Lead Director, Software Development Engineering (Member Eligibility Services)
About The Position
CVS Health's Claims Adjudication Software Engineering & Transformation organization is seeking a Director to lead the Eligibility portfolio for the PBM business. This role involves modernizing eligibility processing from legacy on-premises systems to a cloud-based data platform and API layer that serves member demographic and coverage data to enterprise consumers. The Director will lead a multi-team engineering organization responsible for platform and API engineering, client onboarding and data integration, legacy system operations, and quality assurance. They will be accountable for delivery, production stability, and modernization across the portfolio.
Requirements
- 10+ years in Healthcare IT, including 2+ years at a Director or Senior Manager level leading application/system teams on cloud technologies
- Experience owning production-critical, high-availability APIs or systems, including release management and deployment safety.
- Strong client-facing production support: incident response, root-cause resolution, executive reporting, SLA adherence.
- Experience leading legacy-to-cloud modernization or data migration programs.
- Experience managing a mixed FTE/contingent workforce.
- Ability to lead cross-functional initiatives and influence without direct authority.
- Proficient in cloud engineering fundamentals - scalable, secure API and datastore design.
- Experience applying AI technologies in engineering or operations.
- Bachelor's degree in Computer science, information systems, or related field, or equivalent work experience.
Nice To Haves
- Experience with client onboarding or migration programs at scale.
- Experience establishing Agile delivery and work-tracking practices across teams.
- Knowledge of CMS Medicare and PBM regulatory context.
- Strong stakeholder communication and negotiation skills across engineering, product, and business leadership.
Responsibilities
- Own strategy, delivery, architecture, and operational stability for the eligibility platform, APIs, client onboarding and data integration, and legacy eligibility systems.
- Lead the modernization of eligibility processing from legacy on-premises platforms to cloud-based data services, including migration of clients onto the modern platform and retirement of legacy components.
- Own release management, deployment safety practices, and incident response for production-critical services, including postmortems and corrective actions.
- Lead and develop a multi-team organization through managers and senior managers; build bench strength and successors for key technical and leadership roles.
- Manage production support and SLA adherence across all owned systems, working cross-functionally to resolve issues and communicate with business stakeholders.
- Partner with architecture and principal engineering on AI-enabled initiatives and integrate them into team planning and prioritization.
- Maintain strong Agile delivery and work-tracking practices across the organization.
- Manage vendor relationships and contingent staffing plans; oversee budget and resource allocation for the portfolio.
- Partner with peer directors across the Adjudication organization on shared modernization goals and platform strategy.
- Ensure compliance of systems and applications with company policies, standards, and regulatory requirements.
Benefits
- medical coverage
- dental coverage
- vision coverage
- paid time off
- retirement savings options
- wellness programs
- CVS Health bonus
- commission
- short-term incentive program
- equity award program
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What This Job Offers
Job Type
Full-time
Career Level
Director
