Director, Cloud-Native Eligibility & API Platform

CVS Health; United States; Remote; USD 144,000 - 288,000; Full time

Benefits offered by this job

Bonus opportunity

Equity awards

Job summary

CVS Health is seeking a Director to lead the Eligibility portfolio for the PBM business, overseeing the modernization of eligibility processing from legacy on-premises systems to a cloud-based data platform and API layer for enterprise consumers.

The role manages platform/API engineering, client onboarding, data integration, legacy operations, and QA, ensuring delivery, stability, and modernization across the portfolio.

Qualifications

• 10+ years in Healthcare IT with leadership in a director/senior manager role.
• Experience owning high-availability APIs or systems with release management.
• Strong client-facing production support, incident response, and SLA adherence.
• Experience leading legacy-to-cloud modernization and data migrations.
• Experience managing mixed FTE/contingent workforce.
• Ability to lead cross-functional initiatives without direct authority.
• Proficient in cloud engineering fundamentals for scalable and secure APIs.
• Experience applying AI technologies in engineering or operations.

Responsibilities

• Own strategy, delivery, architecture, and operational stability for the eligibility platform, APIs, client onboarding and data integration, and legacy eligibility systems.
• Lead the modernization of eligibility processing from legacy on-premises platforms to cloud-based data services, including migration of clients onto the modern platform and retirement of legacy components.
• Own release management, deployment safety practices, and incident response for production-critical services, including postmortems and corrective actions.
• Lead and develop a multi-team organization through managers and senior managers; build bench strength and successors for key technical and leadership roles.
• Manage production support and SLA adherence across all owned systems, working cross-functionally to resolve issues and communicate with business stakeholders.
• Partner with architecture and principal engineering on AI-enabled initiatives and integrate them into team planning and prioritization.
• Maintain strong Agile delivery and work-tracking practices across the organization.
• Manage vendor relationships and contingent staffing plans; oversee budget and resource allocation for the portfolio.
• Partner with peer directors across the Adjudication organization on shared modernization goals and platform strategy.
• Ensure compliance of systems and applications with company policies, standards, and regulatory requirements.

Skills

Healthcare IT

Director leadership

Cloud technologies

APIs

Incident response

Release management

Data migration

FTE/contingent workforce

Cross-functional leadership

AI in engineering

Education

Bachelor's degree in CS/IS

Job description

CVS Health is seeking a Director to lead the Eligibility portfolio for the PBM business, overseeing the modernization of eligibility processing from legacy on-premises systems to a cloud-based data platform and API layer for enterprise consumers.

The role manages platform/API engineering, client onboarding, data integration, legacy operations, and QA, ensuring delivery, stability, and modernization across the portfolio.