Elevance Health

Elevance Health

11 open positions available

8 locations
1 employment type
Actively hiring
Full-time

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Elevance Health

Business Change Manager Sr.

Elevance Health•Anywhere•Full-time
View Job
Compensation$110K - 150K a year

You would identify and deliver programs supporting enterprise goals, redesign processes, assess costs and benefits, and build organizational support for change. | The role requires a related bachelor's degree and at least eight years of process improvement or project management experience, with strong communication, analytical, and facilitation skills. | Anticipated End Date: 2026-11-11 Position Title: Business Change Manager Sr. Job Description: Business Change Manager Sr. *This is an Individual Contributor Role. Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. Work Shift: Monday – Friday, 8:00 am to 5:00 pm The Business Change Manager Sr is responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals. How you will make an impact: Identifies potential issues, project change, and scope. Leads efforts to identify best practices. Identifies impacted parties, business partners, and resources required. Develops and designs processes and systems that support business needs. Designs methods for integrating function and process. Conducts cost/benefit analyses. Builds support for business change throughout the business unit. Minimum Requirements: Requires a BA/BS in a related field and minimum of 8 years process improvement, business change or project related experience; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Experience in successfully developing and managing projects with fairly significant operating budget and knowledge of process redesign strongly preferred. Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: BSP > Business Support Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Process improvement
Stakeholder management
Program management
Business change management
Strategic planning
Process redesign
Cost/benefit analysis
Direct Apply
Posted 2 days ago
Elevance Health

Engineer Lead Senior

Elevance Health•Atlanta, Georgia•Full-time
View Job
Compensation$150K - 200K a year

Lead development and maintenance of enterprise application platforms, guide technical direction through reviews, and ensure systems are reliable and scalable. | Requires a bachelor's degree, at least nine years of relevant experience, proficiency in Python, Go, or TypeScript, and extensive platform-scale Kubernetes experience. | Anticipated End Date: 2026-10-11 Position Title: Engineer Lead Senior Job Description: Engineer Lead Senior Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidate will be able to report to our Pulse Point location in Atlanta, Georgia. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. PLEASE NOTE: This position is not eligible for current or future VISA sponsorship The Engineer Lead Senior will be responsible for leading end to end application system development and maintenance on large complex enterprise wide technology platforms. How you will make an impact: Maintains active relationships with customers to determine business requirements, leads requirements gathering meetings and reviews designs with the business. Leads efforts with Web and marketing team to increase the presence of web products. Anticipates broad technical change and ensures that company technology stays ahead of the curve. Prioritize projects and make trade-offs with respect to the enterprise systems changes based on broader business needs. Understands the entire architecture for a major part of our business and is able to articulate the scaling and reliability limits. Owns the change request process and coordinates with other teams as necessary. Develops and owns list of final enhancements. Develops and defines application scope and objectives and supervises the preparation of technical and/or functional specifications from with programs will be written. Performs technical design reviews and code reviews. Ensures unit test is completed and meets the test plan requirements, system testing is completed and system is implemented according to plan. Responsible for delivery of application technology solutions and data information planning effort. May participates in developing the multi-year technology strategy for critical areas of the business that may encompass multiple systems. Partners with technical and non technical stakeholder to identify the long term technical trajectory of the technology infrastructure. Creates architecture and anticipates future technology needs. Leads the conversations internally about the direction of major areas of the technology, drives wide-team consensus to the adoption of this direction, and uses this direction when engaging engineers. Coordinates and manages on-call support and owns the system monitoring process. Reviews and monitors initiatives for end to end impact and coordination. Participates in review and decision making for enterprise solutions. Minimum Requirements: Requires a BA/BS degree in Information Technology, Computer Science or related field of study, and a minimum of 9 years experience; experience with multi dimensional platforms, and business and technical applications required; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Experience mentoring others, driving teams to achieve results, leading multiple and/or large projects, and provide troubleshooting support highly preferred. Multi database and/or multi language highly preferred. Extensive experience with Kubernetes at platform scale (tens of millions of requests per day) Expertise in at least one of the following required; Python, Go, Typescript. Experience working with either traditional Machine Learning or Generative AI workflows and systems in a regulated environment Job Level: Non-Manager Exempt NAIM Access Workshift: Job Family: IFT > Engineering​/Dev Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

