Blue Cross and Blue Shield of Nebraska

Software Engineer - AI

Omaha, NE 68104In-Person
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree with 2-4 years in software development.
  • Experience building and operating production LLM or agentic AI systems for at least 1-2 years.
  • Proven track record in multi-agent systems focusing on state management and agent failure handling.
  • Hands-on experience with LangGraph, AutoGen, or custom graph-based orchestration in a production setting.
  • Familiarity with Azure OpenAI, Azure AI Search, and Azure Container Apps as part of the tech stack.
  • Experience across healthcare, insurance, fintech, or legal AI systems where accuracy is critical.

Responsibilities

  • Design and build a multi-agent orchestration layer using LangGraph.
  • Establish integration contracts to standardize agent behavior and ensure pluggability.
  • Manage context through multi-turn conversations for seamless user experiences.
  • Define safety protocols and guardrails for clinical responses and PHI handling.
  • Architect RAG pipelines for effective content retrieval via Azure AI Search.
  • Create structured prompt architectures and maintain a version registry for testing and rollback.

Benefits

  • Remote work flexibility with one day in-office requirement weekly.
  • Opportunity to travel to headquarters based on business needs.
  • Engagement in cross-functional teams promoting diverse collaboration.
  • Access to innovative projects in AI and healthcare technology.
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 based on business needs.

What you'll do:
  • 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.
  • Preferred qualifications include experience with .NET development, API design and integration, and UI/UX principles to support the delivery of intuitive, customer-focused applications.


" 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.

Ready to make an impact? Join a team where your skills, attitude, and ideas are valued-and where you'll help shape the future of healthcare technology.

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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