Role Summary
As part of the Rx Claim Adjudication team, you will be expected to be proficient in all critical functions of the application development and will champion SDLC methodologies with a deep understanding of best practices to ensure that quality standards are met. We believe for success you should have flexibility, possess a positive outlook, discernment, and inspire change within a fast-growing environment.
This team directly impacts the lives of our pharmacy customers by creating systems that process prescriptions. The systems we work with process over 10 million scripts a day and is business critical. You can work knowing you are helping many people each day.
*The team strongly prefers candidates local to Richardson, TX and be willing to be hybrid
Within the application development area, you will:
Oversee life cycle process (e.g., design, analysis, review) and testing results to ensure adherence to quality standards and deliver high-quality products.
Ensure consistent alignment of technical solutions with the business goals and objectives of the supported unit.
Perform model training, evaluation, and fine-tuning while considering the constraints and opportunities posed by legacy architectures.
Partner with teams and serve as cross-functional expert to provide bench-marked solutions to multiple, complex technical projects/initiatives using multiple interlocking technologies.
Establish and drive execution of technical direction, standards, guidelines, methodologies and advocate best practices.
Solve highly technical and complex problems for multiple projects and teams.
Develop and improve strategic and enterprise-wide technical direction.
Create or revise operating procedures relating to specific technologies or IS processes.
Lead assigned team projects and mentor junior resources as needed.
Possess problem solving and analytical skills that will help triage production support incidents and provide timely resolution while reducing MTTR.
Perform ITIL functions including but not limited to Incident, Change and Problem Management
Perform incident trend analysis, Root cause analysis (RCA) and defect elimination planning.
Required Qualifications
5+ years’ experience and a deep understanding of AS/400 application development
3+ years of application development experience in RPG, RPGLE and CL
3+ years of IBMi SQL experience
3+ years of recent experience leading projects
Preferred Qualifications
7+ years of experience overall
1+ Synon2/E (aka COOL 2/E)
5+ Year of Healthcare Experience
Demonstrated successful completion of several medium to large scope projects; proficiency working on all phases of SDLC and with problem determination and resolution through research and fact finding.
Experience with RxClaim or other PBM Adjudication system is preferred.
Experience on Cloud Technologies like GCP, AWS, Azure, Java, Python and Angular
Education
Bachelor's or equivalent experience
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: 06/17/2026
