Blue Cross and Blue Shield of Nebraska

AI Software Engineer

Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree in a relevant field and 2-4 years of experience in software development.
  • Proven experience with agentic AI in real-world production environments.
  • 1-2 years of hands-on experience building and operating production LLM or agentic AI systems.
  • Deep understanding of state management and agent failures in multi-agent contexts.
  • Strong knowledge of Python for extending existing codebases with AI functionality.
  • Familiarity with Azure OpenAI, Azure AI Search, and Azure Container Apps.

Responsibilities

  • Design and build a LangGraph-based multi-agent orchestration system.
  • Create integration contracts for pluggable agents, focusing on input/output schema and confidence signaling.
  • Manage conversation context across multiple agent interactions to maintain member continuity.
  • Develop robust safety measures for clinical boundaries and PHI handling at the LLM layer.
  • Architect a retrieval-augmented generation pipeline for policy documents and content retrieval via Azure AI Search.
  • Establish a structured prompt architecture for testing and understanding AI prompts.

Benefits

  • Remote work flexibility with one required office day weekly.
  • Potential travel to headquarters if living in approved states.
  • Opportunities to engage in a collaborative and innovative team environment.
Full Job Description
The Software Engineer position will be responsible for working with cross-functional business teams to research, design, test, and maintain various systems and applications. This role is responsible for providing engineering knowledge and experience, as needed, to deliver solutions to the business both on new builds, as well as support on modifications and maintenance for existing programs.

The ideal candidate will live within driving distance of the Omaha, Nebraska office. This position allows remote flexibility but will have 1 day per week in the office. 

If living in one of our approved states (Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas)  – this person may travel to our headquarters.  

What you'll do:

Your primary focus is agent design and orchestration. 

  • Multi-agent orchestration layer. Design and build the LangGraph-based system that classifies member intent and routes to the right agent. Stateful, context-preserving, failure-tolerant. Handles commercial agents and internally built capabilities through the same interface. 

  • Agent integration contract. The standardized pattern that makes any agent pluggable: input schema, output schema, confidence signaling, latency SLA, fallback behavior. When the team integrates a new agent, they follow a pattern you designed. 

  • Context management across turns. Multi-turn conversations that maintain full member context across agent handoffs. The member asks a follow-up two turns later; the platform knows what was said, which agent handled it, and what was retrieved. 

  • Guardrail and safety layer. Clinical safety boundaries, PHI handling at the LLM layer, and response normalization ensuring every agent response arrives in a consistent tone and within compliance constraints regardless of which agent generated it. 

  • RAG pipeline architecture. Benefits documents, formularies, and policy content retrieval via Azure AI Search. You define the ingestion strategy, chunking approach, hybrid search configuration, and retrieval quality standards. 

  • Prompt architecture. Versioned prompt registry, structured output contracts, few-shot pattern design. Every prompt is testable, rollback-able, and understandable by the team. 

To be considered for this position you must have:

  • Bachelor’s degree and 2-4 years of experience in software development.

Experience with agentic AI in production—not LLM wrappers, not single-agent chatbot demos, not RAG tutorials. Systems with multiple agents, explicit state management, and real users depending on the answers being correct. 

  • 1-2 years building and operating production LLM or agentic AI systems 

  • You can describe specific decisions you made in a multi-agent system: state management approach, how you handled agent failures mid-conversation, how you kept the system governable as agents were added 

  • LangGraph, AutoGen, or custom graph-based orchestration used in production, not just evaluated. You know where it breaks down and how you worked around it 

  • Debugged retrieval quality problems, iterated on chunking strategies, dealt with stale knowledge bases in a live system with real users 

  • Built evaluation systems from scratch: golden datasets, automated regression, domain-appropriate accuracy metrics. Your eval suite caught a production regression before users reported it 

  • Experience in healthcare, insurance, fintech, or legal domains—AI systems where a wrong answer has consequences, and you designed the safeguards that make accuracy non-negotiable 

  • Strong knowledge of Python. Work in an existing codebase and extend it with the AI layer 

  • Azure OpenAI, Azure AI Search, Azure Container Apps are the target stack 

The strongest candidates will also have:

  • Experience working in an Agile/Scrum environment.

  • Desire to think in a creative, lateral way both conceptually and in practical application.

  • You must be obsessed with addressing customer needs.

  • Strong communication and interpersonal skills.

  • Experience creating Single Sign On (SSO) experiences.

  • Possess emotional intelligence.

" We are unable to sponsor or take over sponsorship of an employment visa at this time.” 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. 

About Blue Cross and Blue Shield of Nebraska

Blue Cross and Blue Shield of Nebraska (BCBSNE) is a non-profit health insurance company headquartered in Omaha, Nebraska. The company provides health insurance coverage to individuals, families, and businesses in Nebraska. BCBSNE offers a variety of health insurance plans, including individual and family plans, Medicare supplement plans, and employer group plans. The company was founded in 1939 and has since grown to over 800 employees.
Learn more about Blue Cross and Blue Shield of Nebraska
Size
800 employees
Industry
Founded
1939

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