TypeScript
System architecture and API design
System monitoring and reliability
Technical documentation
Mentorship and project leadership
Direct Apply
Posted about 1 month ago
Elevance Health

Engineer Senior

Elevance Health•Wilmington, Delaware•Full-time
View Job
Compensation$55K - 120K a year

Participate in all phases of design and development for analytic applications, maintain customer relationships, define scope, code complex components, and mentor team members. | Bachelor's degree in IT or related field with minimum 5 years experience in multi-dimensional platforms and business applications. | Anticipated End Date: 2026-10-06 Position Title: Engineer Senior Job Description: Engineer Senior Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to our Pulse Point location in Wilmington, DE. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Engineer Senior is responsible for participating in all phases of the design and development life cycle of analytic applications and reporting tools, utilizing various BI technology platforms. How you will make an impact: Maintain active relationships with customers to determine business requirements. Anticipate opportunities for improvement and identify alternate solutions. Collaborate with engineers for creative ideas for Web portals supporting interactive content, analyze and classify complex change request and review and evaluate possible enhancements. Work with development team to develop and define application scope and objectives and prepare functional and/or technical specifications. Analyze and evaluate detailed business and technical requirements. Code and maintain complex components of information systems. Mentor others on coding standards and perform code reviews. Develop and perform system testing and fix defects identified during testing and re-execute unit tests to validate results. Aid in integrating activities with other IT departments for successful implementation and support of project efforts. Provide timely support to data information planning effort. Maintain technical development environment and have responsibility for implementation plan. Assist in developing training documentation including proactive identification of additional needs and enhancements. Manage small projects, mentor and provide training to others. Serve as a subject matter expert of one or more Business Intelligence applications. Minimum Requirements: Requires a BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years related experience; experience working with multi-dimensional platforms, and business and technical applications also required; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Experience with multiple Business Intelligence tools, multi database, multi-language or multi business application preferred highly preferred. Experience mentoring people, leading small projects and provide troubleshooting support highly preferred. Experience with front-end user-interface libraries/frameworks such as Angular, ReactJS, Vue, or equivalent highly preferred. Strong understanding of multiple database engines such as Postgres, Microsoft SQL Server, Oracle, MySQL, or equivalent highly preferred. Strong understanding of cloud concepts and services such as AWS Redshift, Databricks, Snowflake, or equivalent highly preferred. Experience performing technical design reviews and code reviews highly preferred. Experience leading multiple projects and facilitating requirements gathering sessions highly preferred. Successful history of being able to explain technical subject matter to less technical or non-technical audiences highly preferred. Exposure to / knowledge of general pharmacy, specialty pharmacy, and or infusion pharmacy operations highly preferred. Excellence communication skills (both verbal and written) highly preferred. Strong understanding of multiple programing languages such as C#, JavaScript/Typescript, Python preferred. Experience developing unit tests and completing system testing is according to plan preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: IFT > Engineering​/Dev Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Angular
ReactJS
Business Intelligence
Data analysis
Application development
Direct Apply
Posted about 1 month ago
Elevance Health

Director II Digital Operations

Elevance Health•Tampa, Florida, Atlanta, Georgia, Indianapolis, Indiana, Louisville, Kentucky, St. Louis, Missouri, Mason, Ohio, Grand Prairie, Texas•Full-time
View Job
Compensation$160K - 220K a year

