Senior Manager, Software Development Engineering (Claims Adjudication)
CVS Health
Richardson, Texas
Posted 6 days ago
Qualifications
Education
Bachelor's degree or equivalent experience
Experience Requirements
Required
7+ years of Information Technology experience including leadership and development management experience in core development and delivery areas
7 years of experience
Benefits & Perks
Benefits Package
- medical coverage
- dental coverage
- vision coverage
- paid time off
- retirement savings options
- wellness programs
Full Job Description
Join Our Adjudication Development Engineering 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.
As part of the exciting Adjudication Development Engineering team, you will be expected to:
- Be proficient in all critical functions of the application development.
- Champion SDLC methodologies with a deep understanding of best practices to ensure that quality standards are met.
- 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 are business critical. You can work knowing you are helping many people each day.
Development and Delivery Management
- Manage assigned functional areas through detailed planning of projects, resources, and skillset mapping.
- Provide technology guidance to the resources, planned according to the functional and technical skillset required for the project delivery.
- Successfully deliver all projects and programs without compromising quality, budget, scope, and schedule.
- Meet scheduled milestones to ensure projects/program objectives are met in a timely manner.
- 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
- Set yearly goals focusing on career development. Discuss and layout plan of action to achieve goals and expectations.
- Perform periodic assessment of CVS and vendor resources.
- Provide formal and informal feedback to address gaps in performance (functional, technical, and soft skills).
- 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 resources to ensure compliance.
- Actively participate in recruitment and selection processes for both CVS and vendor candidates, as well as lead onsite and offshore vendor relationships.
- Commit to ensuring teams adhere to the highest degree of integrity and Code of Conduct standards.
Customer Relationship Management
- Consult with business and IT stakeholders during execution of projects to ensure business and IT expectations are being met.
- Address any challenge or roadblock to accomplish project goals and expectations.
- 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 IBMi technology.
Preferred Qualifications
- Health Care and PBM background.
- IBMi/AS400 Series 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 wellbeing 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'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 exciting Adjudication Development Engineering team, you will be expected to:
- Be proficient in all critical functions of the application development.
- Champion SDLC methodologies with a deep understanding of best practices to ensure that quality standards are met.
- 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 are business critical. You can work knowing you are helping many people each day.
Development and Delivery Management
- Manage assigned functional areas through detailed planning of projects, resources, and skillset mapping.
- Provide technology guidance to the resources, planned according to the functional and technical skillset required for the project delivery.
- Successfully deliver all projects and programs without compromising quality, budget, scope, and schedule.
- Meet scheduled milestones to ensure projects/program objectives are met in a timely manner.
- 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
- Set yearly goals focusing on career development. Discuss and layout plan of action to achieve goals and expectations.
- Perform periodic assessment of CVS and vendor resources.
- Provide formal and informal feedback to address gaps in performance (functional, technical, and soft skills).
- 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 resources to ensure compliance.
- Actively participate in recruitment and selection processes for both CVS and vendor candidates, as well as lead onsite and offshore vendor relationships.
- Commit to ensuring teams adhere to the highest degree of integrity and Code of Conduct standards.
Customer Relationship Management
- Consult with business and IT stakeholders during execution of projects to ensure business and IT expectations are being met.
- Address any challenge or roadblock to accomplish project goals and expectations.
- 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 IBMi technology.
Preferred Qualifications
- Health Care and PBM background.
- IBMi/AS400 Series 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 wellbeing 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.
How to Apply
$56
/ hour
CVS Health pays $56 for Systems Administrator in Richardson, Texas, with most salaries ranging from $40 to $81. Pay can vary based on role, experience, and local cost of living.
Median
$56
Low
$40
High
$81
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Figures represent approximate ranges and may vary based on experience, location, and other factors. For the most accurate information, please consult the employer directly. Contact us to suggest updates to this information.





