Software Development Engineer
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. About the Role We’re seeking a Principal Engineer with deep expertise in Java full stack development, Google Cloud Platform (GCP), and Generative AI, with a strong background in healthcare payer applications. You will lead architecture and delivery of high-scale platforms across Medicare, Medicaid, and Commercial lines of business—spanning claims, eligibility, provider, utilization management, and compliance initiatives.
Requirements
- 10+ years in software engineering; 5+ years leading architecture for large-scale platforms.
- Advanced Java, Spring Boot, REST/gRPC, microservices, and front-end (React/Angular, TypeScript).
- GCP expertise: BigQuery, Pub/Sub, Dataflow/Beam, Cloud Run/GKE, Cloud Storage, Secrets Manager, Cloud IAM, Cloud Build, Apigee.
- GenAI/ML exposure: Vertex AI, LLMs, prompt design, retrieval augmentation, evaluation/guardrails.
- Healthcare Payer experience with EDI X12 (e.g., 270/271, 276/277, 278, 834, 835, 837, 820), FHIR R4, and payer workflows (claims, eligibility, UM/PA, provider, member).
- Strong knowledge of HIPAA, PHI, RBAC/ABAC, data encryption, and auditability.
- Proven leadership: technical strategy, mentoring, cross-functional alignment, executive communication.
- Bachelor's degree required.
Nice To Haves
- Experience with Medicare Advantage (STARS/HEDIS, risk adjustment, encounter submissions) and Medicaid (state reporting, waivers).
- MLOps and data engineering (e.g., feature stores, model monitoring, lineage/metadata).
- Event streaming (Kafka/Pub/Sub), CQRS, saga patterns; domain-driven design.
- API management (Apigee), OpenAPI/Smart on FHIR, and payer identity models (member/provider/NPI).
- Security certifications or hands-on with HITRUST, SOC 2, ISO 27001.
- Master's degree preferred
Responsibilities
- Lead end-to-end architecture for cloud-native applications using Java/Spring Boot, React/Angular, microservices, and event-driven patterns.
- Design FHIR R4-based APIs and payer interoperability solutions; integrate with EDI services for X12 transactions.
- Build scalable data pipelines on GCP (e.g., Pub/Sub, Dataflow, BigQuery, Cloud Run, GKE, Cloud Functions) with appropriate IAM and VPC security.
- Apply Vertex AI and LLMs for use cases like prior authorization summarization, member/provider 360 assistants, claims triage, contact center AI, and document intelligence (OCR → structured data).
- Establish prompt engineering patterns, governance, evaluation frameworks, guardrails, and PHI-safe architectures.
- Ensure adherence to HIPAA, PHI handling, HITRUST/SOC 2 controls; support CMS regulatory mandates (e.g., Interoperability Rule).
- Champion privacy-by-design, data minimization, and secure SDLC practices.
- Mentor engineers, drive code/design reviews, set engineering standards (testing, SRE, CI/CD).
- Partner with Product, Enterprise Architecture, Compliance, and Clinical/Operations stakeholders to align on roadmap and outcomes.
Benefits
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- CVS Health bonus, commission or short-term incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Principal