Lead a combined digital and operations unit, driving claims technology delivery, service digitization, administrative efficiency, budgets, resources, and cross-functional relationships. | Requires a bachelor's degree, 8+ years leading technology teams, 7 years of management experience, and a record of complex cross-functional transformations. | Anticipated End Date: 2026-10-16 Position Title: Director II Digital Operations Job Description: Location: Atlanta GA, Tampa FL, Mason OH, Indianapolis IN, Grand Prairie TX, Louisville KY, St. Louis MO Hours: Standard Working hours Travel: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Position Overview: Oversees a combined digital and operations unit(s); executes strategies to deliver industry leading digitized service results. Serve as a leader across departmental lines in order to further penetration of operational digitization, E2E efficiencies, lowered administrative costs and an excellent member and provider experience. As well as leading a product-led delivery model across claims technology platforms and enterprise delivery capabilities. How You Will Make an Impact: Aligns demand, roadmaps, capacity, and governance to deliver scalable solutions across Government and Commercial claims. Advances execution through disciplined intake, automation, configuration-first delivery, and strong product lifecycle management. Establish clear intake, prioritization, and portfolio governance so capacity is focused on the highest-value work. Improve delivery speed, first-pass quality, and throughput by reducing rework and avoidable handoffs. Strengthen product health, delivery readiness, risk visibility, and executive decision-making. Partner across business, Operations, IT, Compliance, Audit, WFM, and other stakeholders to enable sustainable outcomes. Enables effective achievement of digital operations organizational objectives Participates with peers and digital operations leadership to deliver on strategic plans and objectives Leads overall strategic work streams for transformational priorities which requires significant accountability and management of numerous special projects Plans, directs, and controls the resources and efforts of a unit(s) within blended Digital Operations organization Executes objectives of the company and the blended Digital Ops organization Responsible & accountable for implementation / management of digitization initiatives that demonstrates understanding of current and future operational business processes that digitization does/can enable Obtains resources (people, funding, material, support) to get things accomplished within units of responsibility Ensures compliance with state and federal regulations Oversees strategic planning, budget development, and management for a single large or multiple cost centers, contract compliance, and any necessary integration of government regulatory requirements Manages an enterprise suite of applications by developing digitization forecast and delivery plan Ensures disaster recovery and business continuity plan are implemented, monitored, and updated on a recurring basis Delivers operational guidance and offers system solutions that support the operations of their functional areas on a 24x7x365 basis Plans and executes annual projects while maintaining profit and loss (P&L) responsibility Hires, trains, coaches and evaluates performance of direct reports Provides leadership in motivating subordinates to accomplish the Digital Ops organization goals and objectives Develops a strong team through training and effective organizational development practices Implements the policies, practices, and procedures of the company and blended digital and operations organizations Manages direction of information system and programming activities of technical staff Leveraging reporting and analytics tools, continually monitors procedures and operational metrics to ensure these are met by staff Manages across geographically diverse associates and vendor partners Staff is typically located in multiple sites and/or states and utilizes multiple systems Has fiscal responsibility for unit budget Builds strong partnerships with market and digital leads, Benefits Administration, Provider Engagement and Contracting, Sales and Internal Audit Effectively adjusts communications depending upon audience; translates technical and/or business issues in non-technical/non-jargon terms to non-technical or executive audiences Effectively consults, facilitates, negotiates and persuades Effectively interfaces with external contacts, e.g. customers and agencies Negotiates the resolution of intra-organizational issues in the balanced best interests of the business Position requires significant and regular external contact with customers or agencies Hires, trains coaches, counsels, and evaluates performance of direct reports Required Qualifications: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years experience leading technology (application development, configuration, maintenance or implementation and support) teams and/or cross functional project (technology and operations) teams; or any combination of education and experience which would provide an equivalent background Requires 7 years' management experience. Preferred Qualifications: Health insurance industry experience strongly preferred. Experience leading claims technology or operations across Government and Commercial lines of business. Product management, portfolio governance, roadmap, backlog, and lifecycle ownership experience. Experience with intake governance, demand prioritization, capacity planning, and production-support models. Working knowledge of automation, AI-enabled delivery, configuration-first solutions, and automated testing. Demonstrated success leading complex, cross-functional transformations and advising executive stakeholders. Ability to use delivery, quality, financial, and product-health metrics to guide decisions. Job Level: Director Workshift: 1st Shift (United States of America) Job Family: CLM > Claims Support Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Budget management
Team leadership
Process automation
Risk management
Stakeholder management
Vendor management
Direct Apply
Posted about 1 month ago
EH

AI Solutions Engineer Lead

Elevance Health•Tampa, Florida, Atlanta, Georgia, Indianapolis, Indiana, Mason, Ohio•Full-time
View Job
Compensation$90K - 140K a year

