Apply on Employer Site

Elevance Health · 1 day ago

Manager Senior Engineering for Healthcare (Pharmacy) Applications

Altamonte Springs, FL

Full-time

Hybrid

Senior Level

5+ years exp

Elevance Health is a health company dedicated to improving lives and communities, and they are seeking a Manager Senior Engineering for Healthcare (Pharmacy) Applications. This role is responsible for providing analytical support to the Cost of Care and Provider Contracting organizations, focusing on lowering claims costs and improving the quality of care.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction

Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues

Works on large scale initiatives with high dollar cost savings opportunities

Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process

Can work with multiple provider types, e.g. physician, ancillary, medical groups, or hospitals

Supports a full range of contract arrangements and pricing mechanisms

Works on complex enterprise-wide initiatives and acts as project lead

Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process

Types of analyses include performing sophisticated retrospective data analytics

Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures

Recommends policy changes and claim's system changes to pursue cost savings

Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable

Recommends standardized practices to optimize cost of care

Educates provider contractors on contracting analytics from a financial impact perspective

May recommend alternative contract language and may go on-site to provider premises during contract negotiations

Participates on project team involved with enterprise-wide initiatives. Acts as a source of direction, training and guidance for less experienced staff

Qualification

JAVACloud (AWS/Azure)SQLSpring BootProject LeadershipAnalytical SupportContract NegotiationSoftware DevelopmentTeam Collaboration

Required

Requires a BA/BS in Computer Science, Business Administration, Management Information Systems, or related field of study

A minimum of 5 years of experience leading project teams, application software development, maintenance or implementation and support

A minimum of 3 years of leadership experience

Any combination of education and experience, which would provide an equivalent background

Preferred

Master's degree preferred

Experience in designing and implement software solutions using JAVA technologies, including Spring Boot/ Quarkas, and related frameworks preferred

Experience in the latest JAVA, Cloud (AWS/ Azure), SQL, AI technologies and trends preferred

Benefits

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

Short and long term disability benefits

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (488)

2024 (604)

2023 (660)

2022 (222)