Distinguished Architect, Software Development – Claims Automation, Processor Enablement

CVS Health Careers

. Define and own the end-to-end technical North Star for the Claims Automation and Processor Enablement ecosystem .

Posted 11/2/2026full-timeRemote • Texas • United StatesSeniorLead💰 $175,100 - $334,750 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in defining and owning technical strategies for Claims Automation and Processor Enablement ecosystems, with a strong focus on architecture, automation, and decision frameworks. Proven ability to lead large engineering organizations and influence technology decisions to drive business outcomes in high-volume transaction-processing environments.

Highest-signal resume keywords

15+ Years Experience In Software EngineeringArchitecture Across Complex ApplicationsEnterprise-Scale Distributed Systems DesignAutomation And Intelligent Capabilities IntegrationExceptional Communication Skills

ATS Keywords

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Hard Skills

Architecture DefinitionAPI DesignIntegration PatternsAutomation ImplementationAnalytics IntegrationDecisioning PlatformsCI/CD PracticesObservabilityResiliencyTechnical Strategy Development

Soft Skills

Mentoring And CoachingInfluencing Technical DecisionsEngaging Executive Stakeholders

Tools & Technologies

AI/ML IntegrationRules EnginesBatch ProcessingCOBOLCICSDB2Payment Integrity SystemsHealthcare Payer Systems

Industry Keywords

Claims ProcessingRegulated Transaction-ProcessingHIPAACMSSOXEnterprise ArchitectureTechnical PublicationsOpen Source Contributions

Tech Stack

Tools & technologies

Distributed SystemsOpen Source

About the role

Key responsibilities & impact

Define and own the end-to-end technical North Star for the Claims Automation and Processor Enablement ecosystem
Establish how intelligent claim assessment, decisioning, workflow orchestration, processor-facing automation, Payment Integrity capabilities, and core adjudication services interact across the claim lifecycle
Define capability boundaries, integration patterns, APIs, events, and shared services across independently owned products and platforms
Develop and maintain an architectural blueprint showing capability interactions, data exchange, and evolution over time
Identify overlapping capabilities and drive convergence, reuse, consolidation, or purposeful separation
Guide technology decisions based on business outcomes, engineering suitability, operational risk, vendor maturity, talent availability, and total cost of ownership
Define approaches for claim complexity, Payment Integrity risk, business rules, analytics, and intelligent recommendations throughout the claim lifecycle
Establish how decision outputs are created, governed, consumed, measured, and improved
Ensure automation supports traceability, explainability, auditability, regulatory compliance, and human oversight
Guide responsible introduction of AI-assisted capabilities
Partner with engineering leaders on legacy and platform modernization and define transition architectures
Identify platform constraints and influence modernization priorities
Challenge technical assumptions and resolve competing strategies across organizations
Establish decision frameworks and measure technology, platform, reuse, automation, and business outcomes
Establish engineering standards, design patterns, and best practices
Mentor and coach senior engineers, principal engineers, and architects
Drive CI/CD, automated testing, observability, resiliency, and AI-assisted development
Document architectural decisions and remain engaged through implementation
Advise technology leadership and collaborate with product, design, operations, architecture, data, Payment Integrity, and business stakeholders
Represent Claims Automation in enterprise architecture discussions and strategic planning forums

Requirements

What you’ll need

15+ years of progressive experience in software engineering, architecture, platform engineering, or enterprise technology leadership
Demonstrated experience defining architecture across complex, independently owned applications or platforms
Ability to define enterprise technical strategy and translate it into actionable, sequenced roadmaps
Experience designing enterprise-scale distributed systems, APIs, integration patterns, and shared platform capabilities
Experience introducing automation, analytics, decisioning, or intelligent capabilities into high-volume operational workflows
Ability to evaluate and guide technology-stack decisions for large-scale platforms
Ability to influence technical decisions and lead large engineering organizations through technical credibility rather than positional authority
Experience leading technology transformation in complex, high-volume transaction-processing environments
Exceptional communication skills for translating technical strategy into business outcomes and engaging executive stakeholders
Bachelor's degree in Computer Science, Engineering, or a related field, or equivalent experience (19+ years of relevant experience in lieu of degree)
Preferred: experience with healthcare payer systems, claims processing, Payment Integrity, or regulated transaction-processing environments
Preferred: experience unifying independently developed applications and platforms into a cohesive ecosystem
Preferred: experience integrating AI/ML, intelligent automation, rules engines, analytics, or decisioning platforms into operational workflows
Preferred: experience with large-scale legacy or mainframe platforms
Preferred: familiarity with COBOL, CICS, DB2, batch processing, HIPAA, CMS, or SOX
Preferred: experience with platform engineering, developer experience, or reusable-capability initiatives
Preferred: contributions to industry thought leadership, open source, technical publications, or professional communities

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Equity award program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being