Staff VP - Engineering, Medical Cost Mgmt & Cost of Care

Elevance Health•Atlanta, GA

38d•Hybrid

About The Position

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 3 days 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

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

Nice To Haves

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.

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 (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 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).