Elevance Health

Security Engineer

• In partnership with OCISO and Enterprise Architecture, author and evangelize whitepapers/position papers covering all facets of cloud security
• Lead the design of secure, scalable, and resilient cloud architectures across AWS, Azure, and/or GCP environments
• Define enterprise cloud security policies, standards, reference architectures, and engineering guardrails aligned with Elevance Health policies
• Design compliance-automation with healthcare regulations and frameworks (HIPAA, HITRUST, NIST, ISO)
• Design automated, secure patterns for IAM, encryption, network security, and zero trust architecture
• Lead threat modeling, risk assessments, and remediation strategies for cloud-based systems
• Champion DevSecOps practices; automated security testing, policy-as-code, and secure CI/CD pipelines
• Partner with enterprise architecture, application teams, and security organizations to embed security into the cloud SDLC
• Serve as a key advisor to leadership on cloud risk, strategy, and emerging technologies
• Partners with leadership to design processes that will shape the foundation for emerging cloud technologies
• Leads initiatives relating to cloud governance
• Recommends new technology solutions and products are delivered to stakeholders and align with enterprise strategic objectives
• Oversee the development and delivery of technical and/or functional specifications
• Oversee the technical design reviews and testing to architectural technologies for application solutions and products meet business requirements
• Assesses the compatibility and integration of solutions and products
• Provides continuous consulting services and direction on projects
• Champions and responsible for architectural standards, guidelines, principles, frameworks, and reference models.

Cloud Principal Engineer – Security

Financial Planning and Analysis

• Supporting all month-close functions including closing, analysis, and reporting
• Providing project leadership
• Reviewing and preparing interpretation of accounting transactions and results
• Preparing financial, business, and process presentations
• Identifying complex accounting problems or issues related to workflow processes, researching solutions, and implementing corrective steps
• Coordinating, managing, and leading complex projects and processes

Financial Accounting Analyst

Cloud Engineer

• Design and build secure, scalable, and resilient cloud architectures across AWS, Azure, and/or GCP.
• Implement and maintain infrastructure-as-code (Hashi, PHP, Python, MCPs) with embedded security controls.
• Build automated compliance solutions aligned to HIPAA, HITRUST, NIST, and ISO frameworks.
• Build and enforce secure patterns for IAM (PIM/PAM), encryption, secrets management, and network security w/zero trust.
• Develop and integrate DevSecOps pipelines, including SAST, DAST, and policy-as-code enforcement.
• Conduct hands-on vulnerability remediation and security hardening supporting cloud workloads.
• Build and enhance cloud-native platforms (containers, Kubernetes, service mesh) with integrated security controls.
• Write and maintain automation and platform code to improve scalability, reliability, and security posture.
• Lead debugging and resolution of complex cloud and security issues in production environments.
• Serve as a technical leader and mentor, providing code reviews, design guidance, and hands-on support for security related needs.
• 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.
• 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.
• 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.
• 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.
• Reviews and monitors initiatives for end to end impact and coordination.
• Participates in review and decision making for enterprise solutions.

Cloud Engineer Lead – Security

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 Advisors on the development of care management treatment plans.
• Negotiates rates of reimbursement, as applicable.
• Assists in problem solving with providers, claims or service issues.
• Assists with development of utilization/care management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and participates in interdepartmental and/or cross brand workgroups.
• May require the development of a focused skill set including comprehensive knowledge of specific disease process or traumatic injury and functions as preceptor for new care management staff.
• Participates in department audit activities.

Senior Telephonic Nurse Case Manager

Pricing Analyst

• Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities
• Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing
• Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention
• Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets
• Implements pricing in the system related to margin
• Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity
• Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines

PBM Pricing Strategy Analyst, Manager

• Define enterprise data platform architecture across multiple cloud providers.
• Author and evangelize whitepapers/position papers defining principals and strategies for data and data platforms at Elevance Health.
• Design scalable cloud solutions to host data platforms (lakehouse, warehouse, streaming).
• Partner with Data Engineering, Enterprise Architecture, and Information Security to establish data architecture standards, models, and patterns.
• Design automation platforms supporting cloud data architectures.
• Drive adoption of modern data architectures (data mesh, data fabric)
• Define data governance, quality, lineage, and compliance frameworks
• Partner with engineering teams to deliver data pipelines and platforms
• Evaluate and implement data technologies (Databricks, Snowflake, etc.)
• Works with stakeholders to establish the overall applications architecture vision
• Recommends new technology solutions and products are delivered to stakeholders
• Collaborate with stakeholders and technology to define business requirements.
• Oversee the development and delivery of technical and/or functional specifications.
• Oversee the technical design reviews and testing to architectural technologies for application solutions and products meet business requirements.
• Provide continuous consulting services and direction on projects.
• Champions and responsible for architectural standards, guidelines, principles, frameworks, and reference models.
• Collaborate with stakeholders to define architectures for new strategic initiatives

