Principal Engineer, Clinical Data and AI Platforms
CVS Health2 days ago
Base Salary
$144k - $288k/yr
Responsibilities
- Design the platform architecture on Google Cloud across data acquisition, identity resolution, FHIR harmonization, data products, LLM and rules engines, and customer-facing products.
- Design systems that can evolve with changing requirements and lead their architectural evolution over time.
- Evaluate trade-offs involving isolation, data rights, scale, reliability, and cost, and recommend options.
- Write production code for critical and complex platform components and turn prototypes into reference implementations.
- Develop practices for AI coding agents covering specifications, guardrails, code review, evaluation, and human oversight.
- Run engineering pilots, measure effects on delivery speed and quality, and recommend broader adoption practices.
- Maintain architecture, diagrams, and documentation as code for engineers and AI agents.
- Design AI-assisted operations for incident triage, runbook automation, capacity management, and cost management.
- Implement approval gates, least-privilege access, audit trails, service-level objectives, and observability for automation.
- Design and automate enterprise controls and audit evidence collection in partnership with security, privacy, compliance, and AI governance teams.
- Explain complex systems to engineers, product leaders, executives, and customers, and present technical business cases to senior leadership.
Requirements
- 12+ years of experience building production distributed systems.
- 5+ years leading architecture across multiple teams at the staff or principal level.
- Experience designing and delivering large-scale batch and streaming data platforms.
- Current hands-on coding experience in Python and one of Go, Java, or C#.
- Deep experience with cloud platforms, preferably Google Cloud, including GKE, BigQuery, Spanner, Dataflow, Pub/Sub, Vertex AI, and VPC Service Controls.
- Production experience with machine learning or large language model systems, including retrieval, extraction, evaluation, and serving at scale.
- Extensive use of AI agents in design, development, testing, and code review, with measurable delivery impact.
- Experience working in regulated environments, designing controls, and supporting audits.
- Strong written communication, diagramming, and senior-executive presentation skills.
- Bachelor's degree in computer science, engineering, or a related technical field, or equivalent experience.
- Preferred experience with healthcare standards and systems including FHIR, HL7v2, C-CDA, X12 claims, OMOP, CQL, TEFCA, and QHINs.
- Preferred experience with master patient index, population-scale identity resolution, payer or provider domains, security architecture, zero trust, attribute- and relationship-based access control, threat modeling, AI-assisted development adoption, and public technical work.
Benefits
- Full-time position with medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility.
- Eligible for a CVS Health bonus, commission, or short-term incentive program and an equity award program in addition to base pay.
- Applications are anticipated to close on 02/05/2027.
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About CVS Health
CVS Health is a U.S. health care company that operates thousands of retail pharmacies, runs the CVS Caremark pharmacy benefits manager, and owns the Aetna health insurance business. It sells prescriptions, retail health goods, and insurance plans, and provides primary and urgent care through MinuteClinic and other services for consumers, employers, and government programs. Founded in 1963 and headquartered in Woonsocket, Rhode Island, it is a public company traded on the NYSE.