CVS Health

Lead Director - Software Development Engineering (Claims Adjudication)

CVS Health$144K — $288K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years in IT within complex technology environments
  • Expert knowledge of Core Java, JEE, Spring, Spring Boot
  • Deep understanding of AS/400 architecture and CL commands
  • Familiarity with modern JavaScript frameworks like Angular or React
  • Experience with SQL/400 and modern RDBMS concepts
  • Proficient with CI/CD tools, Git, Docker, and Kubernetes
  • In-depth knowledge of APIs and microservices architecture

Responsibilities

  • Direct a high-skilled team of over 50 technology professionals
  • Develop and optimize solutions for CVS Health's Claims Adjudication platform
  • Create application development standards to simplify adjudication functions
  • Lead enterprise strategic and compliance programs in collaboration with IT and business leaders
  • Assist in business development and prioritize requirements
  • Deliver high-quality, modular, and scalable adjudication solutions

Benefits

  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Comprehensive benefits package to support overall well-being
Full Job Description

Position Summary

Would you like to join a Fortune 5 company as a part of our growing Information Technology team? Are you looking for a dynamic leadership opportunity to make a difference? Are you passionate about doing what’s right? Join the CVS Health Adjudication Team!

This high-profile IT Director role is jointly responsible for the transformation, modernization and automation strategy along with its execution for the Claim adjudication platform.

Major Responsibilities Include:

-Directing a high skilled team of 50+ technology professionals, will act as the IT leader responsible for core adjudication strategic programs.

-Responsible for the development and delivery of optimized technology solutions for CVS Health's Claims Adjudication platform. Will be a transformational leader providing forward-thinking and strategic direction in jointly developing and executing on our vision for Adjudication as a Service. Strategy will include driving down cost of change, increase speed to market, technology relevance in ensuring scalability and serviceability of the platform

-Create and ensure the implementation of application development standards to drive architectural roadmap for simplification and modularization of key adjudication functions. In addition, will be leading large enterprise strategic and compliance programs working in close collaboration with PSS IT and Business leaders

-Assist in the business development process, setting priorities, and understanding requirements and technical platforms available to meet the business needs. Should anticipate any challenges related to organic growth, system performance or EOL software / hardware potentials while ensuring all regulatory/compliance requirements are met.

The Director will lead an experienced and motivated team tasked with delivering high-quality, modular and scalable solutions, ensuring that CVS Health continues to stay innovative in the healthcare marketplace.

To be successful in this role you must exhibit the following:

  • Experience with industry leading expertise in IBMi and similar technologies

  • API Development: Designing and building RESTful APIs using Java to connect frontend interfaces with backend IBM i systems.

  • System Integration: Seamlessly connecting AS/400 with other enterprise systems, cloud platforms, and third-party web services.

  • Experience leading strategic planning for enterprise applications including planning related to scalable growth, performance tuning, and optimization of the systems.

  • Experience analyzing the enterprise platforms and related technologies to detect critical deficiencies and recommend solutions for improvement

  • Experience in creating and running budgets, strategic planning, process enhancement, technical leadership, HR management and staff development

Competencies

-Able to Navigate a Complex Organization: The ideal candidate will have worked effectively in an organization of considerable size, scope and complexity. He or she will be highly effective at partnering across boundaries, and will understand how to collaborate, influence and drive impact across the organization. This leader will have the ability to interact with and influence senior management enterprise wide and create marketing programs that further company objectives. The successful candidate will possess a demonstrated ability to work collaboratively across complex, multifunctional teams.

-Highly Skilled Communicator with the Ability to Connect Deeply with People: The ideal candidate will possess excellent communication skills and will present his/her views in a clear and compelling manner. He/she should be a good listener who is straightforward, articulate and open in communication with others. This executive will have the presence and credibility to win support and buy-in. He/she must create enthusiasm among the team and be able to create a rally cry around key initiatives throughout the company. 

-Demonstrate Excellence and Accountability: Innovate; anticipate the future; work toward continuous improvement; work cross-functionally to achieve right outcomes; create and lead with a sense of urgency; translate strategy into action.

-Deliver Quality Service and Value: Build trust by creating value-added relationships with all constituents; aspire to be the best; balance the needs of all constituents; exceed constituents’ expectations.

-Lead Change: Inspire others; communicate a compelling vision; convince others and organizations to embrace change; negotiate skillfully; understand what motivates other people/groups

-Drive for Results: Focus on actions and outcomes; drive with energy; take initiative; remain organized and resourceful; marshal multiple/matrixed resources to get things done; possess a detail orientation. 

-Build Employee Engagement: Encourage independent thinking and initiative; value diversity; build confidence and pride in the company; inspire others to contribute; create open, honest dialogue; create and communicate a vision that aligns performance with strategy; celebrate successes; express ideas effectively

Required Qualifications

  • 10+ years of IT experience in a large-scale complex technology environment, leading IT teams focused on application/system architecture & application development.

