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Senior Software Development Engineer (IBMi Claims Adjudication)

CVS HealthRichardson, TX
$92,700 - $185,400Hybrid

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. Role Summary As part of the Rx Claim Adjudication team, you will be expected to be proficient in all critical functions of the application development and will champion SDLC methodologies with a deep understanding of best practices to ensure that quality standards are met. We believe for success you should have flexibility, possess a positive outlook, discernment, and inspire change within a fast-growing environment. This team directly impacts the lives of our pharmacy customers by creating systems that process prescriptions. The systems we work with process over 10 million scripts a day and is business critical. You can work knowing you are helping many people each day. The team strongly prefers candidates local to Richardson, TX and be willing to be hybrid Within the application development area, you will: Oversee life cycle process (e.g., design, analysis, review) and testing results to ensure adherence to quality standards and deliver high-quality products. Ensure consistent alignment of technical solutions with the business goals and objectives of the supported unit. Perform model training, evaluation, and fine-tuning while considering the constraints and opportunities posed by legacy architectures. Partner with teams and serve as cross-functional expert to provide bench-marked solutions to multiple, complex technical projects/initiatives using multiple interlocking technologies. Establish and drive execution of technical direction, standards, guidelines, methodologies and advocate best practices. Solve highly technical and complex problems for multiple projects and teams. Develop and improve strategic and enterprise-wide technical direction. Create or revise operating procedures relating to specific technologies or IS processes. Lead assigned team projects and mentor junior resources as needed. Possess problem solving and analytical skills that will help triage production support incidents and provide timely resolution while reducing MTTR. Perform ITIL functions including but not limited to Incident, Change and Problem Management Perform incident trend analysis, Root cause analysis (RCA) and defect elimination planning.

Requirements

  • 5+ years’ experience and a deep understanding of AS/400 application development
  • 3+ years of application development experience in RPG, RPGLE and CL
  • 3+ years of IBMi SQL experience
  • 3+ years of recent experience leading projects

Nice To Haves

  • 7+ years of experience overall
  • 1+ Synon2/E (aka COOL 2/E)
  • 5+ Year of Healthcare Experience
  • Demonstrated successful completion of several medium to large scope projects; proficiency working on all phases of SDLC and with problem determination and resolution through research and fact finding.
  • Experience with RxClaim or other PBM Adjudication system is preferred.
  • Experience on Cloud Technologies like GCP, AWS, Azure, Java, Python and Angular

Responsibilities

  • Oversee life cycle process (e.g., design, analysis, review) and testing results to ensure adherence to quality standards and deliver high-quality products.
  • Ensure consistent alignment of technical solutions with the business goals and objectives of the supported unit.
  • Perform model training, evaluation, and fine-tuning while considering the constraints and opportunities posed by legacy architectures.
  • Partner with teams and serve as cross-functional expert to provide bench-marked solutions to multiple, complex technical projects/initiatives using multiple interlocking technologies.
  • Establish and drive execution of technical direction, standards, guidelines, methodologies and advocate best practices.
  • Solve highly technical and complex problems for multiple projects and teams.
  • Develop and improve strategic and enterprise-wide technical direction.
  • Create or revise operating procedures relating to specific technologies or IS processes.
  • Lead assigned team projects and mentor junior resources as needed.
  • Possess problem solving and analytical skills that will help triage production support incidents and provide timely resolution while reducing MTTR.
  • Perform ITIL functions including but not limited to Incident, Change and Problem Management
  • Perform incident trend analysis, Root cause analysis (RCA) and defect elimination planning.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs

Career Resources

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