Senior Software Engineer — Backend

CVS Health•Washington, NV

1d•$83,430 - $222,480

About The Position

CVS Health is hiring a Senior Software Engineer for Oak Street Health’s engineering teams, which build software supporting clinical care delivery, including patient scheduling, care coordination, clinical records, and integrations with health networks. The engineer will own complex workstreams, make technical decisions within their domain, and mentor other engineers. The work must be reliable, maintainable, and designed to evolve, with quality important to clinical outcomes. The role involves designing system prompts with LLM frameworks, partnering with product teams and business stakeholders to automate workflows, and building file-ingestion pipelines using Databricks. The engineer will own a domain or service area end-to-end, including its data model and integration contracts, and will promote code quality, test coverage, observability, and production health. Oak Street Health delivers value-based primary care to Medicare-eligible adults through clinics across the U.S. Its engineering teams build platforms for clinical workflows and population-health data systems. Oak Street Health is part of CVS Health. This is a full-time position with 40 anticipated weekly hours. The stated pay range is $83,430.00–$222,480.00, and the position is eligible for a CVS Health bonus, commission, or short-term incentive program. The application window is anticipated to close on 10/23/2026.

Requirements

At least 5 years building distributed backend systems in production.
Proficiency building system prompts and utilizing AI frameworks.
Hands-on experience with MongoDB or comparable document stores.
Track record of leading technical work across a team, not just executing it.
Experience with cloud-native deployment on Azure, AWS, or GCP.
Bachelor's degree preferred, or specialized training or a relevant professional qualification.

Nice To Haves

Experience building ETL/ELT workflows using Databricks.
Deep familiarity with domain-driven design and bounded context modeling.
Experience with healthcare interoperability standards (FHIR, HL7) or EMR integrations.
Background in high-throughput, low-latency service design at scale.
Experience with event sourcing, CQRS, or other advanced event-driven patterns.

Responsibilities

Design robust system prompts using LLM frameworks.
Partner with product teams and business stakeholders to understand and automate workflows.
Design and implement robust file-ingestion pipelines using Databricks.
Own a domain or service area end-to-end, including its data model and integration contracts.
Lead code reviews, set technical standards, and mentor junior and mid-level engineers.
Hold the team accountable for test coverage, observability, and the production health of owned services.