Lead development and architecture of AI solutions, drive AI adoption, establish best practices, and mentor teams. | Bachelor's degree with 9+ years experience in software engineering and AI-enabled systems. | Anticipated End Date: 2026-10-05 Position Title: AI Solutions Engineer Lead Job Description: AI Solutions Engineer Lead Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The AI Solutions Engineer Lead(Engineer Lead Senior) is responsible for leading the end to end application system development and maintenance on large complex enterprise wide technology platforms. This role requires a strong hands-on engineer with deep experience building AI-enabled systems and using AI agents and coding assistants across the SDLC (planning, design, implementation, testing, deployment, and production support). The ideal candidate will drive adoption of AI capabilities across the portfolio, establish best practices, and mentor teams to scale AI-enabled engineering. How You Will Make an Impact Primary duties may include, but are not limited to: Lead development and architecture of agentic AI solutions, including orchestration, tool integration, and reusable enterprise patterns. Daily or weekly use of AI coding tools such as GitHub Copilot, Cursor, Claude Code, ChatGPT, Codex-style agents, or similar. Define and implement model evaluation frameworks (quality, accuracy, safety, and performance metrics) and guide teams on continuous improvement. Demonstrates knowledge of industry trends, responsible AI, data privacy, and secure handling of sensitive information. Improve AI output quality through prompt optimization and model tuning. Maintains active relationships with customers to determine business requirements, leads requirements gathering meetings and reviews designs with the business. Anticipates broad technical change and ensures that company technology stays ahead of the curve. Understands the entire architecture for a major part of our business and is able to articulate the scaling and reliability limits. Owns the change request process and coordinates with other teams as necessary. Develops and owns list of final enhancements. Develops and defines application scope and objectives and supervises the preparation of technical and/or functional specifications from with programs will be written. Performs technical design reviews and code reviews. Ensures unit test is completed and meets the test plan requirements, system testing is completed and system is implemented according to plan. Responsible for delivery of application technology solutions and data information planning effort. May participates in developing the multi-year technology strategy for critical areas of the business that may encompass multiple systems. Partners with technical and non technical stakeholder to identify the long term technical trajectory of the technology infrastructure. Creates architecture and anticipates future technology needs. Leads the conversations internally about the direction of major areas of the technology, drives wide-team consensus to the adoption of this direction, and uses this direction when engaging engineers. Coordinates and manages on-call support and owns the system monitoring process. Reviews and monitors initiatives for end to end impact and coordination. Participates in review and decision making for enterprise solutions. Minimum Requirements: Requires a BA/BS degree in Information Technology, Computer Science or related field of study, and a minimum of 9 years experience; experience with multi dimensional platforms, and business and technical applications required; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Experience mentoring others, driving teams to achieve results, leading multiple and/or large projects, and provide troubleshooting support strongly preferred. Multi database and/or multi language strongly preferred. Experience with US healthcare, payer, claims, clinical, HIPAA, PHI, regulated industry, or enterprise security experience. Project leadership experience including Agile project management, Scaled Agile Frameworks (SAFE). Knowledge of Agile/SAFe delivery and portfolio management tools. Strong communication skills and ability to explain AI concepts to non‑technical audiences. Experience integrating AI into tools such as JIRA or similar delivery platforms. Strong software engineering fundamentals including, cloud-native development, APIs and microservices, CI/CD, automated testing, and secure SDLC strongly preferred. Experience building or integrating AI agents, tool/function calling, RAG, memory, model routing, evaluations, guardrails, observability, and secure API/tool access strongly preferred. Experience building LLM or SLM applications. Ability to review, test, and harden AI-generated code. Job Level: Non-Manager Exempt NAIM Access Workshift: Job Family: IFT > Engineering​/Dev Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

System Architecture
API Design
Mentorship
Direct Apply
Posted about 2 months ago
Elevance Health

Program Manager- Ohio Claims

Elevance Health•Columbus, Ohio, Mason, Ohio, Seven Hills, Ohio•Full-time
View Job
Compensation$55K - 90K a year

Oversee Medicaid claims process ensuring compliance and manage client-facing programs and regulatory reporting. | Bachelor's degree and 5+ years program/project management experience in client-facing roles with Medicaid/Medicare claims knowledge preferred. | Anticipated End Date: 2026-09-11 Position Title: Program Manager- Ohio Claims Job Description: Program Manager-Ohio MyCare Location: It is required to reside in Ohio. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The Program Manager will be responsible for Ohio Claims for Medicaid line of business, ensuring resolution to claims configuration issues, rate changes, compliance and contractual updates. Program managers typically support business strategies through an integrated portfolio of external client facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client facing program. How you will make an impact: Work collaboratively with claims teams, provider experience, utilization management, regulatory and call center leads to resolve issues and concerns as they relate to claims policies, reimbursement policies, codes requiring authorizations, and provider complaints. Accountable for on time delivery of regulatory reports related to claims (i.e. Prompt Pay, Claims Disputes and others). Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs. Researches applicable subject matter practices and remains aware of industry trends. Manages external client facing relationships and partners with corporate and regional business areas. Develops program success measures and performs periodic assessments of program success. Oversee the end-to-end claims process, including receipt, adjudication, payment, and performance reporting on claims timeliness, accuracy, backlog and provider payment compliance. Serve as the operational liaison with the state of Ohio, Provider Experience, and internal executive leadership. Minimum Requirements: Requires a BA/BS and minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Graduate degree preferred. Project management certification preferred. Strong understanding of Dual (Medicare and Medicaid) claims configuration & adjudication is strongly preferred. Experience with regulatory reporting development, accuracy, and submission preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $92,720.00 to $139,080.00. Location(s): Columbus, OH In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: BSP > Program/Project Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Program management
Project management
Stakeholder management
Direct Apply
Posted 2 months ago
Elevance Health

