Distinguished Architect, Software Development – Claims Automation, Processor Enablement

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🕒 vor 2 Tagen

🤠 Texas – Remote

🤠 Texas – Remote

💵 $175.100 - $334.750 / Jahr

⏰ Vollzeit

🟠 Senior

🔴 Experte

🧑‍💻 Full-Stack-Entwickler

👻 Geisterscore 0%

Was es bedeutet: die Wahrscheinlichkeit, dass für diese Stelle niemand wirklich einstellt.So liest du es: 60 % oder höher heißt, wir halten das für einen Geisterjob. Niedrigere Werte sind weniger bedenklich.Wie wir werten: Dauer offen, Neuveröffentlichungen, offene Stellen vs Teamgröße, wie schnell Stellen geschlossen werden, und ob ein Gehalt angegeben ist.Hinweis: eine Schätzung aus öffentlichen Daten, kein Urteil über das Unternehmen. Echte Stellen können hoch punkten, nutze es also als Hinweis, nicht als Fakt.

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CVS Health Careers

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10.000+ Mitarbeiter

🏥 Gesundheitswesen

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📦 Logistik

Healthcare • Retail • Logistics

CVS Health Careers ist der Recruiting- und Employer-Branding-Bereich von CVS Health und präsentiert Stellenangebote in den vielfältigen Geschäftsbereichen des Unternehmens – darunter Apotheken und Filialen, Pharmacy Services, Gesundheitskliniken, Distributionszentren, Corporate Functions und Transport. Die Karriereseite stellt sinnstiftende Arbeit in den Mittelpunkt, die den Zugang zu Gesundheitsversorgung verbessert und deren Bezahlbarkeit und Qualität steigert. Zudem informiert sie über die mehr als 300. 000 Mitarbeitenden, die inklusive Unternehmenskultur, Benefits und Bewerbungsressourcen.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

• 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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