Lead Director - Software Development Engineering (Claims Adjudication)

IT Director For Adjudication Team

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.

Would you like to join a Fortune 5 company as a part of our growing Information Technology team? Are you looking for a dynamic leadership opportunity to make a difference? Are you passionate about doing what's right? Join the CVS Health Adjudication Team!

This high-profile IT Director role is jointly responsible for the transformation, modernization and automation strategy along with its execution for the Claim adjudication platform.

Major Responsibilities Include:

• Directing a high skilled team of 50+ technology professionals, will act as the IT leader responsible for core adjudication strategic programs.
• Responsible for the development and delivery of optimized technology solutions for CVS Health's Claims Adjudication platform. Will be a transformational leader providing forward-thinking and strategic direction in jointly developing and executing on our vision for Adjudication as a Service. Strategy will include driving down cost of change, increase speed to market, technology relevance in ensuring scalability and serviceability of the platform
• Create and ensure the implementation of application development standards to drive architectural roadmap for simplification and modularization of key adjudication functions. In addition, will be leading large enterprise strategic and compliance programs working in close collaboration with PSS IT and Business leaders
• Assist in the business development process, setting priorities, and understanding requirements and technical platforms available to meet the business needs. Should anticipate any challenges related to organic growth, system performance or EOL software / hardware potentials while ensuring all regulatory/compliance requirements are met.

The Director will lead an experienced and motivated team tasked with delivering high-quality, modular and scalable solutions, ensuring that CVS Health continues to stay innovative in the healthcare marketplace.

To be successful in this role you must exhibit the following:

• Experience with industry leading expertise in IBMi and similar technologies
• API Development: Designing and building RESTful APIs using Java to connect frontend interfaces with backend IBM i systems.
• System Integration: Seamlessly connecting AS/400 with other enterprise systems, cloud platforms, and third-party web services.
• Experience leading strategic planning for enterprise applications including planning related to scalable growth, performance tuning, and optimization of the systems.
• Experience analyzing the enterprise platforms and related technologies to detect critical deficiencies and recommend solutions for improvement
• Experience in creating and running budgets, strategic planning, process enhancement, technical leadership, HR management and staff development

Competencies:

• Able to Navigate a Complex Organization: The ideal candidate will have worked effectively in an organization of considerable size, scope and complexity. He or she will be highly effective at partnering across boundaries, and will understand how to collaborate, influence and drive impact across the organization. This leader will have the ability to interact with and influence senior management enterprise wide and create marketing programs that further company objectives. The successful candidate will possess a demonstrated ability to work collaboratively across complex, multifunctional teams.
• Highly Skilled Communicator with the Ability to Connect Deeply with People: The ideal candidate will possess excellent communication skills and will present his/her views in a clear and compelling manner. He/she should be a good listener who is straightforward, articulate and open in communication with others. This executive will have the presence and credibility to win support and buy-in. He/she must create enthusiasm among the team and be able to create a rally cry around key initiatives throughout the company.
• Demonstrate Excellence and Accountability: Innovate; anticipate the future; work toward continuous improvement; work cross-functionally to achieve right outcomes; create and lead with a sense of urgency; translate strategy into action.
• Deliver Quality Service and Value: Build trust by creating value-added relationships with all constituents; aspire to be the best; balance the needs of all constituents; exceed constituents' expectations.
• Lead Change: Inspire others; communicate a compelling vision; convince others and organizations to embrace change; negotiate skillfully; understand what motivates other people/groups
• Drive for Results: Focus on actions and outcomes; drive with energy; take initiative; remain organized and resourceful; marshal multiple/matrixed resources to get things done; possess a detail orientation.
• Build Employee Engagement: Encourage independent thinking and initiative; value diversity; build confidence and pride in the company; inspire others to contribute; create open, honest dialogue; create and communicate a vision that aligns performance with strategy; celebrate successes; express ideas effectively

Required Qualifications:

• 10+ years of IT experience in a large-scale complex technology environment, leading IT teams focused on application/system architecture & application development.
• Java Stack: Expert knowledge of Core Java, JEE, Spring, Spring Boot, JDBC, and Hibernate.
• IBMi Fundamentals: Understanding of AS/400 architecture, CL (Control Language) commands, and the Integrated File System (IFS).
• Modern Web Frontend: Proficiency in JavaScript frameworks like Angular, React, or Vue.js.
• Database & SQL: Deep experience with SQL/400, DDS, and modern RDBMS concepts (PostgreSQL, mongoDB, or SQL Server).
• DevOps & Tooling: Familiarity with Git for version control, CI/CD pipelines, Maven, and containerization tools like Docker or Kubernetes
• In depth understanding of APIs and microservices-based architecture
• Ability to travel up to 10% of the time

Preferred Qualifications:

• Health Care Industry domain knowledge including 2+ years' experience in a Director level role or 4+ years of diverse experience in a Sr Manager role.
• Experience in enterprise development tools and methodologies (XP, Agile) including DevSecOps and DataOps
• Experience integrating with legacy mainframe/mid-range applications including developing roadmaps for modernization of the applications

Education:

• Bachelor's Degree in Computer Science or equivalent experience

Pay Range: The typical pay range for this role is:

$144,200.00 - $288,400.00

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. This position also includes an award target in the company's equity award program.

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.