Distinguished Architect, Software Development – Claims Automation, Processor Enablement

Vaga não está no LinkedIn

🕒 4 dias atrás

🤠 Texas – Remoto

🤠 Texas – Remote

💵 $175.100 - $334.750 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

🧑‍💻 Engenheiro Full-stack

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CVS Health Careers

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛒 Varejo

📦 Logística

Healthcare • Retail • Logistics

CVS Health Careers é a área de recrutamento e employer branding da CVS Health, apresentando oportunidades de trabalho em diversas áreas da empresa — lojas de varejo farmacêutico, serviços de farmácia, clínicas de saúde, centros de distribuição, funções corporativas e transporte. O site de carreiras destaca um trabalho orientado por propósito, focado em melhorar o acesso, a acessibilidade financeira e a qualidade dos cuidados de saúde, além de apresentar uma grande força de trabalho (mais de 300. 000 funcionários), uma cultura inclusiva, benefícios e recursos de contratação para candidatos.

Descrição

• Define and own the end-to-end technical North Star for the Claims Automation and Processor Enablement ecosystem • Establish how intelligent claim assessment, decisioning, workflow orchestration, processor-facing automation, Payment Integrity capabilities, and core adjudication services interact across the claim lifecycle • Define capability boundaries, integration patterns, APIs, events, and shared services across independently owned products and platforms • Develop and maintain an architectural blueprint showing capability interactions, data exchange, and evolution over time • Identify overlapping capabilities and drive convergence, reuse, consolidation, or purposeful separation • Guide technology decisions based on business outcomes, engineering suitability, operational risk, vendor maturity, talent availability, and total cost of ownership • Define approaches for claim complexity, Payment Integrity risk, business rules, analytics, and intelligent recommendations throughout the claim lifecycle • Establish how decision outputs are created, governed, consumed, measured, and improved • Ensure automation supports traceability, explainability, auditability, regulatory compliance, and human oversight • Guide responsible introduction of AI-assisted capabilities • Partner with engineering leaders on legacy and platform modernization and define transition architectures • Identify platform constraints and influence modernization priorities • Challenge technical assumptions and resolve competing strategies across organizations • Establish decision frameworks and measure technology, platform, reuse, automation, and business outcomes • Establish engineering standards, design patterns, and best practices • Mentor and coach senior engineers, principal engineers, and architects • Drive CI/CD, automated testing, observability, resiliency, and AI-assisted development • Document architectural decisions and remain engaged through implementation • Advise technology leadership and collaborate with product, design, operations, architecture, data, Payment Integrity, and business stakeholders • Represent Claims Automation in enterprise architecture discussions and strategic planning forums

🎯 Requisitos

• 15+ years of progressive experience in software engineering, architecture, platform engineering, or enterprise technology leadership • Demonstrated experience defining architecture across complex, independently owned applications or platforms • Ability to define enterprise technical strategy and translate it into actionable, sequenced roadmaps • Experience designing enterprise-scale distributed systems, APIs, integration patterns, and shared platform capabilities • Experience introducing automation, analytics, decisioning, or intelligent capabilities into high-volume operational workflows • Ability to evaluate and guide technology-stack decisions for large-scale platforms • Ability to influence technical decisions and lead large engineering organizations through technical credibility rather than positional authority • Experience leading technology transformation in complex, high-volume transaction-processing environments • Exceptional communication skills for translating technical strategy into business outcomes and engaging executive stakeholders • Bachelor's degree in Computer Science, Engineering, or a related field, or equivalent experience (19+ years of relevant experience in lieu of degree) • Preferred: experience with healthcare payer systems, claims processing, Payment Integrity, or regulated transaction-processing environments • Preferred: experience unifying independently developed applications and platforms into a cohesive ecosystem • Preferred: experience integrating AI/ML, intelligent automation, rules engines, analytics, or decisioning platforms into operational workflows • Preferred: experience with large-scale legacy or mainframe platforms • Preferred: familiarity with COBOL, CICS, DB2, batch processing, HIPAA, CMS, or SOX • Preferred: experience with platform engineering, developer experience, or reusable-capability initiatives • Preferred: contributions to industry thought leadership, open source, technical publications, or professional communities

🏖️ Benefícios

• CVS Health bonus, commission or short-term incentive program • Equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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