Elevance Health

Platform Engineer

• Engineer and implement efficient, scalable systems
• Collaborate with teams to deliver solutions
• Implement improvements in stability, performance, and scalability
• Participate in change request processes
• Develop application scope and objectives and prepare specifications

Lead Platform Engineer

Sales

• Provides general administrative support to the sales teams.
• Gathers, scrubs, inputs, and tracks sales data to ensure it is complete and accurate.
• Generates reports for brokers, clients and sales teams.
• Engages and fosters relationships with internal and external partners.
• Completes projects as requested by the sales teams.
• Coordinates with proposal units on request for proposal (“RFP”) responses to brokers and groups and maintains various system updates for proposal and sales activity.
• Researches and resolves routine sales, claims, and benefit issues.

Sales Support Coordinator

Director

• Directs the enterprise payor contracting strategy for a specialty pharmacy organization
• Ensures standardized and approved processes are utilized for payor relationship management, contract negotiation, network participation strategy, and reimbursement optimization
• Develops and leads a comprehensive contracting strategy aligned with growth goals across specialty pharmacy
• Serves as a strategic advisor to executive leadership on PBM and specialty network trends
• Leads complex negotiations with national and regional PBMs and specialty networks
• Oversees contract modeling, financial impact analysis, approval governance, and ongoing performance monitoring
• Partners with finance and analytics to evaluate pharmacy benefit reimbursement methodologies
• Acts as the primary liaison between contracting and internal stakeholders
• Leads, mentors, and develops a team of payor contracting professionals

Director of Payor Contracting – Specialty

Consultant

• Serves as an expert in data analysis, reporting and formulating recommendations
• Provides guidance to other data analysts
• Performs established analysis for routine diagnoses of quality, use, cost and other variables for opportunity assessments
• Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data)
• Creates and publishes periodic reports, as well as any necessary ad hoc reports
• Executes identification and stratification algorithm to select the right members for the targeted solution
• Provides analytic consultation to other business areas, leadership, or external customers

Business Information Consultant – Post-Acute Solutions Support

Bilingual

• Provides primary and urgent health care via telephone and tele video modalities to patients
• Collaborates with company physicians, the patient’s other physicians and providers, and their family members
• Develops and implements clinical plans of care for adult patients facing chronic and complex conditions
• Gathers history and physical exam and diagnostics as needed
• Educates patients and families about medication usage, side effects, illness progression
• Maintains contact with other clinical team members, patients’ other physicians and other medical providers

Nurse Practitioner, Bilingual

Financial Planning and Analysis

• Managing the daily operations of a recovery team in the area of Subrogation
• Meeting team recovery targets and ensuring compliance with all applicable policies and procedures related to Subrogation
• Maintaining high production standards, achieving subrogation recovery goals, anticipating industry trends and improving existing processes
• Developing staffing models to meet needs of current and future business lines
• Anticipating problems and opportunities within the units managed and determining resolutions
• Acting as a mentor for others
• Creating and developing partnerships with other departments including Finance, Intake, Training, Quality, Legal and Data Analysis
• Hiring, training, coaching, counseling, and evaluating performance of direct reports

Manager II – Financial Operations, Subrogation

Manager

• Ensures member access to services appropriate to their health needs
• Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment
• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements
• Coordinates internal and external resources to meet identified needs
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary
• Interfaces with Medical Directors and Physician Advisor's on the development of care management treatment plans
• Assists in problem solving with providers, claims or service issues
• Assists with development of utilization/care management policies and procedures

Nurse Case Manager I

• 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
• Ensures change communications are developed and distributed to all impacted stakeholders

Business Change Manager – Behavioral Health

• Managing key components of the provider reimbursement strategy and policy
• Ensures accurate adjudication of claims, by translating various complex coding, business and billing rules and standards into effective and accurate reimbursement policies
• Serves as subject matter expert regarding reimbursement policies, edits, behavioral health standards, billing, and coding conventions
• Leads policy development for specific plan(s) and/or the development and implementation of behavioral health reimbursement policy rules
• Works with multiple business areas to ensure that accurate cost of care targets are incorporated into the company's financial plans
• Performs and/or directs complex research to ensure that projected changes meet corporate cost targets
• Prepares and presents cost of care data analysis to support regions cost of care initiatives
• Develops and maintains the provider reimbursement policies that will lower the cost of care, improve service, and reduce administrative expenses
• Manages special projects and initiatives

Provider Reimbursement Manager – Behavioral Health

Engineer

• Leads requirements gathering meetings and reviews designs with the business
• Leads efforts with Web and marketing team to increase the presence of web products
• Implements improvements in stability, performance, and scalability across major business-critical systems
• Owns the change request process and coordinates with other teams
• Develops and defines application scope and objectives and supervises the preparation of technical specifications
• Performs technical design reviews and code reviews
• Ensures unit test is completed and meets the test plan requirements
• Responsible for delivery of application technology solutions

Lead Engineer

• Delivery of end to end system development and maintenance on complex technology systems
• Maintains active relationships with internal and/or external stakeholders to develop business requirements
• Analyzes and classifies complex change requests and identifies and documents possible system code enhancements
• Collaborates with engineers and graphic designers
• Reviews and evaluates possible enhancements

Engineer III

Full-stack Engineer

• Responsible for shipping, evaluating, securing, and supporting real systems
• Development on agentic AI engineering technology
• Collaborates with engineers and graphic designers
• Codes and maintains complex components of information systems
• Provides on call support and monitors the system

AI-Native Software Engineer

• Responsible for shipping, evaluating, securing, and supporting real systems
• Developing on agentic AI engineering technology
• Daily or weekly use of AI coding tools such as GitHub Copilot, Cursor, Claude Code, ChatGPT, Codex-style agents, or similar
• Model evaluation and quality measurement
• Maintains active relationships with customers to determine business requirements and leads requirements gathering meetings

Senior AI-Native Software Engineer Advisor

Program Manager

• Serves as a liaison with and oversees quality improvement activities/projects/programs for one or more states within a major line of business
• Leads state level quality strategy meetings and develops a quality plan
• Works with the clinical intervention team to design studies to identify barriers to medical interventions
• Develops performance improvement plans and oversees clinical quality improvement activities/projects
• Assures compliance with corporate QI work plans
• Maintains effective documentation of research programs to meet regulatory and Accreditation Standards
• Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results
• Oversees quality improvement activities for the largest, most complex state programs

Clinical Quality Program Manager

Designer

• Consults with business leaders to understand business needs.
• Provides creative input in the strategic development of all types of communication and marketing materials, and offers design efficiency recommendations to help achieve goals.
• Collaborates and partners with business leaders and all areas of marketing to ensure a consistent message.
• Develops creative ideas and solutions to meet customer needs.
• Originates design layout and executes creative plans.
• Uses graphic design software applications to produce printed/digital sales and marketing materials, multimedia solutions, and/or interactive experiences.
• Supports business initiatives, and identifies process improvement opportunities.
• Acts as project lead for all complex assignments.
• May provide guidance or direction to team members.
• May consult directly with clients and team members on all projects in progress within the department.
• Develops creative concepts that are on strategy and that break through across channels.
• Collaborates with a copywriting partner to produce thoughtful engaging executions.
• Supports and cares for the tone and identity of our brands.
• Originates design layout and executes creative plans.
• Produces a wide range of deliverables, including social media, digital display, landing pages, videos, and print collateral materials.