Lead Director, Software Engineering - Commercial Claims jobs in United States
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CVS Health · 1 month ago

Lead Director, Software Engineering - Commercial Claims

CVS Health is the nation’s leading health solutions company, dedicated to transforming healthcare. The Lead Director of Software Engineering will lead engineering teams focused on the development and modernization of legacy systems for commercial claims, ensuring reliability, scalability, and compliance while collaborating with cross-functional stakeholders.

Health CareMedicalPharmaceuticalRetailSales
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H1B Sponsor Likelynote

Responsibilities

Own engineering strategy and execution for commercial claims systems, including routing, adjudication, and operational reporting
Lead teams working on legacy platforms, with a focus on IBM Mainframe technologies (e.g., COBOL, JCL, DB2, CICS), while welcoming transferable experience from other legacy environments
Collaborate with product, design, data, and business leaders in a 'Five-in-a-Box' model to deliver integrated solutions
Drive modernization initiatives such as API enablement, data extraction, AI Adoption and selective migration to hybrid architectures
Ensure compliance with regulatory requirements and internal audit standards across claims workflows
Promote engineering excellence through structured change management, performance optimization, and automation
Manage vendor relationships and ensure seamless integration with external systems and services

Qualification

IBM MainframeSoftware Engineering LeadershipAdjudication SystemsRegulatory ComplianceAgile MethodologiesStakeholder ManagementData WarehousingCommunication Skills

Required

15+ years of experience in software engineering, with 7+ years in leadership roles
Experience with legacy platforms supporting high-volume, business-critical workflows; IBM Mainframe experience is a strong plus but not required
Proven experience managing large-scale adjudication systems and leading modernization efforts
Strong understanding of regulatory compliance in claims processing
Bachelor's degree in Computer Science, Engineering, or related field

Preferred

Excellent communication and stakeholder management skills
Familiarity with enterprise reporting platforms and data warehousing
Experience with Agile methodologies adapted for legacy environments
Leadership in matrixed organizations and cross-functional team management
Advanced degree preferred

Benefits

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Company

CVS Health

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

H1B Sponsorship

CVS Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)

Funding

Current Stage
Public Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase