Principal Software Engineer - Healthcare Utilization Management

Hispanic Alliance for Career Enhancement; Boston (MA); On-site; USD 144,000 - 289,000; Full time

Job summary

A leading health solutions company is seeking a Principal Software Development Engineer to lead a team in developing advanced analytics applications. This role involves building real-time applications on the Google Cloud Platform and requires extensive experience in software development and cloud technologies. The ideal candidate will have a passion for technology and a commitment to delivering high-quality solutions.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

No-cost wellness programs

Flexible work schedules

Qualifications

• 8+ years of software industry experience.
• 5+ years leading technical architecture initiatives.
• Experience with distributed systems and cloud platforms.

Responsibilities

• Develop best-in-class full-stack applications.
• Guide technical teams in software and machine learning solutions.
• Ensure software products meet performance and security standards.

Skills

Software Development

Cloud Technologies

Critical Thinking

Leadership

Communication Skills

Education

Bachelor's degree in Computer Science

Job description

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.

Position Summary

Our Utilization Management Analytics Engineering team within the Analytics & Behavior Change (A&BC) division of our Data, Digital, Analytics, Technology (DDAT) organization is seeking a full-stack Principal Software Development Engineer. We are looking for passionate, driven individuals who are ready to use their expertise to guide a team of analytics engineers (UI, software, ML) who support Aetna's UM data science team. Our work supports operational workflows with our healthcare benefits business, supporting clinical decision makers by offering tools that ensure that the most critical information about our members and their healthcare journey is easily accessible and interpretable when needed.

This technical leadership role will help guide a broad technical portfolio of software and machine learning assets that ensure our clinical teams can focus on the complex work of applying their subject matter expertise to ensure the right outcomes for our members. As the healthcare landscape evolves and changes, our team's work is a crucial part of the overall CVS Health mission: transforming care to drive superior health outcomes and a seamless patient and consumer experience.

As a Principal SDE, you will be responsible for building best-in-class full-stack real time applications that integrate advanced analytics capabilities (predictive models, LLMs, vector search) into complex real time applications built within the Google Cloud Platform. You will work on cutting-edge products, leveraging your expertise in cloud technologies, software architecture. You will join a high-caliber engineering team dedicated to delivering impact quickly while ensuring our code base and architecture are constantly maturing, allowing us to iterate quickly while we explore bold technical solutions to incredibly complex problems, and then pivot to scaling execution across the lives of millions.

Responsibilities:

• Software Development Mastery: Demonstrated excellence in software development with a disciplined approach to problem-solving. Excels at breaking down complex problems into multi-step plans within an Agile development environment. Deep understanding of SOLID principles and similar software development philosophies.

• Engineering Excellence: Develops solutions that are well engineered, flexible, resilient, operable, maintainable, and can be delivered on schedule. Ensures a balance between tactical and strategic technology solutions. Ensure all NFRs (e.g., performance, availability and fail-over, scalability, security, etc.) are properly articulated, and work with all parties to guarantee that the software products that are delivered meet these objectives.

• Architectural Expertise: Strong architectural sense with experience in various software architectures and messaging patterns. Proven ability to drive large solutions across multiple applications. Able to analyze existing architectures and develop opportunities for improvements in alignment with industry best practices.

• Cloud Distributed Systems: Experience working in high-volume, high-frequency distributed systems and tackling the hardest scalability problems presented. Experience with major cloud platforms (GCP preferred) and modern service, interface, and messaging patterns.
• Full Stack Mastery: Experienced building full-stack applications leveraging front-end frameworks (React (preferred), Angular, other JS frameworks). Expertise connecting a UI to APIs (FastAPI or other Python-based frameworks preferred), all the way to the backend (ideally OLAP cloud data stores) - and offering technical and product leadership across the stack.

• On the Cutting Edge: Experience integrating excellence in software development, cloud platforms, and distributed system design and architecture into systems involving machine learning and language models. Investigate and design novel and unique technology solutions and lead the building of POCs to validate technical hypothesis and provide reference architectural solutions.

• Analytics & Non-Relational Exposure: Broad knowledge encompassing the data and analytics space: work orchestration, OLAP and non-relational databases (BigQuery, Mongo Atlas, KV stores, caches). You know the right data storage for the job and understand how to integrate them with large-scale service architectures.

• Critical Thinking: Strong critical thinking skills with the ability to move fluidly between high-level abstract thinking and detailed implementation. Strong collaboration skills in technical settings, able to help others understand complex ideas by simplifying and clarifying with ease.

• Leadership: Proven leader with the ability to mentor strong, cohesive technical teams. Excellent collaboration, influencing, coaching, and coalition-building skills. We support and challenge each other to bring our best work, every day.

• Passion and Engagement: Passionate about technology with a high technical aptitude. Engaged, focused, and driven to deliver best-in-class solutions.

• Communication Skills: Strong relationship-building and communication skills, with the ability to work effectively with stakeholders at all levels.

• Regulatory Compliance & Security: Good understanding of healthcare of other regulated industries, particularly how to manage regulated data in a complex distributed environment where encryption is the default. Ensure that all PII & PHI data is handled in a secure manner and that solutions account for threat vectors.

Required Qualifications

• 8+ years of software industry experience with 4+ years as a technical leader.

• 5+ years leading technical architecture initiatives that impact many value streams.

• 5+ years designing and developing distributed systems, employing a disciplined approach.

• 8+ years involved in requirements analysis, estimation within a formal SDLC.

• 8+ years of mastery with development languages (Python, Java, C#, Go, etc.).

• 8+ years of relational databases, including in the cloud.

• 5+ years of non-relational databases (document stores, KV stores, caches).

• 5+ years architecting solutions in any major cloud.

• 5+ years with micro-services architecture, APIs, real-time system integrations.

• 5+ years of automated unit and integrating testing.

• 3+ years of experience and mastery with Python.

• 3+ years with asynchronous messaging.

• 2+ years with machine learning models in a production environment.

• 1+ years with large language models in a production environment.

Preferred Qualifications

• 2+ years of hands on experience building LLM pipelines using OCR and various LLM models like Gemini, GPT 4, GPT 4.0 etc
• 2+ years of hands of experience on building UI components (React JS, Angular)
• Experience building and operating large-scale real-time applications

• Knowledge in GCP architecture, commands and experience designing & optimizing software and data engineering patterns
• Ability to manage multiple competing priorities with minimal supervision. Self-directed.
• Excellent communications and presentation skills with the ability to communicate effectively in visual, verbal, and written form to teams, clients, and leadership.
• Strong architectural skills, including diagramming
• Software or analytics experience within the healthcare industry.
• Experience in building large scale CI/CD and DevOps pipelines.
• Experience related to security-oriented projects.

Education

• Bachelor's degree in Computer Science or a closely related discipline, or an equivalent combination of formal education and experience.

• Master's degree is a plus

Pay Range

The typical pay range for this role is:

$144,200.00 - $288,400.00

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. 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 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/30/2025

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