Distinguished Architect, Software Development – Claims Automation and Processor Enablement
CVS Health4 days ago
Base Salary
$175k - $335k/yr
Responsibilities
- Define and own the enterprise technical North Star and architectural roadmap for the Claims Automation and Processor Enablement ecosystem.
- Establish how claim assessment, decisioning, workflow orchestration, processor automation, Payment Integrity, and adjudication services interact across the claim lifecycle.
- Define capability boundaries, integration patterns, APIs, events, shared services, and architectural blueprints across independently owned platforms.
- Guide automation, analytics, business rules, AI-assisted recommendations, human intervention, traceability, explainability, auditability, and regulatory compliance.
- Partner with engineering leaders on legacy and platform modernization, transition architectures, platform constraints, and future claims-processing capabilities.
- Drive convergence, reuse, consolidation, technology decisions, investment recommendations, and strategic alignment across organizations.
- Establish engineering standards and patterns, mentor senior technical staff, and promote testing, observability, resiliency, reuse, and continuous improvement.
- Serve as a trusted advisor to technology leadership and influence technical direction without direct authority.
Requirements
- 15+ years of progressive experience in software engineering, architecture, platform engineering, or enterprise technology leadership.
- Demonstrated experience defining architecture across complex, independently owned applications or platforms and translating enterprise strategy into sequenced roadmaps.
- Strong experience designing enterprise-scale distributed systems, APIs, integration patterns, and shared platform capabilities.
- Experience introducing automation, analytics, decisioning, or intelligent capabilities into high-volume operational workflows.
- Proven ability to evaluate technology stacks and influence large engineering organizations through technical credibility rather than positional authority.
- Experience leading technology transformation in complex, high-volume transaction-processing environments.
- Exceptional communication skills for translating technical strategy into business outcomes and engaging executive stakeholders.
- Preferred experience with healthcare payer systems, claims processing, Payment Integrity, regulated transaction processing, legacy or mainframe platforms, AI/ML, intelligent automation, rules engines, analytics, decisioning, platform engineering, or developer experience.
- Familiarity with COBOL, CICS, DB2, batch processing, HIPAA, CMS, or SOX is preferred.
- Contributions to industry thought leadership, open source, technical publications, or professional communities are preferred.
- Bachelor’s degree in Computer Science, Engineering, or a related field, or equivalent experience with 19+ years of relevant experience in lieu of the degree.
Benefits
- Full-time position with medical, dental, and vision coverage.
- Paid time off, retirement savings options, wellness programs, and other well-being resources.
- Eligibility for CVS Health bonus, commission, or short-term incentive programs and an equity award target.
- Application window anticipated to close on 11/30/2026.
Tech Stack
COBOLIBM DB2
Categories
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.