Information Security Sr Advisor - Automation Engineer

Elevance Health•Atlanta, Georgia, Indianapolis, Indiana, Louisville, Kentucky, Mason, Ohio, Grand Prairie, Texas•Full-time
View Job
Compensation$85K - 130K a year

Develop and implement enterprise information security policies and automation solutions for cloud-native services, design secure access and network solutions, and provide technical escalation support. | Bachelor's degree and 8+ years in systems administration and security with experience in access management, network security, and cloud technologies like AWS, Kubernetes, and Docker. | Anticipated End Date: 2026-09-11 Position Title: Information Security Sr Advisor - Automation Engineer Job Description: Location: Atlanta GA, Mason OH, Indianapolis IN, Grand Prairie TX, Louisville KY Hours: Standard Working hours Travel: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Position Overview: Develops, recommends, and implements enterprise information security policies, technical standards, guidelines, procedures, and integration solutions necessary to support secure cloud account provisioning, enterprise security platforms, and data at rest protection capabilities in compliance with established company policies, regulatory requirements, and generally accepted information security controls. Responsible for the design, development, and delivery of scalable cloud-native integration services, secure API frameworks, and automation solutions supporting enterprise encryption, access control, and secure transaction/messaging platforms across hybrid and cloud environments. How You Will Make an Impact: Supports system and network architecture initiatives for information and network security technologies Supports the development and execution of risk assessment methodologies to fit business, regulatory, and technical environment considerations Contributes to requirements gathering, system architecture, and software design activities for security products and services Assists with the discovery, evaluation, and response to emerging networking threats and security vulnerabilities Develops security incident response plans and strategies Provides trouble resolution and serves as point of technical escalation on complex problems Creates presentations and seeks IT management approval and acceptance of significant replacements or reconfigurations of major security systems serving the Enterprise May be assigned to project teams for technical consultation to business partners and developers Designs & engineers comprehensive access management and network security technical solutions based on business requirements and defined technology standards; works with architecture to update technology direction & strategy Develops reports supporting strategy and direction for management Capable of serving as technical merger & acquisition lead Acts as a subject matter expert among peers, with manager and senior management Must be capable of providing top-tier support for 5 or more of the information security technology common body of knowledge skill sets: 1) Access Control, 2) Application Security, 3) Business Continuity and Disaster Recovery Planning, 4) Cryptography, 5) Information Security and Risk Management 6) Legal, Regulations, 7) Compliance and Investigations, 8) Operations Security, 9) Physical (Environmental) Security, 10) Security Architecture and Design, 11) Telecommunications and Network Security Designs and develops secure integration services connecting cloud account/project provisioning systems, ServiceNow workflows, middleware platforms, and enterprise security tooling through APIs Builds resilient cloud-native automation services with observability, retry logic, fault tolerance, and secure service-to-service communication across distributed systems Develops and deploys containerized applications leveraging Kubernetes/EKS, CI/CD pipelines, Infrastructure as Code, and DevSecOps best practices Required Qualifications: Requires BS/BA in information Technology or related field of study and a minimum of 8 years experience in systems administration and security aspects of information systems, access management and network security technologies, network communications, computer networking, telecommunications, systems development and management, hardware, software, data, and people; experience with multiple technical and business disciplines required; requires broad-based experience to plan and design highly complex systems; or any combination of education and experience, which would provide an equivalent background. Preferred Qualifications: Experience developing integrations and automation services using Python, Java, or Go Experience building and consuming REST APIs and integrating with enterprise security platforms via APIs Experience with AWS cloud technologies including EKS, IAM, and secure cloud-native architectures Must have experience with Docker, Kubernetes, and containerized application deployments Preferred experience with CI/CD pipelines including GitHub Actions, Jenkins, or GitLab CI Preferred experience with Infrastructure as Code tools such as Terraform Strongly preferred experience implementing secure development practices including secrets management, dependency scanning, and code analysis Preferred experience with ServiceNow integrations, workflows, and middleware orchestration platforms Preferred experience with event-driven architectures including Kafka, SNS, and SQS Strongly preferred understanding of distributed systems, resiliency patterns, fault tolerance, and observability practices Must be a team player and participate as a team member in the automation and development process Security Certifications: CISSP and other advanced technical security certifications (e.g. Information Systems Security Architecture Professional, Information Security Engineering Professional, Certification and Accreditation Professional, or equivalent certifications) strongly preferred Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: IFT > IT Security & Compliance Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Information security
Automation engineering
Cloud security
Access control
Network security
Direct Apply
Posted 2 months ago
EH

