Description

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.

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.

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.

Required Qualifications

• 5+ years' experience and a deep understanding of IBMi application development
• 3+ years of application development experience in Free form RPG, RPGLE and CL;
• 3+ years of IBMi SQL experience
• 3+ years of recent experience leading projects

Preferred Qualifications

• 7+ years of experience overall
• 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

Education

• A Master's degree or foreign equivalent in Engineering, Computer Science, Information Systems, IT, or closely related technical field and 3 years of experience in application development and SDLC. Will accept a Bachelor's Degree and 6 years of experience in lieu of a Master's degree and 3 years of experience.

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$92,700.00 - $185,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/24/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.