Wrapped up the full loop for a senior SWE role at Anthem/Elevance last month. Team was in the digital health platform group. Sharing what I saw because the info out there is pretty scattered.
Timeline was roughly six weeks start to finish. Initial recruiter screen was short, maybe 20 minutes. Standard background questions, they wanted to know why healthcare and why Anthem specifically. Not a gotcha, more like vetting culture fit early.
Then a technical phone screen with an engineer on the team. This was one LeetCode-style problem (I'd call it medium difficulty, BFS/DFS territory) and about 15 minutes of system design at the end. The system design felt exploratory, not like they were running you through a rubric.
Onsite (virtual for me) was four rounds: Coding: Two problems, both medium. One was a graph traversal, one was string manipulation. They care about you explaining your thinking as you go. I got cut off mid-approach once when I was going down a wrong path, which I think is a good sign. System design: 45 minutes, healthcare-adjacent scenario (I won't give exact details but think data ingestion at scale). More on this in a separate post. Behavioral: All STAR, heavy on cross-functional collaboration and handling ambiguity. They asked specifically about working with non-technical stakeholders, which makes sense in healthcare. Hiring manager: Conversational. More about roadmap, team dynamics, what success looks like in 6-12 months.
Total comp conversation came after. The recruiter was upfront about ranges, which I appreciated.
Overall impression: process is more structured than I expected for a non-FAANG company. The engineers I talked to seemed sharp and genuinely cared about the product's impact. Healthcare does permeate the interviews a bit, so have a sentence ready about why that space matters to you.