Distinguished Architect, Software Development – Claims Automation, Processor Enablement

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🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $175.1k - $334.8k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🧑‍💻 Full-stack Engineer

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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