AI Solutions Engineer Lead

Elevance Health•Tampa, Florida, Atlanta, Georgia, Indianapolis, Indiana, Mason, Ohio•Full-time
View Job
Compensation$90K - 150K a year

Lead development and architecture of agentic AI solutions, drive AI adoption, manage technical strategy, mentor teams, and ensure system reliability. | Bachelor's degree with 9+ years experience, strong AI-enabled systems proficiency, software engineering fundamentals, and preferred regulated industry experience. | Anticipated End Date: 2026-09-04 Position Title: AI Solutions Engineer Lead Job Description: AI Solutions Engineer Lead Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The AI Solutions Engineer Lead(Engineer Lead Senior) is responsible for leading the end to end application system development and maintenance on large complex enterprise wide technology platforms. This role requires a strong hands-on engineer with deep experience building AI-enabled systems and using AI agents and coding assistants across the SDLC (planning, design, implementation, testing, deployment, and production support). The ideal candidate will drive adoption of AI capabilities across the portfolio, establish best practices, and mentor teams to scale AI-enabled engineering. How You Will Make an Impact Primary duties may include, but are not limited to: Lead development and architecture of agentic AI solutions, including orchestration, tool integration, and reusable enterprise patterns. Daily or weekly use of AI coding tools such as GitHub Copilot, Cursor, Claude Code, ChatGPT, Codex-style agents, or similar. Define and implement model evaluation frameworks (quality, accuracy, safety, and performance metrics) and guide teams on continuous improvement. Demonstrates knowledge of industry trends, responsible AI, data privacy, and secure handling of sensitive information. Improve AI output quality through prompt optimization and model tuning. Maintains active relationships with customers to determine business requirements, leads requirements gathering meetings and reviews designs with the business. Anticipates broad technical change and ensures that company technology stays ahead of the curve. Understands the entire architecture for a major part of our business and is able to articulate the scaling and reliability limits. Owns the change request process and coordinates with other teams as necessary. Develops and owns list of final enhancements. Develops and defines application scope and objectives and supervises the preparation of technical and/or functional specifications from with programs will be written. Performs technical design reviews and code reviews. Ensures unit test is completed and meets the test plan requirements, system testing is completed and system is implemented according to plan. Responsible for delivery of application technology solutions and data information planning effort. May participates in developing the multi-year technology strategy for critical areas of the business that may encompass multiple systems. Partners with technical and non technical stakeholder to identify the long term technical trajectory of the technology infrastructure. Creates architecture and anticipates future technology needs. Leads the conversations internally about the direction of major areas of the technology, drives wide-team consensus to the adoption of this direction, and uses this direction when engaging engineers. Coordinates and manages on-call support and owns the system monitoring process. Reviews and monitors initiatives for end to end impact and coordination. Participates in review and decision making for enterprise solutions. Minimum Requirements: Requires a BA/BS degree in Information Technology, Computer Science or related field of study, and a minimum of 9 years experience; experience with multi dimensional platforms, and business and technical applications required; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Experience mentoring others, driving teams to achieve results, leading multiple and/or large projects, and provide troubleshooting support strongly preferred. Multi database and/or multi language strongly preferred. Experience with US healthcare, payer, claims, clinical, HIPAA, PHI, regulated industry, or enterprise security experience. Project leadership experience including Agile project management, Scaled Agile Frameworks (SAFE). Knowledge of Agile/SAFe delivery and portfolio management tools. Strong communication skills and ability to explain AI concepts to non‑technical audiences. Experience integrating AI into tools such as JIRA or similar delivery platforms. Strong software engineering fundamentals including, cloud-native development, APIs and microservices, CI/CD, automated testing, and secure SDLC strongly preferred. Experience building or integrating AI agents, tool/function calling, RAG, memory, model routing, evaluations, guardrails, observability, and secure API/tool access strongly preferred. Experience building LLM or SLM applications. Ability to review, test, and harden AI-generated code. Job Level: Non-Manager Exempt NAIM Access Workshift: Job Family: IFT > Engineering​/Dev Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

