The field of active matter studies materials whose microscopic constituents consume energy at the particle scale to produce motion. Many biological functions are driven by confinement of active components within a cell, including cytoplasmic streaming, morphogenesis, and cell migration powered by the actin cytoskeleton. As a minimal representation of such a cell, we consider a particle-based simulation of an elastic vesicle containing a collection of polar active filaments. The interplay between the internal active stresses and vesicle elasticity leads to a variety of filament spatiotemporal organizations that have not been observed in bulk systems or under rigid confinement, including highly-aligned rings and caps. In turn, these filament assemblies drive dramatic and tunable transformations of the vesicle shape and its dynamics. We present simple scaling models that reveal the mechanisms underlying these emergent behaviors.