Principal Cloud Engineer – Data Platforms

Business Analyst

• Analyzes business needs to determine optimal means of meeting those needs
• Determines specific business application software requirements
• Works with programming staff to ensure requirements will be incorporated into system design and testing
• Acts as liaison with users of the software to address questions/issues

Business Analyst II – 837 Encounters

Program Manager

• Leads pharmacy programs to improve Stars performance and lower cost of care in value-based organizations
• Manages both internal and external stakeholders
• Resolve pharmacy benefit issues
• Support Sales and provider-facing pharmacists with clinical guidance, standardized workflows, and cross-functional alignment to ensure compliance
• Ensures the proper reaction to and resolution of issues concerning the pharmacy benefit program
• Acts as a support resource for the sales team regarding efforts to improve the performance of the pharmacy benefit for existing accounts
• Lead analytics-driven pharmacy programs to improve Medicare Stars medication measures, close quality gaps, and reduce avoidable cost of care

Pharmacist Program Manager

• Analyzes complex end user needs to determine optimal means of meeting those needs
• Determines specific business application software requirements to address complex business needs
• Develops project plans and identifies and coordinates resources, involving those outside the unit
• Works with programming staff to ensure requirements will be incorporated into system design and testing
• Acts as a resource to users of the software to address questions/issues
• May provide direction and guidance to team members and serves as an expert for the team

Business Analyst III – Implementations

Business Intelligence Analyst

• timely and accurate preparation of complex external financial statements
• coordinates and compiles complex financial statements and analyzes results
• assist in the interpretation of new accounting pronouncements
• prepares draft responses to government and/or regulatory agencies requests
• provides information for external audits
• interfaces with departments and management to communicate concerns and resolve issues timely
• may prepare draft technical accounting position memorandums
• coordinates and compiles annual and semi-annual Risk-Based Capital calculations

Financial Reporting Analyst

Director

• leads and manages multiple cost of care initiatives including the most complex initiatives enterprise wide
• understands, predicts and implements measures to control healthcare costs and to make healthcare more affordable for our customers
• develops, manages, oversees, and executes new and innovative initiatives to manage rising costs and enhance the company's market competitiveness
• identifies and develops best practices and cost of care improvement processes
• oversees the identification of potential cost of care savings opportunities through complex analytics
• champions cost of care initiatives, negotiates for human capital resources, and partners with care management, claims, IT, and business partners
• manages and presents cost of care projects to senior leadership
• serves on local and enterprise committees

Cost of Care Director

Analyst

• Ensures accurate adjudication of claims
• Translating medical policies into reimbursement rules
• Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code
• Conduct clinical research, data analysis, and identification of legislative mandates
• Perform pre-adjudication claims reviews
• Prepares correspondence to providers regarding coding and fee schedule updates
• Trains customer service staff on system issues

Medical Coding Appeals Analyst

• Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs
• develops program budget
• ensures program meets its stated objectives
• provides subject matter expertise in response to day to day external client facing business issues
• Researches applicable subject matter practices and remains aware of industry trends
• Manages external client facing relationships and partners with corporate and regional business areas
• Coordinates training related to external client facing program
• develops program success measures and performs periodic assessments of program success
• Design, implement, and manage enterprise-wide associate safety programs, policies, and standards
• Identify emerging safety risks, including workplace violence, environmental hazards, and operational safety concerns
• Partner with cross-functional teams to develop mitigation strategies and response protocols
• Oversee tracking, reporting, and analysis of safety incidents and near misses
• Develop and deliver safety training programs for associates and leaders
• Establish and monitor key safety metrics (e.g., incident rates, response times, training completion)
• Analyze trends and provide actionable insights to leadership
• Ensure alignment with regulatory requirements, corporate policies, and industry best practices
• Support audits, assessments, and remediation efforts
• Partner with Security, HR, Legal, Risk, and Operations to align safety initiatives
• Act as a liaison between corporate teams and site-level leadership

Sales

• telephonically selling Small group products
• providing high level customer service
• ensuring sales goals are met
• selling company products in a professional and consultative manner
• providing thorough and effective customer service
• maintaining comprehensive working knowledge of all company products and services
• optimizing closing opportunities
• maintaining records and updating database documentation of all activities during the sales cycle

Direct Small Group Sales Agent

Bilingual

• Participating in delivery of patient education and disease management interventions
• Performing health coaching for members
• Conducting behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs
• Identifying and/or coordinating specific health coaching plan needs
• Interfaces with provider and other health professionals for health coaching plan coordination
• Implementing and/or coordinating coaching and/or care plans
• Using motivational interviewing to facilitate health behavior change
• Monitoring and evaluating effectiveness of interventions