Sr Software Development Engineer - IBMi Claims Adjudication

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

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.

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.

*The team strongly prefers candidates local to Richardson, TX and be willing to be hybrid, we may consider remote US for the right candidate.

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 AS/400 application development
• 3+ years of application development experience in RPG, RPGLE and CL
• 3+ years of IBMi SQL experience
• 3+ years of recent experience leading projects

Preferred Qualifications

• 7+ years of experience overall
• 1+ Synon2/E (aka COOL 2/E)
• 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 Google Cloud Platform, AWS, Azure, Java, Python and Angular

Education

Bachelor's or equivalent 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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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.

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We anticipate the application window for this opening will close on: 10/11/2025

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