CVS Health

Senior Software Development Engineer - GenAI

CVS Health • $92K — $185K *
US-AnywhereRemote in Texas, US
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of software engineering experience with 2+ years in backend services using Python and/or TypeScript/Node.js
  • 2+ years designing RESTful APIs or microservices with frameworks like FastAPI or Flask
  • Experience integrating with LLM/AI provider APIs such as OpenAI or GCP in production
  • Familiarity with cloud platforms (AWS, Azure, GCP)
  • Knowledge of Redis, Kafka, and MongoDB in production environments
  • Experience with OAuth2/OIDC or JWT authentication systems
  • Proficiency in observability tooling like Prometheus or Grafana
  • Experience with containerized apps (Docker) and CI/CD processes

Responsibilities

  • Design and implement core platform services for AI tooling
  • Build and manage services for auth, cost management, and observability
  • Collaborate with engineering teams to enhance LLM integration
  • Define and shape the evolution of foundational AI services
  • Ensure compliance with healthcare regulations (PHI/PII, HIPAA)
  • Explore and propose new ideas or tools relevant to the GenAI space
  • Maintain robust documentation and well-structured internal tooling

Benefits

  • Comprehensive medical, dental, and vision coverage
  • Paid time off for work-life balance
  • Retirement savings options for long-term financial security
  • Access to wellness programs and additional resources for health
  • Eligibility for various financial incentive programs during employment
Full Job Description

Position Summary
Our team owns the foundational AI/GenAI platform services that power CVS Health's internal agentic and LLM-driven tooling — including LLM routing and cost governance infrastructure, internal developer tooling for AI-assisted software development, retrieval-augmented generation (RAG) capabilities, and orchestration tools for building and deploying agentic workflows. We sit at the intersection of platform engineering and applied GenAI: we're responsible for making it fast, safe, and cost-effective for engineering teams across the enterprise to build with LLMs, while navigating the compliance realities of operating in a healthcare environment (PHI/PII handling, HIPAA, BAA requirements with model providers). This role will design and build core platform services — spanning areas like auth, quota/cost management, observability, and routing policy — and will help define what our next generation of foundational AI services looks like as the GenAI landscape evolves. The team is deeply senior and highly collaborative; we're looking for someone who brings genuine, self-driven enthusiasm for this space — someone who explores new ideas and tools because they're excited to, not because they were asked to — while working closely with the rest of the team to bring those ideas to life.
Required Qualifications

  • 5+ years of professional software engineering experience, including 2+ years building production backend services in Python and/or TypeScript/Node.js
  • 2+ years of experience designing and building RESTful APIs or microservices using frameworks such as FastAPI, Flask, Express, or NestJS
  • Experience integrating with one or more LLM/AI provider APIs (e.g., Anthropic, OpenAI, AWS Bedrock, Google Vertex AI) in a production system
  • Experience with at least one major cloud provider (AWS, Azure, or GCP)
  • Experience with the following (or equivalents): Redis, Kafka, and MongoDB in a production environment
  • Experience with OAuth2/OIDC or JWT-based authentication and authorization systems
  • Experience with observability/telemetry tooling (e.g., OpenTelemetry, Prometheus, Grafana, Langfuse, Datadog)
  • Experience with containerized applications (Docker) and CI/CD pipelines
  • Experience with version control systems (Git) and code review processes



Preferred Qualifications

  • Genuine, self-motivated curiosity about GenAI and emerging AI infrastructure — someone who follows the space on their own and shows up with new ideas, tools, or approaches unprompted
  • Strong team player who collaborates readily and shares ideas openly, even while operating on a team of senior engineers with established conventions
  • Comfortable respectfully challenging established patterns and proposing alternatives as part of a collaborative team dynamic
  • Prior experience building LLM/GenAI infrastructure itself (e.g., LLM gateways, agentic orchestration systems, RAG platforms) — not just consuming provider APIs, but designing the systems around them
  • Ability to reason about system design trade-offs in distributed, stateful systems (e.g., cache invalidation, consumer group rebalancing, blue-green deployment of stateful services)
  • Strong written and verbal communication skills, with the ability to explain technical trade-offs to both engineers and non-technical stakeholders
  • Comfort operating with ambiguity and evolving requirements in a fast-moving technical landscape
  • Experience or interest in prompt engineering, model routing strategies, or LLM cost optimization techniques
  • Experience in a regulated industry (healthcare, finance, or similar), with familiarity around compliance considerations for sensitive data (PHI/PII)
  • Interest in eventually growing into technical leadership on a specific platform service
  • Collaborative mindset with a bias toward building reusable, well-documented internal tooling



Education
Bachelor's degree or equivalent work experience in Mathematics, Statistics, Computer Science,Analytics,Engineering, or related discipline. Master's degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$92,700.00 - $185,400.00

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. 

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: 10/09/2026

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

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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

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