration and software design to selection of computer systems, language, and/or equipment. Designs, codes, tests, develops, and documents application programs for computer systems. Works with end-users and project stakeholders to define system scope and objectives. Manages modifications to and maintenance of operational programs and procedures. Leads stakeholder and product owner meetings to define software requirements and creates highly complex systems. Acts as a mentor to junior engineers. ESSENTIAL FUNCTIONS: • Lead a team of software engineers in the design, development, and implementation of multiple applications. Performs and leads the detail technical design, coding, code review and testing of new applications and enhancements of existing applications. Serves as a subject matter expert for specified systems and their subsequent applications. Develop and/or analyze interface design documentation. Comply with hardware and software systems standards and procedures. Deliver large systems for tens of thousands of users. Ensures compliance to the dev/sec/ops practices and policies. Understanding of architectural practices and design. • Identifies gaps in requirements and solves problems for the supporting staff. Identifies sequencing of services and technologies that are integrated in later phases of the project. Leads the evaluation of risk and opportunity impacts to existing or proposed projects/programs and implements risk mitigation actions. Develops ways to improve performance and increase system availability. Provides recommendations to infuse new technology. Compile, assess, and report data results from software testing and analysis. • Supports the Project Manager as the technical team lead on the project. Estimates the technical costs of projects for clients and project managers. Confers with clients to identify requirements and determine desired outcomes to formulate the design of the system or offer alternatives. Demonstrated experience with front-end and back-end programing and integration frameworks and tools. Assist in the estimation of development of application features. • Leads software design and development teams. Identifies, analyzes, defines, and coordinates user, customer, and stakeholder needs and translates them into technical requirements. Manages technical resources (hardware, software, licenses, and services). Plans and leads transformation initiatives to new software architectures. Extend open-source libraries and systems as necessary to meet the needs of the team. Play a crucial role in product scoping and roadmap / architecture discussions. Continually evaluate emerging technologies to identify opportunities, trends, and best practices. Ensure code quality, deployment standards and practices. Mentoring junior developers. QUALIFICATIONS: Education Level: Bachelor's Degree in Information Technology or Computer Science OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Experience: 5 years Software design and development, software test and evaluation, software requirements management. Preferred Qualifications: • Experience developing 12-factor microservices while utilizing Continuous Integration, Build, and Delivery with Spring, Spring Boot, Spring Cloud. • Experience with Spring related technologies such as Spring Core, Spring Boot, Spring MVC, and Spring Integration. • Experience in developing REST and SOAP APIs. • Experience in designing and implementing container technologies like Docker, Kubernetes. • Competency writing basic SQL queries. Oracle, Postgres experience and experience in NOSQL like Mongodb, Cassandra. • Experience utilizing platform and infrastructure-as-a-service technologies AWS, Azure Cloud and their corresponding services. • Experience with the Log Management Platforms like Elastic/ELK stack, Splunk, Azure Monitor. • Experience in writing automation scripts using Postman & newman Collection for API/Microservices testing. • Experience designing, developing and implementing integration solutions using MuleSoft, Dataweave and associated connectors. • Experience with FHIR(Fast Healthcare Interoperability Resources) and HL7 standards for healthcare data exchange and interoperability. • Experience in writing automation scripts test suites in using Cucumber, TestNG, Rest Assured. • Hands on Experience with JSON, XML data formats. • Experience with iterative and incremental development on product-focused teams practicing code reviews. • Excellent verbal and written communication skills and ability to effectively communicate and translate feedback, needs and solutions. • Ability to lead in an Agile environment. • Experience in production support that has high visibility/SLA's. • Strong teamwork focus and the ability to foster collaboration within and across teams. • Creative problem-solving skills that deliver elegant solutions to complex issues. • Experience with Git workflow of release management and Project Tracking Systems (e.g., Bitbucket, Jira). • Proficiency in Swagger/OpenAPI Specification Knowledge and experience with designing API's based on Domain/Entity driven