Staff VP - Engineering, Medical Cost Mgmt & Cost of Care at Elevance Health

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

Bachelor’s degree in computer science, Engineering, or related field
15+ years of progressive technology leadership, with at least 8+ years at the executive level
Proven track record of delivering large-scale healthcare technology solutions (claims systems, care management platforms, or cost optimization tools)
Deep understanding of medical cost drivers, utilization management, and cost-of-care technology solutions

Responsibilities

Define and own the engineering strategy for medical cost management and cost of care platforms
Partner with C-level executives, clinical leaders, and product owners to align technology solutions with enterprise goals on affordability and care quality
Drive innovation through adoption of advanced analytics, AI/ML, and automation to reduce medical spend and improve utilization management
Lead large-scale engineering teams responsible for building, scaling, and maintaining platforms for Medical Cost Management and Cost of Care Optimization
Oversee end-to-end solution delivery—from architecture and development through deployment, operations, and continuous improvement
Champion modern engineering practices including cloud-native development, DevOps, API-first architecture, and secure data integration
Collaborate with Clinical Operations, Finance, and Network teams to identify high-value cost-saving opportunities
Work closely with Data Science and AI teams to translate predictive models into scalable production systems
Serve as an executive thought leader, representing technology in enterprise forums on affordability, provider collaboration, and care delivery
Develop and manage multimillion-dollar engineering budgets for cost management initiatives
Drive vendor strategy and oversee technology partnerships relevant to cost-of-care capabilities
Ensure compliance with healthcare regulations (HIPAA, CMS, state-specific requirements)

Skills

Key technologies and capabilities for this role

Engineering LeadershipHealthcare DataLarge-Scale System ArchitectureAdvanced Analytics PlatformsAI/MLClaims OptimizationClinical Insights Platforms

Questions & Answers

Common questions about this position

What is the location requirement for this role?

The role may be located in any Elevance Health PulsePoint office, preferably in Indianapolis, IN, Atlanta, GA, Mason, OH, Richmond, VA, Chicago, IL, or New York, NY, and requires associates to be in-office at least 3 days per week. Candidates not within a reasonable commuting distance from these locations will not be considered unless an accommodation is granted.

What are the key responsibilities of this position?

The role involves providing strategic leadership for medical cost management platforms, leading engineering teams to build analytics, AI/ML tools, claims systems, and clinical platforms, and partnering with C-level executives and business leaders.

How large is the team this role will manage?

The position oversees a team scope of 6-7 direct reports.

What technical expertise is needed for this role?

The role requires deep expertise in healthcare data, large-scale system architecture, cost-of-care technology solutions, advanced analytics, AI/ML, cloud-native development, DevOps, API-first architecture, and secure data integration.

What makes a strong candidate for this Staff VP role?

A strong candidate is a visionary engineering leader who can define engineering strategy, partner with C-level executives and business leaders, drive innovation with AI/ML and analytics, and lead large-scale teams in delivering healthcare cost management solutions.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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