Senior Manager, Software Development Engineering (Claims Adjudication)

Job 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. Position Summary As part of the exciting Adjudication Development Engineering 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. This team directly impacts the lives of our pharmacy customers by creating systems that process prescriptions. The systems we work with process over 10 million scripts a day and is business critical. You can work knowing you are helping many people each day. Development and Delivery Management ∙ You will manage assigned functional areas through detailed planning of projects, resources and skillset mapping. ∙ You will provide technology guidance to the resources, planned according to the functional and technical skillset required for the project delivery. ∙ You will successfully deliver all projects and programs without compromising quality, budget, scope and schedule. ∙ You will meet scheduled milestones to ensure projects / programs objectives are met in a timely manner. ∙ You should have a deep understanding, follow and provide guidance to project teams and resources on principles, practices and techniques followed within the application area and organization. ∙ You will contribute to IT project planning for one or more business areas; review progress toward plan regularly with clients and make modifications, as necessary; provide quantitative cost/benefit analysis; ensure team is following work, documentation, certification, and audit requirements, as needed - Lead the development and delivery of innovative AI tools, ensuring alignment with the organization’s strategic goals Resource Management ∙ You will set yearly goals focusing on career development. Discuss and layout plan of action to achieve goals and expectations. ∙ You will perform periodic assessment of CVS and vendor resources. ∙ Provide formal and informal feedback to address gaps in performance (functional, technical and soft skills). ∙ You will perform mid-year and year end assessment. ∙ Provide comprehensive feedback on strengths and development areas Oversee, review and take action on time sheets for CVS and vendor resource to ensure compliance. ∙ You will actively participate in recruitment and selection processes for both CVS and vendor candidates, as well as lead onsite and offshore vendor relationships. ∙ Commitment to ensuring teams adheres to the highest degree of integrity and Code of Conduct standards Customer Relationship Management ∙ You will consult with business and IT stakeholders during execution of projects to ensure business and IT expectations are being met. ∙ You will address any challenge or road block to accomplish project goals and expectations. ∙ You will identify and develop services and service level agreements (SLAs); educate senior leaders on service-related information and continually improve related processes Required Qualifications 7+ years of Information Technology experience including leadership and development management experience in core development and delivery areas including the following: ∙ 7+ years of experience in information technology principles, development methodologies and use of platforms/applications or software products ∙ 7+ years of experience mentoring and supervising full time employees work and career development; as well as onsite and offshore vendor relationships ∙ 5+ years of experience in handling customer expectations and relationship building ∙ 5+ years of experience leading large or multiple application teams to deliver projects and initiatives effectively ∙ 5+ years of technology development (Design, Coding and Testing) experience in Cloud/Web/Legacy technology. Preferred Qualifications ∙ Health Care and PBM background ∙ IBMi/AS400 Series and Cloud experience Education Bachelor’s degree or equivalent experience Pay Range The typical pay range for this role is: $118,450.00 - $236,900.00 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. 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: 08/07/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.