Manager Application Development - Clinical UM Automation

CVS Health

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About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Designs, develops, and enhances Clinical Utilization Management (UM) decision automation applications and platforms to meet business objectives and improve end‑user experience. Collaborates with Clinical UM stakeholders and cross‑functional technology teams to assess business and technical requirements and translate them into scalable, rules‑based application solutions. Drives solution quality through clear requirements definition, acceptance criteria, and partnership in testing and release activities. Supports the full application lifecycle by analyzing production behavior, performing root cause analysis, and coordinating fixes and enhancements to ensure stability, compliance, and continuous improvement of Clinical UM automation solutions. Implements development best practices to improve efficiency, reliability, and maintainability of the UM automation platform.

Requirements

• 5–7+ years of experience designing, developing, enhancing, or supporting enterprise application solutions with accountability across the application development lifecycle.
• Demonstrated ability to assess business and technical requirements and translate them into application features, user stories, and functional specifications.
• Experience delivering high‑quality solutions through partnership in testing, release planning, and deployment activities.
• Proven ability to analyze application behavior in production, perform root cause analysis, and coordinate corrective and preventative solutions.
• Strong collaboration and communication skills, including the ability to partner effectively with business stakeholders, engineers, and quality assurance teams.
• Experience working in Agile delivery environments and applying development best practices to improve efficiency, quality, and delivery outcomes.

Nice To Haves

• Experience developing or enhancing rules‑based or decision automation solutions (e.g., IBM ODM or similar decision or rules engines).
• Experience supporting Clinical UM, eligibility/entitlement, or healthcare decisioning and automation platforms.
• Familiarity with monitoring, logging, and incident management tools (e.g., Splunk, ServiceNow) to support application health and stability.
• Experience using Agile delivery and backlog management tools such as Azure DevOps, JIRA, and/or Rally.
• Exposure to SQL or data platforms (e.g., Snowflake) to support investigation, validation, and post‑release auditing.
• Experience applying industry best practices to continuously improve application quality, reliability, and user experience.

Responsibilities

• Designs, develops, and enhances Clinical Utilization Management (UM) decision automation applications and platforms to meet business objectives and improve end‑user experience.
• Collaborates with Clinical UM stakeholders and cross‑functional technology teams to assess business and technical requirements and translate them into scalable, rules‑based application solutions.
• Drives solution quality through clear requirements definition, acceptance criteria, and partnership in testing and release activities.
• Supports the full application lifecycle by analyzing production behavior, performing root cause analysis, and coordinating fixes and enhancements to ensure stability, compliance, and continuous improvement of Clinical UM automation solutions.
• Implements development best practices to improve efficiency, reliability, and maintainability of the UM automation platform.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees