Staff VP Engineering, Medical Cost Mgmt & Cost of Care

Anticipated End Date:

Position Title:

Job Description:

Staff VP Engineering - Medical Cost Management & Cost of Care

Location: May be located in any Elevance Health PulsePoint office preferably in Indianapolis IN Atlanta GA Mason OH Richmond VA Chicago IL New York NY.

This role requires associates to be in-office at least 3days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment unless an accommodation is granted as required by law.

Summary

The Staff Vice President of Engineering will provide strategic and technical leadership in designing developing and delivering enterprise technology solutions that drive medical cost management and optimize cost of care. This executive will oversee engineering teams responsible for building advanced analytics platforms AI/ML-driven decision support tools claims optimization systems and clinical insights platforms that enable Elevance Health to reduce medical costs improve patient outcomes and enhance provider and member experiences.

This role requires a visionary engineering leader with deep expertise in healthcare data large-scale system architecture and cost-of-care technology solutions. The Staff VP will partner with business leaders in Clinical Actuarial Network Finance and Product organizations to deliver transformative capabilities.

Team Scope: 6-7 Directs

Position Responsibilities

Strategic Leadership

• 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.

Engineering Execution

• Lead large-scale engineering teams responsible for building scaling and maintaining platforms for:
  • Medical Cost Management (claims review payment integrity utilization management risk adjustment).
  • Cost of Care Optimization (clinical analytics care management platforms provider performance tools).
• Oversee end-to-end solution deliveryfrom 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.

Partnership & Influence

• 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.

Operational & Financial Management

• 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).

Position Requirements

• Bachelors 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 provider reimbursement models and care quality measures.
• Experience leading large distributed engineering organizations (500 engineers).

Preferred Skills Capabilities and Experiences

• Prior leadership in a payer provider or healthcare technology company.
• Experience in AI/ML advanced analytics and data platforms specific to medical cost optimization.
• Strong knowledge of value-based care models risk-based contracting and payment integrity.
• Executive presence with the ability to influence across C-suite technical and clinical audiences.

For candidates working in person or virtually in the below location(s) the salary* range for this specific position is $201760 to $368168.

Locations:

Illinois New York

In addition to your salary Elevance Health offers benefits such as a comprehensive benefits package incentive and recognition programs equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender race or any other category protected by federal state and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location work experience education and/or skill level. Even within the range the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned vested and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus commission benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.

Job Level:

Workshift:

Job Family:

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success - for our consumers our associates our communities and our business.

We offer a range of market-competitive total rewards that include merit increases paid holidays Paid Time Off and incentive bonus programs (unless covered by a collective bargaining agreement) medical dental vision short and long term disability benefits 401(k) match stock purchase plan life insurance wellness programs and financial education resources to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.