Carelon Global Solutions Philippines

Manager

• Provides oversight of a customer service unit
• May be responsible for establishing department policies and procedures
• Audits to monitor efficiency and compliance with policies; prepares specialized reports
• Hires, trains, coaches, counsels, and evaluates performance of direct reports

Manager, Training

Systems Engineer

• Manage multiple applications throughout their lifecycle including tasks such as installation, updating, patching, and overseeing the software and hardware components necessary for application operation
• Streamline processes, improve efficiency, and enhance productivity within the organization
• Act as a subject matter expert and provide guidance to others
• Ensure proper functioning of Control M platform, all core components including Server, EM, CCM, Agents, GUI, etc.
• Create and manage Node Groups and User and Group administration
• Manage upgrades to new versions of Control-M and migrate workflows to new platforms
• Evaluate system performance and recommend improvements
• Create recovery solutions during major outages
• Conduct daily analysis and reporting of the production
• Resolve high-priority issues related to Control M.

BMC Control M Administration, Systems Analyst

Administration

• Administer and support Microsoft ADCS environments (Enterprise/Standalone CAs, Subordinate CAs, issuing CAs).
• Manage certificate lifecycle: issuance, renewal, revocation, CRLs, OCSP, key archival/recovery (as applicable).
• Operate and troubleshoot certificate templates, auto-enrollment, enrollment agents, and Group Policy–based deployment.
• Maintain CA health and availability: monitoring, capacity planning, patching, service recovery, and performance tuning.
• Manage and secure CA private keys, including HSM integration, key ceremonies, and backup/restore procedures.
• Publish and validate CRL/AIA locations; ensure proper distribution and client retrieval across networks.
• Implement and maintain PKI policies and standards aligned with security and compliance requirements.
• Integrate ADCS with enterprise platforms (examples: Windows authentication, IIS, NPS/RADIUS, VPN, Wi-Fi 802.1X, Intune/MDM, SCEP/NDES, load balancers, Linux services as needed).
• Support certificate needs for internal services (TLS/SSL), code signing, device certs, and user certs.
• Create automation for certificate operations using PowerShell (and/or other tooling), and document operational runbooks.
• Participate in audits, incident response, vulnerability remediation, and continuous improvement for PKI controls.
• Provide Tier 3 support and root-cause analysis for certificate-related outages and authentication issues.

ADCS Administrator – Associate Architect III

AI Engineer

• Collaborate with cross-functional teams, including data scientists and product managers, to acquire, process, and manage data for AI/ML model integration and optimization.
• Design and implement robust, scalable, and enterprise-grade data pipelines to support state-of-the-art AI/ML models.
• Debug, optimize, and enhance machine learning models, ensuring quality assurance and performance improvements.
• Operate container orchestration platforms like Kubernetes, with advanced configurations and service mesh implementations, for scalable ML workload deployments.
• Design and build scalable LLM inference architectures, employing GPU memory optimization techniques and model quantization for efficient deployment.
• Engage in advanced prompt engineering and fine-tuning of large language models (LLMs), focusing on semantic retrieval and chatbot development.
• Document model architectures, hyperparameter optimization experiments, and validation results using version control and experiment tracking tools like MLflow or DVC.
• Research and implement cutting-edge LLM optimization techniques, such as quantization and knowledge distillation, ensuring efficient model performance and reduced computational costs.
• Collaborate closely with stakeholders to develop innovative and effective natural language processing solutions, specializing in text classification, sentiment analysis, and topic modeling.
• Stay up-to-date with industry trends and advancements in AI technologies, integrating new methodologies and frameworks to continually enhance the AI engineering function.
• Contribute to creating specialized AI solutions in healthcare, leveraging domain-specific knowledge for task adaptation and deployment.

