CVS Health

Staff Software Development Engineer - Application Architecture

CVS Health$118K — $236K *
US-AnywhereRemote in Texas, US
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years of software engineering experience with demonstrated impact at scale.
  • Proven experience leading application architecture in large, complex enterprise systems.
  • Strong hands-on expertise in at least one modern backend stack (.NET, Java, Node.js) and distributed system design.
  • Deep experience designing APIs, integrations, and data-driven systems.
  • Strong understanding of cloud-ready architectures, CI/CD, and secure SDLC practices.
  • Excellent communication and influencing skills across organizational boundaries.

Responsibilities

  • Drive decomposition of legacy monolithic components into cloud-ready services and modular architectures.
  • Define and deliver a clearly articulated CAS North Star Architecture.
  • Architect a cloud-ready, hybrid-capable platform supporting coexistence of on-prem and cloud workloads.
  • Drive API-first design with consistent standards for versioning and backward compatibility.
  • Design and promote event-driven architectures to enable scalable workflows.
  • Own CAS architecture governance, including principles and standards.
  • Design for reliability and operability by default, defining SLIs/SLOs and operational runbooks.

Benefits

  • Comprehensive medical, dental, and vision coverage.
  • Paid time off and retirement savings options.
  • Wellness programs and resources to support well-being.
Full Job Description
Position Summary

If you're eager to make a meaningful impact through deep technical leadership, consider a role in technology with CVS Health. Our journey calls for senior-level engineers who can shape the future of pharmacy prior authorization platforms and solutions for CAS (Clinical Authorization System).

As a Staff Software Development Engineer - Application Architecture, you serve as a technical authority for CAS architecture and design. You define, evolve, and govern architectural patterns across multiple teams while remaining hands-on with design, code, and critical technical decisions. This role is central to CAS modernization as we evolve from a large on-prem monolith to a cloud-ready, API-first, domain-aligned platform.

You partner closely with engineering teams, product, UX, QA, DevSecOps, SRE, data, and enterprise architecture to ensure solutions are secure, reliable, performant, compliant, and aligned with long-term strategy.

As a Staff Software Development Engineer - Architecture, you will serve as a technical authority for CAS application architecture and design. You will define, evolve, and govern architectural patterns while remaining hands-on with design, code, and technical decision-making. This role is critical to CAS modernization as we evolve from a large, on-prem monolith to a scalable, cloud-ready, API-first platform.

Key Responsibilities

Application Architecture & North Star Delivery

  • Drive decomposition of legacy monolithic components into cloud-ready services and modular architectures.


  • Balance short-term delivery needs with long-term architectural sustainability and modernization goals.


  • Define and deliver a clearly articulated CAS North Star Architecture, describing the target-state platform, core principles, reference patterns, and a phased migration strategy from legacy to future state.


  • Architect a cloud-ready, hybrid-capable platform supporting coexistence of on-prem and cloud workloads during migration, with clear service boundaries and integration contracts.


  • Drive API-first design with consistent standards for versioning, backward compatibility, contract testing, and developer experience to enable internal and partner interoperability.


  • Establish domain-aligned services and modular components (DDD-inspired bounded contexts) to reduce coupling and enable independent delivery by multiple teams.


  • Design and promote event-driven architectures where appropriate, publishing authorization and clinical lifecycle events to enable scalable workflows and downstream integration without point-to-point dependencies.


  • Define a pragmatic strangler-fig migration strategy for decomposing the legacy monolith, including incremental cutovers, coexistence patterns, and measurable milestones.


Architecture Governance & Reference Implementations

  • Own CAS architecture governance, including principles, standards, reference architectures, reference implementations, ADRs, and a lightweight, auditable exception process with time-bound remediation.


  • Produce and maintain executable reference patterns for common concerns such as API design, service templates, security controls, integration patterns, data access, and observability.


  • Define and report architecture governance metrics (e.g., standards adoption, exception volume and age, architectural debt remediation, service SLO attainment, and change quality indicators).


Full-Stack & Platform Architecture (End-to-End)

  • Define architectural patterns spanning presentation, service, integration, data, and platform layers, ensuring alignment between UI experiences, APIs, and backend workflows.


  • Establish standards for frontend architectures (componentized UI, accessibility, performance budgets) aligned with shared design systems and backend contracts.


  • Design backend services using modern stacks (e.g., .NET, Java, Node.js) with clean architecture, testability, and clear separation of concerns.


  • Standardize synchronous and asynchronous integration patterns (REST/JSON, messaging, streaming, gRPC where applicable) with secure partner connectivity.


  • Drive platform architecture aligned to Azure and/or GCP, including containerization, environment strategy (dev/test/stage/prod), networking, secrets management, and landing-zone alignment.


  • Partner with DevSecOps to define CI/CD and DevSecOps standards, including automation-first testing, security scanning, policy gates, infrastructure as code, and safe deployment strategies (blue/green, canary).