AI solutions architecture
Agentic AI
GitHub Copilot
Prompt optimization
Model tuning
SDLC
Agile project management
Cloud-native development
APIs
Microservices
CI/CD
Automated testing
LLM applications
Data privacy
Mentoring
Technical leadership
Direct Apply
Posted 2 months ago
EH

Engineer Senior

Elevance Health•Atlanta, Georgia•Full-time
View Job
Compensation$55K - 120K a year

Lead end-to-end delivery of complex application and system development, including requirements gathering, technical design, code reviews, and mentorship. | Bachelor's degree and 5+ years experience in multi-technology platforms and business applications. | Anticipated End Date: 2026-08-21 Position Title: Engineer Senior Job Description: Engineer Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report our Pulse Point location in Atlanta, GA. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Engineer Senior is responsible for delivery of end-to-end application, system development and maintenance on complex multi technology platforms within assigned client group, business unit or corporate department and utilizing various customer technology platforms. How you will make an impact: Maintains active relationships with customers to determine business requirements and leads requirements gathering meetings. Owns the change request process and may coordinate with other teams as necessary. Provides technical advice and weighs in on technical decisions that impact cross-functional teams. Researches and proposes new technologies. Develops and owns list of final enhancements. Develops and defines application scope and objectives and prepares technical and/or functional specifications from with programs will be written. Performs technical design reviews and code reviews. Owns technical testing to ensures unit test is completed and meets the test plan requirements, system testing is completed and system is implemented according to plan. Assesses current status and supports data information planning. Coordinates on-call support and ensures effective monitoring of system. Maintains technical development environment. Mentors others and may lead multiple or small to medium sized projects. Sets direction at the project/service level and influences decision-making. Provides technical guidance, and mentoring. Understands the tradeoffs between technical, analytical and product needs of the technical solutions. Identifies and propose strategies around technical problems affecting team, communicates standards and gets buy-in on solutions. Facilitates group sessions to elicit complex information on requirements clarification, design sessions, code reviews and troubleshooting issues. Supports vendor evaluation. Minimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years related experience; multi-dimensional platform experience; expert level experience with business and technical applications, or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Experience mentoring others, leading multiple small projects and providing troubleshooting support highly preferred. Experience with Machine Learning, LLM and GenAI highly preferred. Experience with AWS and equivalents highly preferred. Experience with Python and SQL equivalents highly preferred. Experience with Healthcare and Medicare highly preferred. Experience with Causal Inference highly preferred. Job Level: Non-Management Exempt Workshift: Job Family: IFT > Engineering​/Dev Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Python
AWS
Mentoring
Direct Apply
Posted 3 months ago
Elevance Health

Lead Engineer

Elevance Health•Atlanta, Georgia•Full-time
View Job
Compensation$70K - 120K a year

