Jobs at Elevance Health

Manages an assigned account portfolio to achieve retention, customer satisfaction, revenue, membership, and profitability goals. Leads and develops direct reports, partners with product and cross-functional teams, tracks budgets, and supports regional crisis line and call center operations. The role requires collaboration with providers, community organizations, and public-sector stakeholders, plus approximately 40% regional travel throughout Washington.

Maintains enterprise information security policies, standards, and controls while designing and supporting secure network, access, cloud, application integration, data protection, and messaging solutions. The role requires hands-on expertise with Protegrity, Terraform, GitHub, multicloud platforms, serverless technologies, Kubernetes, Splunk, ServiceNow, Snowflake, Vault, and HSMs. Responsibilities include troubleshooting, operational support, security implementation, infrastructure management, and complex systems planning and design.

Design, implement, and operationalize cloud-native cyber defense across multi-cloud environments. Build logging/telemetry, CSPM and threat detection, train SOC analysts, integrate AI-driven automation, support incident response, vendor selection, governance, and regulatory compliance (SOC2, PCI, HITRUST, FedRAMP). Mentor staff and advise leadership.

Leads the architecture, development, and deployment of enterprise-scale AI systems and platforms. Establishes technical direction, reusable architecture standards, AI governance, and AI-enabled software development practices. Drives modernization of legacy systems, partners with engineering and business stakeholders, mentors technical talent, and influences enterprise technology strategy. Requires deep hands-on software engineering, distributed systems, generative AI, agentic systems, cloud, DevOps, and healthcare payer/provider domain expertise.

Leads pharmaceutical manufacturer relationships for CarelonRx, develops limited-distribution drug and fee-for-service opportunities, oversees contracting coordination, supports program implementation, and maintains specialty pharmacy industry knowledge. The role manages client feedback, identifies business development opportunities, aligns cross-functional teams, develops department procedures, and travels to customer or offsite locations as needed.

Develops complex data mining analyses, SQL queries, stored procedures, reports, and data warehouse applications. Designs database tables, extracts and transforms large datasets, troubleshoots performance issues, maintains data integrity, automates processes, and translates business needs into scalable solutions. The role also supports reporting applications and trains users on developed tools.

Analyzes complex business data, maintains databases, develops performance and ad hoc reports, identifies anomalies, and recommends improvements. Supports SQL Server environments and backend database objects, translating business requirements into reliable technical solutions. The role also troubleshoots data quality and production issues, considers downstream reporting impacts, and provides technical guidance to junior staff.

Provides enterprise-wide legal counsel on technology matters, including AI, SaaS, software as a medical device, data use, and digital health product development. Negotiates technology agreements, advises sales teams on RFPs, assesses regulatory risks, develops contract templates and negotiation playbooks, and supports risk mitigation, strategic legal analysis, and internal education.

Leads enterprise continuous value improvement through performance frameworks, leading indicators, scenario analysis, risk assessment, diagnostic reviews, dashboards, and intervention tracking. Translates complex operational findings into executive decision support, partners with Finance on validated benefits, and manages direct reports. Requires progressive process improvement experience, management experience, and Six Sigma certification.

Manages business systems by translating business needs into technical requirements, coordinating workflows, tracking priorities, supporting issue resolution, documenting architecture and requirements, developing feature test strategies, and identifying process improvements. The role also mentors requirements tools usage and assists with training and system documentation.

Serves as the enterprise legal subject matter expert on MHPAEA. Develops compliance strategies, advises leadership and business partners, supports federal and state audits and filings, evaluates mental health parity impacts of cost-of-care initiatives, develops sales tools, engages with public affairs and trade groups, and manages outside counsel. Requires a law degree, current license, and 15 years of post-licensure legal experience.

Owns product backlogs and roadmaps, translates stakeholder requirements into user stories and acceptance criteria, prioritizes work, supports sprint planning and reviews, and represents business stakeholders. The role collaborates with Agile teams and Product Managers to deliver solutions meeting contractual requirements, quality standards, and business value. It also contributes to release planning, continuous improvement, and process standardization.

Leads end-to-end development and maintenance of enterprise technology platforms. Responsibilities include gathering requirements, reviewing designs and code, improving system stability and scalability, managing change requests, coordinating testing and releases, overseeing monitoring and on-call support, leading large projects, facilitating requirements sessions, and evaluating vendors. The role also mentors others and works with Kubernetes, programming languages, databases, and machine learning or generative AI workflows in regulated environments.

Lead architecture, development, and deployment of large-scale, production AI systems (LLMs/agentic systems). Define enterprise AI architecture, modernize legacy systems, implement AI-enabled SDLC and DevOps practices, establish governance and responsible AI, and provide technical leadership and mentorship across engineering teams.

Develops complex data mining analyses, data warehouse applications, database tables, and strategic reports. Translates healthcare business and clinical program needs into technical requirements, analytic logic, and decision-support solutions. Performs data modeling, supports identification and stratification processes, maintains data integrity, coordinates project activities, and trains users. The role primarily involves programming and working with SQL, SAS, cloud data platforms, and legacy databases.

Leads process improvement and continuous improvement initiatives for a business unit. Identifies opportunities, researches and implements best practices, develops performance metrics, consults internally, and creates enterprise-wide improvement plans. Requires extensive process improvement, planning, project management, business analysis, and leadership experience, with preferred expertise in PBM claims, SQL, Teradata, Python automation, vendor management, Lean Six Sigma, prior authorization, eligibility, and Salesforce.

Reviews and processes appeal mail intake for a federal healthcare appeals team. Responsibilities include supporting audits and fieldwork, preparing position papers and jurisdictional reviews, analyzing data, maintaining case records and tracking systems, responding to inquiries, and making recommendations. The role requires collaboration, accurate prioritization, continuing education, and knowledge of federal regulations, CMS programs, and cost report formats.

Provides administrative and operational support for sales teams handling new and renewal business. Coordinates RFP responses, updates sales systems, researches sales and benefits issues, tracks sales data, prepares reports, recommends process improvements, maintains internal and external relationships, and completes special projects.

The Project Director leads complex, cross-functional claims modernization initiatives across operations, IT, PMO, vendors, and government stakeholders. Responsibilities include defining scope and governance, overseeing schedules, resources, risks, quality, costs, readiness, reporting, RAID management, and implementation stabilization. The role provides executive-level communication, drives issue resolution and decisions, coordinates CMS touchpoints, and mentors project teams and managers.

Develops complex data warehouse applications, data mining analyses, database tables, and strategic reporting solutions. Designs and supports ETL/ELT pipelines, data integrations, models, and cloud data platforms while ensuring data integrity, quality, governance, and performance. Provides technical direction and training to less experienced staff, communicates team goals, monitors project schedules and costs, and collaborates in Agile environments.