models. • Working Experience with Azure Kubernetes Service (AKS), Service Mesh and Containers. • Experience with OAuth Security patterns and Implementations. • Experience working in Apache Kafka/Confluent platform including Kafka consumer, Kafka Streams. • Experience working spring Batch and scheduler/task. • Experience with API proxy platforms like Apigee. • Experience with Kibana and Splunk Dashboarding. • Working with Maven and Jenkins, SonarQube, Artifactory. • Proficiency Microservices multi-threading, Concurrency and parallel processing. • Experience working in UNIX environment and writing Shell scripts. Knowledge, Skills and Abilities (KSAs) • Works closely with Architects, Product Owners, Scrum Masters, and Value Stream Managers to provide insight into delivering business value and meeting objectives. • Decomposes functional and technical requirements into project activities and tasks and provides conceptual design, prototype, and test cycles appropriate to a chosen technical solution. • Identifies technical risks and develops mitigation strategies; introduces and recommends industry best practices and standards for the project. • Evaluates and assists in the selection and procurement of hardware and software technologies and serves as a mentor for junior developers. • Works with stakeholders as well as technical and analytical counterparts to define constraints and develop requirements and concept of operations documentation. • Expert in cloud technologies (e.g. AWS, Azure). • Knowledge of database technologies (e.g. cloud, SQL, Oracle, Mongo DB, PostgreSQL, etc.). • Fundamental knowledge of software engineers best practices, agile methodologies, CI/CD pipelines, Knowledge of test-first practices including Test-Driven Development (TDD) for unit tests and Behavior-Driven Development (BDD) for automated acceptance tests. • Strong experience with Deployment/Continuous Integration/ Continuous Testing/ Continuous Delivery processes and tools and have expertise in CI/CD tools and framework. • Experience with deploying a global application and configuration management. • Reviewing the work of other developers and providing feedback. • Ability to communicate technical requirements to all levels of expertise. • Proficient in establishing and maintaining good working relationships. • Knowledge and understanding of software development life cycle (SDLC). • Proficient with integrating complex and/or existing systems. • Knowledge of programming languages (e.g. JavaScript, C, Python, etc.). • Excellent communication skills both written and verbal. Salary Range: $79,704 - $158,301 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship #LI-HS1

Lead AI product portfolios ensuring strategic alignment, delivery, adoption, and measurable business outcomes. | 10 years product owner experience with agile expertise, bachelor's degree or equivalent experience, strong communication and leadership skills. | Resp & Qualifications PURPOSE: Serves as a senior authority over Product Owners and product teams, ensuring strategic alignment and clarity. Leverages extensive expertise to lead and manage complex project requirements, introducing innovative tools and best practices. Oversee the development of products to meet the needs of both internal and external clients, establishing and communicating the business value of their development and implementation. Offers strategic insights and guidance on opportunities and risks, supporting clients with informed decision-making. The role ensures AI products are strategically aligned, delivered effectively, adopted by users, and produce measurable business outcomes. Acting as a bridge between business stakeholders, product managers, engineering teams, and enterprise governance functions, this position provides leadership, clarity, and direction across complex AI product portfolios. ESSENTIAL FUNCTIONS: Product Strategy & Portfolio Leadership • Serve as product leader for one or more AI product portfolios, ensuring alignment to enterprise strategy, business priorities, and customer needs. • Define and articulate product vision, value propositions, and success measures for AI-enabled capabilities. • Partner with senior leaders and Product Managers to translate strategic objectives into prioritized product roadmaps and releases. • Identify opportunities to scale, standardize, or reuse proven AI solutions across the enterprise. Product Ownership & Backlog Management • Function as the Senior Product Owner for complex AI products, maintaining welldefined, prioritized backlogs aligned to outcomes. • Lead discovery and definition activities, including workshops with users and stakeholders to validate hypotheses and solution approaches. • Ensure user stories, acceptance criteria, and features are clearly defined and tied to measurable business value. • Lead change control and backlog refinement processes to reflect evolving priorities and constraints. Delivery Execution & Agile Leadership • Collaborate closely with scrum teams, engineers, data scientists, UX, and testing partners throughout the