Senior Software Engineer III – AI

Full-stack Engineer

• Contribute to planning and execution for API testing, DB testing, and test automation workstreams, supporting sprint planning inputs, milestone tracking, and delivery forecasting for releases.
• Support delivery governance by providing accurate technical updates for plans and RAID items; proactively raise risks and dependencies related to test data, environment readiness, and automation stability.
• Drive end-to-end SDLC testing execution: requirements/test scenario readiness, test design, automation development, peer reviews, test strategy (smoke/regression), release sign-off support, and production validation/hypercare.
• Design and maintain an automation framework for API and integration testing (functional + negative + contract), and integrate automated suites into CI/CD for continuous testing and reporting.
• Perform and automate database testing: data validation, reconciliation between source/target, SQL-based checks, data quality rules, and downstream impact analysis (including Snowflake validations where applicable).
• Drive engineering excellence and compliance by improving defect leakage/DRE, cycle time, and release stability, while ensuring alignment with security, privacy, and healthcare compliance expectations in partnership with InfoSec/Compliance.

Senior Software Engineer III – API Testing

Backend Engineer

• Support program planning and execution across multiple Java middleware, AWS, and Snowflake workstreams, including roadmap tracking, milestone management, and delivery forecasting.
• Drive delivery governance by maintaining integrated plans, RAID logs, action/decision logs, and proactively escalating risks and dependency conflicts.
• Coordinate end-to-end SDLC execution: requirements readiness, sprint/release planning, integration coordination, UAT readiness, production release planning, and hypercare/production support coordination.
• Own stakeholder communications and reporting: weekly status, executive summaries, KPI dashboards, and clear visibility into progress, blockers, and next steps.
• Facilitate core delivery forums/ceremonies (team syncs, sprint reviews, retros, release readiness checkpoints, stakeholder connects) and ensure follow-ups/closure on actions.
• Track and drive improvements in engineering excellence metrics (velocity trends, cycle time, defect leakage/DRE, release stability) while ensuring alignment with healthcare security, privacy, and compliance expectations (in partnership with InfoSec/Compliance).

Java Middleware, Team Lead II

Operations

• Lead and support high-impact business transformation programs across the organization, aligning with business objectives and delivering on MBOs/goals for assigned portfolios.
• Build strong relationships with senior leaders, initiative owners, and partner ecosystems to influence decision-making and ensure seamless execution.
• Drive the full lifecycle of transformation projects—Discover, Design, and Deploy—prioritizing initiatives that deliver maximum business value.
• Apply advanced process reengineering, Lean Six Sigma, and Design Thinking principles to conceptualize and implement innovative solutions.
• Conduct market research, develop Points of View (PoVs) on emerging trends in the healthcare value chain, and recommend strategies to enhance consumer experience.
• Champion quality frameworks, risk management, and operational controls while leveraging benchmarking and best practices to sustain improvements.

Manager, Process Improvement

Software Engineer

• Assist in delivering business transformation initiatives by supporting the Discover–Design–Deploy lifecycle, ensuring timely resolution and measurable impact.
• Work closely with initiative leaders, cross-functional teams, and partner ecosystems to drive alignment and facilitate smooth project delivery.
• Conduct data analysis to identify process gaps, quantify improvement opportunities, and prepare KPI dashboards and executive-level reports.
• Apply Lean Six Sigma and Design Thinking principles to support process reengineering and continuous improvement efforts.
• Perform market research and contribute to Points of View (PoVs) on healthcare trends and consumer experience enhancements.
• Support quality frameworks, risk management, and operational controls while leveraging best practices and benchmarking to sustain improvements.

Assistant Manager, Process Engineering

Claims Specialist

• Evaluates and processes claims in accordance with company policies and procedures, as well as to productivity and quality standards.
• Consistently maintains production and quality standards based on quality control expectations.
• Adaptability in cross training and multiple tasking.
• Responsible for the accurate and timely processing of claims.
• Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies.
• Flexible to work in any shift & in office premises per set organizational/Business requirements.