Lead end-to-end delivery and maintenance of enterprise technology platforms, including requirements gathering, design reviews, and AI system implementation. | Bachelor's degree in IT or related field and minimum 7 years of experience in multi-platform environments. | Anticipated End Date: 2026-08-31 Position Title: Lead Engineer Job Description: Lead Engineer Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Lead Engineer is responsible for full delivery of end-to-end system development and maintenance on medium Enterprise-wide technology platforms, and delivery of application technology solutions and data information planning effort. How you will make an impact: Maintains active relationships with customers to determine business requirements and leads requirements gathering meetings. Leads efforts with Web and marketing team to increase the presence of web products. May implement improvements in stability, performance, and scalability across major business-critical systems. May implement process to reduce barriers and roadblocks in projects, services, and processes in order to operate more efficiently. Owns the change request process and coordinates with other teams as necessary. Develops and owns list of final enhancements. Develops and defines application scope and objectives and supervises the preparation of technical and/or functional specifications from with programs will be written. Performs technical design reviews and code reviews. Ensures unit test is completed and meets the test plan requirements, system testing is completed and system is implemented according to plan. Responsible for delivery of application technology solutions and data information planning effort. Coordinates and manages on-call support and owns the system monitoring process. Owns the technical development environment and works on the Enterprise team. Leads multiple or large projects and facilitates large group JAD sessions for requirements, modeling in several disciplines. Leads vendor evaluation and analysis. Creates architectural solutions that articulate the business context, conceptual design, and component-level logical design. Recommends new technologies based upon business value drivers and return on investment Drives new technologies towards implementation and exploitation Works on infrastructure improvements for the application along with devops & development teams Works with product owners, performance testing team and dev leads to improve application performance and improve security Establishes overall systems architecture vision and ensures specific components are appropriately designed and leveraged Contributes to the holistic vision of Enterprise Architecture. Defines architecture standards and anticipate areas where architecture standards may need to be developed that are in-line with customer, IT and industry standards. Directs the construction of architecture components (e.g., data architecture, application architecture, technical architecture). Works with business units to translate business strategy into discrete requirements compatible with current technical architectures. Defines systems, technical, and application architectures for new strategic initiatives; Develops and maintains an architectural blueprint and evolutionary roadmap that defines and communicates the strategic direction for these architectures in support of business and technical strategies. Explains how the roadmap maintains and delivers cost effectiveness, business value, and competitiveness. Estimates effort and cost for small to large initiatives. Creates MCP tools and AI agents for Agentic ecosystem using Node/Python. Build API gateway and AI gateway. Build AI based systems such as chatbots & workflow automations. Identifies opportunities to leverage AI efficiently and securely and improve team productivity. Creates End to End solution architecture for small to large initiatives by collaborating with all necessary teams. Minimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 7 years related experience; multi platform, and multi-dimensional experience required, as well as experience with business and technical applications; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Experience mentoring others and providing troubleshooting support is strongly preferred. Multi database and/or multi language strongly preferred. AWS Certified Solutions Architect is preferred Ability to produce physical architecture diagrams and recommend feasible improvements preferred. Ability to work with dev team to come up to have a good backlog of tech debt features to improve application preferred. Job Level: Non-Management Exempt Workshift: Job Family: IFT > Engineering​/Dev Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

System development
Technical design reviews
Code reviews
Architecture design
API gateway
Direct Apply
Posted 3 months ago
Elevance Health

Financial Operations Recovery Specialist I/II/III

Elevance Health•Tampa, Florida, Atlanta, Georgia, Indianapolis, Indiana, Durham, North Carolina, Mason, Ohio, Norfolk, Virginia•Full-time
View Job
Compensation$55K - 75K a year

Responsible for discovery, validation, and recovery of claims overpayments through audits and reporting. | Requires high school diploma and 4+ years in claims processing or customer service, with preference for associate degree. | Anticipated End Date: 2026-08-31 Position Title: Financial Operations Recovery Specialist I/II/III Job Description: Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Financial Operations Recovery Specialist I/II/III is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits, collections, overpayment vendor validation, and claim adjustments. How you will make an impact: Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or other research. Interacts with staff and management from other departments on a regular basis to ensure customer satisfaction. May work with recovery and collection vendors to validate overpayments, validate vendor invoices and provide feedback to modify queries when needed. Works closely with contract managers to identify and correct contractual issues, if applicable. Handles complex case research and resolution. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. May review and monitor associates work for quality standards. May review department policy and procedure manuals for accuracy and works to ensure procedures and polices are accurate and complete. Assists in special projects to find and prevent overpayments and to identify process improvements. Completes special projects as assigned with minimal supervision. Researches voluntary refunds for accuracy. Requires accurate balancing of all accounts. Minimum Requirements: Requires a H.S. diploma or equivalent and a minimum of 4 years of claims processing and/or customer service experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: AA/AS or higher level degree preferred. Experience with systems such as Facets, CIW, CCert, ACR, Work IQ, BlueSquared, and WGS preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: AFA > Financial Operations Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

claims processing
customer service
data accuracy review
Direct Apply
Posted 3 months ago

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