delivery lifecycle. • Participate actively in refinement sessions, sprint planning, reviews, and demos to ensure solutions meet product intent. • Partner with testing and quality teams to ensure solutions are validated against business, regulatory, and operational requirements. • Provide coaching and guidance to Product Owners, delivery teams, and partners on product management and agile best practices. Adoption, Enablement & Value Realization • Drive adoption of AI products by embedding solutions into workflows and partnering on training, communication, and change efforts. • Establish feedback loops to continuously improve product performance based on usage data and stakeholder input. • Define and track product KPIs, including adoption, efficiency, quality, and value realization metrics. • Communicate product performance, risks, and opportunities to executive and senior stakeholders. CrossFunctional & Consultative Partnership • Act as a trusted product advisor across business, IT, risk, compliance, and operations teams. • Translate complex technical concepts into clear business value and tradeoff discussions. • Identify risks, dependencies, and constraints early and proactively partner to resolve them. • Support informed decisionmaking by providing datadriven insights and product recommendations. SUPERVISORY RESPONSIBILITY: Leads a team utilizing a matrix management system. QUALIFICATIONS: Education Level: Bachelor's Degree in Product Management, Engineering, Information Technology or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Licenses/Certifications Upon Hire Preferred: • Certified Scrum Product Owner. Experience: 10 years product owner experience with an in-depth knowledge of agile process and principles and/or product manager experience Preferred Qualifications: • Previous healthcare experience. • Advanced degree. Knowledge, Skills and Abilities (KSAs) • Proficient in project planning and life cycle development. • Excellent communication skills both written and verbal. • Proficient in Agile methodologies, principles, and procedures. • Ability to use Product KPIs and business metrics to optimize the product. • Ability to recognize, analyze, and solve a variety of problems. • Ability to analyze, organize and prioritize work while meeting multiple deadlines. • Able to define and articulate how proposed backlog items drive measurable outcomes, improve Star Ratings, or member retention. • Skilled at gathering requirements from key stakeholders to build holistic user stories. • Able to respond quickly to shifting regulatory environments or operational blockers, ensuring the team can deliver. • Able to identify opportunities to enhance plan design or digital member experience based on competitive benchmarking and emerging models. • Skilled at building alignment with stakeholders who have competing priorities. • Skilled in advocating for user needs while balancing enterprise constraints. • Strong ability to maintain trust with business needs, communicate tradeoffs clearly, and manage expectations. • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. Salary Range: $125,840 - $224,939 Travel Requirements Estimate Amount: 5% Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Agile Transformation Where To Apply Please visit our website to apply: www.carefirst.com/careers PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship #LI-LD1

Review and adjudicate paper/electronic dental claims under supervision, resolve non-adjudicated claims, research procedures, and collaborate with multiple departments to ensure timely and accurate claim processing. | High school diploma or GED, less than one year experience processing claims documents, preferred dental claims or billing experience, basic communication and analytical skills, ability to meet deadlines and handle customer service demands. | Resp & Qualifications PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures. ESSENTIAL FUNCTIONS: • Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems. • Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives coaching from leadership. Required participation in ongoing developmental training to performing daily functions. • Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc. • Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions. QUALIFICATIONS: Education Level: High School Diploma or GED. Experience: Less than one year experience processing claims documents. Preferred Qualifications: • Less than one-year dental claims processing, billing, or dental office experience. Knowledge, Skills and Abilities (KSAs) • Demonstrated analytical skills. • Demonstrated reading comprehension and ability to follow directions provided. • Basic written/oral communication skills. • Demonstrated ability to navigate computer applications. • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. Salary Range: 31,968 - 58,608 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Dental Claims Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: www.carefirst.com/careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship #LI-LY1