Junior Claims Associate

• Lead the design and delivery of cloud-native data platforms using Snowflake and AWS
• Own technical direction across Snowflake data warehousing, engineering excellence
• Architect and implement data platforms on AWS with strong security and governance
• Design and optimize Snowflake models and workloads
• Establish engineering standards
• Drive estimation, planning, and delivery execution
• Mentor engineers and raise the bar through design reviews

Tech Lead II – Snowflake, AWS

• Design and implement predictive analytics models to identify data anomalies in Claims, Eligibility, and other critical datasets in Big Data Platform.
• Collaborate with cross-functional teams to understand data sources and Data Quality objectives.
• Develop and optimize machine learning algorithms to improve data accuracy and operational efficiency.
• Deploy machine learning models and ensure their scalability and robustness in a production environment.
• Continuously monitor and refine models to maintain data quality and performance.
• Document the development process and produce comprehensive reports on analytics findings.

Senior Software Engineer – Big Data, AWS

• Design, develop, and maintain scalable data solutions using Snowflake and Microsoft Data Fabric.
• Build and optimize complex SQL queries, views, and transformations for large‑scale healthcare datasets.
• Develop and manage data pipelines, semantic models, and data products using Microsoft Data Fabric components (Lakehouse, Dataflows, Warehouses, Pipelines).
• Analyze healthcare data (claims, eligibility, provider, clinical, pharmacy) to support reporting, analytics, and business insights.
• Collaborate with business analysts and stakeholders to translate healthcare business requirements into technical data solutions.
• Ensure data quality, accuracy, performance optimization, and adherence to healthcare data standards.
• Perform root‑cause analysis for data issues and implement robust, scalable fixes.
• Support UAT, data validation, reconciliation, and production support activities.
• Ensure compliance with healthcare regulations and internal data governance standards (HIPAA, PHI/PII handling).

Software Engineer II

Compliance

• Conduct and synthesize 50-state legal research on licensing and regulatory requirements for HMO, Insurer, TPA, UM, and PBM activities (including scope, definitions, exemptions, and operational obligations).
• Prepare clear internal guidance (memos, matrices, summaries) translating statutes/regulations, bulletins, and DOI guidance into practical requirements.
• Manage or support state licensing lifecycle activities: new applications, renewals, amendments, change of control/ownership, name/address changes, officer and director changes, reporting, attestations, and surety bonds.
• Coordinate licensing submissions with onshore associates, including tracking status, responding to deficiency letters, and maintaining regulatory correspondence.
• Partner with business stakeholders to understand products/operations and determine when activities trigger licensure or related registrations.
• Monitor and communicate changes in laws, regulations, and regulator guidance; propose action plans to maintain compliance.

Senior Associate, Risk and Compliance

Program Manager

• Lead the strategic vision, design, and execution of change and programs involving transformation across global platforms, systems, applications, tools, and technologies
• Ensure consistent and proactive engagement with senior leadership, cross-functional teams, and impacted stakeholders to build trust, reduce resistance, and drive adoption of change initiatives
• Govern Strategic Initiatives Across Business Units involving program management for critical initiatives spanning CGS, Carelon, and Commercialization customers
• Build Ecosystems for Thought Leadership and Capability Development
• Demonstrated ability to strategically partner with multiple internal and external stakeholders to achieve superior results.

Associate Director, Change Management

Attorney

• Lead end-to-end lifecycle of commercial contracts including drafting, reviewing, negotiating, and execution
• Mitigate contractual risks and ensure alignment with company policies
• Collaborate closely with business, HR, CRE, Finance, Procurement teams, Admin, Security teams
• Drafting of criminal complaints, Legal Notices, replies to notices issued by statutory/government bodies etc.
• Provide strategic legal guidance to internal stakeholders on business operations and risk mitigation
• Support policy development, implementation and data governance
• Liaise with external legal counsel and manage litigation and dispute resolution processes
• Develop and standardize contract templates and playbooks
• Provide legal guidance on employment laws, HR policies, disciplinary proceedings, actions, and employee disputes
• Act as a trusted advisor to leadership on legal risks and business decisions
• Drive legal awareness and training across teams
• Prepare reports and presentations for senior management