  • Java Stack: Expert knowledge of Core Java, JEE, Spring, Spring Boot, JDBC, and Hibernate.

  • IBMi Fundamentals: Understanding of AS/400 architecture, CL (Control Language) commands, and the Integrated File System (IFS).

  • Modern Web Frontend: Proficiency in JavaScript frameworks like Angular, React, or Vue.js.

  • Database & SQL: Deep experience with SQL/400, DDS, and modern RDBMS concepts (PostgreSQL, mongoDB, or SQL Server).

  • DevOps & Tooling: Familiarity with Git for version control, CI/CD pipelines, Maven, and containerization tools like Docker or Kubernetes

•            In depth understanding of APIs and microservices-based architecture

•            Ability to travel up to 10% of the time

Preferred Qualifications

  • Health Care Industry domain knowledge including 2+ years’ experience in a Director level role or 4+ years of diverse experience in a Sr Manager role.

  • Experience in enterprise development tools and methodologies (XP, Agile) including DevSecOps and DataOps

  • Experience integrating with legacy mainframe/mid-range applications including developing roadmaps for modernization of the applications

Education

  • Bachelor’s Degree in Computer Science or equivalent experience

Pay Range

The typical pay range for this role is:

$144,200.00 - $288,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on .

We anticipate the application window for this opening will close on: 06/29/2026

About CVS Health

Omnicare provides comprehensive pharmaceutical services to patients and providers across the United States. As the market-leader in professional pharmacy, related consulting and data management services for skilled nursing, assisted living and other chronic care settings, Omnicare leverages its unparalleled clinical insight into the geriatric market along with some of the industry's most innovative technological capabilities to the benefit of its long-term care customers. Omnicare also provides key commercialization services for the bio-pharmaceutical industry through its Specialty Care Group.

CVS Health Careers

Joining CVS Health presents a unique opportunity to advance your career in a company where innovation, leadership, and growth go hand in hand. As a leader in the healthcare industry, CVS Health is more than just a pharmacy. We are a team of professionals dedicated to improving lives and optimizing health outcomes.

Work You’ll Do

At CVS Health, you will be part of a culture that values diversity and inclusivity, fostering an environment where every team member’s contribution is valued. Engage in meaningful work that directly impacts lives, driving innovation in healthcare services and solutions.

Explore Job Opportunities

Whether you’re looking for a position in pharmacy services, corporate leadership, or in-store management, CVS Health offers a variety of employment opportunities that will help you harness your skills and thrive professionally. Our job opportunities span across a wide range of professional fields and geographic locations, ensuring that your career at CVS Health aligns with your professional goals and lifestyle.

Internship Programs

Kickstart your career with CVS Health through our internship programs. These opportunities are designed for ambitious students eager to develop their skills in a real-world setting. Internships at CVS Health are not only about gaining work experience but also about making meaningful contributions to our ongoing projects.

Professional Growth and Development

CVS Health is committed to the professional growth of our employees. With access to cutting-edge technology, industry-leading experts, and comprehensive diversity training, our team members are equipped to lead and innovate. We support career advancement through professional development programs, leadership training, and opportunities for networking and internal mobility.

Benefits and Culture

Our employees enjoy a range of benefits that reflect our commitment to their well-being and success. From health and wellness benefits to professional development programs, CVS Health is dedicated to ensuring our team members have the resources they need. Our inclusive culture encourages collaboration and continuous learning, making CVS Health a place where you can grow and succeed.

Join Our Team

Ready to take the next step in your career? Explore the open positions at CVS Health that match your skills and interests. We are continuously hiring and looking for passionate, curious, and solution-driven team players.

Stay Connected

Keep up to date with the latest news, career tips, and industry insights from CVS Health. Personalize your experience by subscribing to job alert emails, tailored to your preferences and professional interests. Discover the rewarding opportunities that await at CVS Health, where your career development is always a priority.

Search CVS Health Jobs

Don’t just look for a job. Look for a place where you can be a part of something bigger. Visit our careers page to find the position that’s right for you and join a team that values innovation and leadership in healthcare.

READ CAREERS BLOG

Stay ahead in your career with insights from those who know CVS Health best – our team. Learn from their experiences and get insider tips that can help you succeed in your next interview, craft a standout resume, and build a career you’re proud of at CVS Health.
Learn more about CVS Health
Size
300,000 employees
Market Cap
$122 billion
Industry
Net Income
$7.1 billion
Founded
1963
5 Year Trend
+10.5%
Revenue
$268.7 billion
NASDAQ

Similar Jobs

More Jobs at CVS Health

More Healthcare Jobs

Find similar Lead Director - Software Development Engineering (Claims Adjudication) jobs: