Director, Cloud-Native Eligibility Platform Modernization

CVS Health; Wisconsin; Hybrid; USD 144,000 - 288,000; Full time

Job summary

CVS Health’s Claims Adjudication Software Engineering & Transformation organization seeks a Director to lead the Eligibility portfolio and modernize processing to a cloud-based data platform and API layer that serves member demographic and coverage data to enterprise consumers.

You will guide a multi-team engineering organization covering platform and API engineering, client onboarding, data integration, legacy operations, and QA.

Qualifications

• 10+ years in Healthcare IT
• 2+ years at a Director or Senior Manager level leading application/system teams on cloud technologies
• Experience owning production-critical, high-availability APIs or systems, including release management
• Strong client-facing production support: incident response, root-cause resolution, executive reporting, SLA adherence
• Experience leading legacy-to-cloud modernization or data migration programs
• Experience managing a mixed FTE/contingent workforce
• Ability to lead cross-functional initiatives and influence without direct authority
• Proficient in cloud engineering fundamentals - scalable, secure API and datastore design
• 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

Cloud APIs

Release management

Incident response

Cross-functional leadership

API design

Data migration

Staff management

Agile delivery

AI in engineering

Education

Bachelor's degree in computer science or related field

Job description

CVS Health’s Claims Adjudication Software Engineering & Transformation organization seeks a Director to lead the Eligibility portfolio and modernize processing to a cloud-based data platform and API layer that serves member demographic and coverage data to enterprise consumers.

You will guide a multi-team engineering organization covering platform and API engineering, client onboarding, data integration, legacy operations, and QA.