Elevance Health

Director

• Lead the growth and performance of Advanced Home Delivery (AHD)
• Coordinate cross-functional partnerships and drive strategic initiatives
• Monitor regulatory and legislative developments for compliance
• Identify and evaluate new business opportunities and revenue expansion strategies
• Support the development of strategic and annual operating plans
• Travel to worksite and other locations as necessary (10%-15% Travel)

Strategy & Program Development Director – Advanced Home Delivery

Actuary

• Analyzes and implements risk contracts including conducting experience analyses, pricing, filing and settlement work
• prepares management reports supporting new capitation initiatives
• Assists in training of actuarial trainees, analysts and specialists
• Coordinates/directs special actuarial projects

Actuarial Analyst III

• Completes projects and performs complex actuarial studies
• Obtains, verifies, analyzes and models data including risk reporting and forecasting
• Calculates monthly claims liability reserves
• Develops merit rating factors
• Prepares Department of Insurance annual statement exhibits

Actuarial Analyst II

Artificial Intelligence

• Lead the design and execution of Compliance Monitoring and Oversight activities, including reviews, audits, and control assessments.
• Establish risk-based monitoring plans aligned to regulatory requirements and AI governance priorities.
• Oversee end-to-end engagement lifecycle: planning, testing, issue identification, and remediation tracking.
• Implement automated monitoring capabilities to enhance efficiency, scalability, and real-time risk detection.
• Leverage digital technologies and AI to enhance monitoring effectiveness and drive continuous program improvements.
• Synthesize findings into clear reporting, metrics, and actionable insights for stakeholders and leadership.
• Drive continuous improvement of monitoring methodologies, tools, and documentation standards.
• Provide advisory guidance on control effectiveness, regulatory alignment, and risk mitigation strategies.
• Facilitate stakeholder engagement, including interviews, issue resolution, and escalation management.
• Develop and maintain frameworks, job aids, and training to support consistent oversight execution.

AI Compliance Monitoring, Audit Advisor

Backend Engineer

• Design and implement scalable, high-performance backend architectures across distributed, cloud-native systems
• Define and contribute to system architecture, integration patterns, and API design standards
• Collaborate on architecture decisions across cloud and multi-platform environments
• Develop and maintain backend services using Java/Spring Boot, Kotlin, PostgreSQL, AWS, and Docker
• Ensure system reliability, scalability, performance, and observability in production environments
• Support CI/CD pipelines, deployment automation, and cloud infrastructure design
• Mentor engineers and promote best practices in backend development and system design
• Collaborate with stakeholders to align technical solutions with business needs and platform goals
• Research and recommend new technologies and enhancements to improve platform capabilities

Senior Backend Architect – Device Management Platforms

• Executes centralized intake and risk-based prioritization of regulatory inquiries
• Advises stakeholders on the applicability of technology regulatory requirements (e.g., AI governance, data privacy, model risk, cybersecurity)
• Designs, implements, and enhances Technology Governance processes for AI
• Establishes and operates Compliance Monitoring and Oversight programs
• Conducts risk-based reviews and audits of AI-enabled and technology-driven processes
• Evaluates the design and operating effectiveness of controls across technology, AI, and data environments
• Researches emerging regulatory expectations and industry practices related to AI and technology compliance
• Assesses risk across IT systems, AI use cases, and supporting operational processes
• Develops governance artifacts, including Client Assistance Guides (CAGs), standards, procedures, and training materials
• Produces clear reporting, metrics, and executive-level summaries on compliance posture, risks, and issues
• Partners with internal and external auditors; responds to audit requests and supports regulatory inquiries

Senior Advisor, AI Governance – Technology Compliance

• Lead identification, development, and execution of Cost of Care strategic initiatives with executives and business unit senior management.
• Report project status to senior leadership.
• Partner with market and enterprise leadership by providing ongoing feedback on program performance, identifying drivers of success, and delivering insights into future opportunities for program enhancements or expansion.
• Support day-to-day activities for a team of advanced analysts, delivering reporting and data analytics to achieve strategic objectives.
• Develop and sustain a high-performing team through training and effective organizational development practices; responsible for hiring, coaching, counseling, and evaluating the performance of direct reports.
• Implement the policies, practices, and procedures of the company and business units supported.
• Expand and strengthen relationships with stakeholders both internal and external.

Director of Cost of Care

Medical Director

• Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office visits with providers and external physicians.
• Applies clinical knowledge and skills to utilization review processes.
• Adheres to medical policies and clinical guidelines.
• As assigned, engage in clinical and non-clinical activities that impact health care quality cost and outcomes
• If requested, provides guidance for clinical operational aspects of a program.
• May be required to serve on internal and/or external committees.
• May develop and propose new medical policies based on changes in healthcare.
• Identifies and develops opportunities for innovation to increase effectiveness and quality.

Behavioral Health Medical Director – Child Psychiatrist

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

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

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

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

Strategy & Program Development Director – Advanced Home Delivery

Actuarial Analyst III

Actuarial Analyst II

AI Compliance Monitoring, Audit Advisor

Senior Backend Architect – Device Management Platforms

Senior Advisor, AI Governance – Technology Compliance

Director of Cost of Care

Behavioral Health Medical Director – Child Psychiatrist

Cloud Principal Engineer – Security

Cloud Engineer Lead – Security

Financial Accounting Analyst

Cloud Engineer Lead – Security

Senior Telephonic Nurse Case Manager

PBM Pricing Strategy Analyst, Manager

Principal Cloud Engineer – Data Platforms