Reliability, Security & Operational Excellence

  • Design for reliability and operability by default, defining SLIs/SLOs, graceful degradation, bulkheads, and resilient integration patterns.


  • Define and enforce security and compliance architectures for regulated healthcare data, including least-privilege access, encryption, auditability, identity controls, and data classification standards.


  • Establish observability requirements across services (metrics, logs, traces, alerts), operational runbooks, and incident response expectations aligned to SLOs.


  • Participate in incident analysis and drive architectural remediation to prevent recurrence.


Data, Analytics & Operational Insights

  • Architect end-to-end data and analytics solutions supporting CAS operational reporting and insights, including ingestion, transformation, semantic layers, and consumption through dashboards, APIs, and downstream services.


  • Define data modeling and SQL performance standards, data governance controls (quality checks, lineage, auditability), and reliable KPI/metric contracts suitable for regulated data.


  • Establish consistent data integration patterns across heterogeneous platforms, including error handling, retries, and pipeline observability.


  • Set architectural standards for integrating analytics and automation tooling (e.g., dashboards/KPIs, analytics automation, workflow orchestration, Python-based data processing).


AI / GenAI Architecture & Responsible Enablement

  • Identify and enable AI-assisted capabilities that improve prior authorization outcomes and throughput (e.g., intake automation, summarization, triage, exception routing) with strong human-in-the-loop controls.


  • Define AI service patterns (model-as-a-service behind stable APIs) to decouple domain services from model implementations and enable iterative upgrades.


  • Establish MLOps and Responsible AI guardrails, including reproducible pipelines, model/version registries, monitoring, drift detection, explainability, bias evaluation, rollback, and auditability.


  • Ensure AI solutions comply with PHI security and privacy requirements, including data minimization, encryption, access controls, and audit logging.


Interoperability & Ecosystem Integration

  • Design interoperable solutions aligned with clinical and claims ecosystems, including standards-based approaches such as FHIR/HL7 where applicable.


  • Define canonical data contracts, mapping strategies, and resilient interface patterns (idempotency, retries, circuit breakers, dead-letter handling) with clear operational ownership.


Cross-Functional Leadership & Influence

  • Partner with Product, UX, QA, DevSecOps, SRE, Data, and Enterprise Architecture to align technical solutions with business outcomes.


  • Communicate architectural vision, tradeoffs, and decisions clearly to technical and non-technical stakeholders.


  • Mentor senior engineers and tech leads and influence engineering standards without direct people-management responsibility.


Required Qualifications

  • 10+ years of software engineering experience with demonstrated impact at scale.


  • Proven experience leading application architecture in large, complex enterprise systems.


  • Strong hands-on expertise in at least one modern backend stack (.NET, Java, Node.js) and distributed system design.


  • Deep experience designing APIs, integrations, and data-driven systems.


  • Strong understanding of cloud-ready architectures, CI/CD, and secure SDLC practices.


  • Excellent communication and influencing skills across organizational boundaries.


  • Strong hands-on expertise in at least one modern backend stack (e.g., .NET, Java, Node) and distributed system design.


  • Deep experience designing APIs, service integrations, and data-driven systems.


  • Strong understanding of cloud-ready architectures, CI/CD pipelines, and secure SDLC practices.


  • Excellent communication skills with the ability to influence across teams and organizational boundaries.


Preferred Qualifications

  • Experience modernizing monolithic systems into cloud-native or hybrid architectures.


  • Experience with DDD, event-driven architecture, and API governance.


  • Hands-on full-stack experience across UI, services, integration, data, and platform layers.


  • Experience applying AI/ML or Generative AI in regulated environments with MLOps and Responsible AI controls.


  • Experience architecting operational analytics platforms, including dashboards/KPIs, semantic layers, and analytics automation tools.


  • Strong SQL and enterprise data platform experience (e.g., Teradata, SQL Server, Oracle).


  • Experience with Python-based automation and workflow orchestration.


  • Experience in healthcare, pharmacy, insurance, or other highly regulated industries.


  • Familiarity with HIPAA and related compliance requirements.


  • Experience modernizing legacy systems into cloud-native or hybrid architectures.


  • Familiarity with domain-driven design (DDD), event-driven architecture (EDA), and API governance.


  • Experience with Azure and/or GCP platforms.


  • Prior experience in healthcare, pharmacy, insurance, or highly regulated enterprise environments.


  • Knowledge of regulatory and compliance requirements such as HIPAA, PCI DSS, or FedRAMP.


  • SAFe Agile or cloud architecture certifications.


Education

  • Bachelor's degree in Computer Science, Engineering, or related field required


  • Master's degree preferred


Culture Fit

  • Mission-aligned engineering with strong ownership mindset


  • Architectural stewardship with pragmatic innovation


  • Quality and reliability by design


  • Constructive challenge and continuous improvement


  • Outcome-driven, collaborative leadership


Pay Range

The typical pay range for this role is:

$118,450.00 - $236,900.00

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 Benefits Moments.

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

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