Carelon Global Solutions Philippines

Security Engineer

• Partner with the CGS BISO to drive implementation and adoption of Elevance Health Information Security standards across CGS, with emphasis on commercialization initiatives and new infrastructure.
• Act as a security enabler for CGS commercialization efforts, ensuring security requirements are integrated early and effectively into solution design and delivery.
• Ensure that future-state CGS platforms and infrastructure meet enterprise security expectations while supporting business growth and innovation.
• Provide hands-on guidance to ensure security standards are actionable, achievable, and consistently applied.
• Support CGS commercialization programs by ensuring security requirements are clearly defined, communicated, and implemented across business and IT teams.
• Partner with architecture, engineering, and business stakeholders to embed security controls into new commercial infrastructure and solutions.
• Ensure that both business objectives and IT delivery requirements are aligned with enterprise InfoSec standards.
• Identify gaps in security implementation within commercialization efforts and drive remediation and alignment.

Information Security Governance – Associate Architect II

Full-stack Engineer

• Strong experience in Application Design and Development: To design and develop scalable, secure and high-performance applications using .NET MVC, .NET Core and C# and implement Microservices and Restful API architecture.
• Hands-on experience with end-to-end Development and Maintenance: Proficient in front end and back-end technologies like .NET and SQL/Snowflake databases.
• Should possess excellent analytical and problem-solving skills and a quick ability to understand the existing processes flow.
• Familiar with BitBucket for version control, Bamboo for continuous integration, Jira for issue tracking, and Confluence for documentation.
• Capable of designing and implementing end to end functionality flows to improve efficiency and reusability.
• Ability to work on time bound items and deliver high-quality software products within the stipulated time.
• To work closely with the business, QA and different downstream systems to gather requirements and deliver accurate solutions and to perform code review activities and full-fledged technical guidance to the team.

C# Tech Lead II

• 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).

Senior Software Engineer II

Copywriter

• Responsible for creating campaigns, short-and long-form thought leadership and recruiting content including trends/best practice articles, blogs, whitepapers, applicant success stories/case studies, emails, social posts, video scripts, and other assets align with the organization’s strategic priorities and goals with measurable results to elevate the Carelon brand internally and externally.
• Research and identify interesting story angles (combining online sources, interviews and studies) aligned to audience need and interests.
• Interview leaders, subject matter experts and other sources to craft analytical, accessible content and customize content for internal and external channels.
• Coordinate with design teams to illustrate articles.
• Identify organization’s needs and gaps in content and recommend new topics.
• Create inspiring internal messaging to highlight employee successes and drive engagement.
• Custodian of the corporate brand – guidelines, style guide, template and ensure that all assets are compliant with the brand guide.

Technical Project Manager

• Lead end-to-end execution of data and technology workstreams supporting strategic business initiatives
• Translate business and product requirements into actionable delivery plans, including data sourcing, transformation, and integration requirements
• Act as a hybrid Project Manager / Product Owner by managing backlog prioritization, sprint planning, and stakeholder alignment
• Coordinate dependencies across multiple teams, including data engineering, architecture, analytics, and business stakeholders
• Partner with engineering teams to design and deliver scalable data pipelines and platforms across modern data ecosystems
• Drive data discovery, mapping, and documentation efforts
• Ensure alignment on data models, standards, and quality across upstream and downstream systems
• Collaborate with analytics teams to define KPIs, metrics, and reporting frameworks
• Establish governance practices, operating cadences, and documentation standards to support ongoing data and technology initiatives
• Maintain transparent reporting through dashboards, status updates, and executive-level communications on milestones, risks, and outcomes
• Serve as a liaison between technical and business teams
• Proactively identify risks, bottlenecks, and optimization opportunities

Business Analyst

• Engage with business stakeholders to elicit, analyze, and document business and data requirements within the US Healthcare domain.
• Prepare and maintain Business Requirement Documents (BRDs), functional requirements, data requirement documents, and supporting artifacts.
• Perform data analysis using strong SQL (Snowflake or similar platforms) to validate requirements, analyze source data, and support business questions.
• Analyze healthcare claims data (medical, pharmacy, eligibility, provider) to identify trends, data gaps, anomalies, and improvement opportunities.
• Translate business needs into clear data requirements, including field definitions, logic, transformations, and business rules.
• Work closely with data engineering, reporting, and analytics teams to ensure accurate implementation of business and data requirements.
• Support UAT, data validation, and reconciliation by validating outputs against business rules and source data.
• Ensure data quality, consistency, and compliance with healthcare regulations and standards, including HIPAA.
• Provide explanations and walkthroughs of data outputs and metrics to business users to support informed decision‑making.
• Act as a key liaison between business and technology teams to ensure alignment and timely delivery.

Senior Business Analyst

• 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).
• Contribute to design reviews, code reviews, and best practices for data engineering and analytics solutions.

Senior Software Engineer II – Snowflake, Data Fabric

• Build and deploy scalable LLM, RAG, and agent-based systems
• Architect LLM inference and deployment pipelines
• Optimize models for efficient and cost-effective production
• Collaborate with data science, research, and product teams
• Ensure clean code, testing, reproducibility, and CI/CD
• Mentor junior engineers and drive engineering best practices
• Ensure ethical, secure, and responsible AI development

Software Engineer III – Artificial Intelligence

Business Analyst I

Senior Software Engineer III – Artificial Intelligence

• 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).
• Contribute to design reviews, code reviews, and best practices for data engineering and analytics solutions