Senior GenAI Architect | Enterprise Health AI

CVS Health; New York (NY); Hybrid; USD 144,000 - 288,000; Full time

Benefits offered by this job

Comprehensive benefits package

Bonus and equity programs

Paid time off

Job summary

CVS Health is seeking a Principal AI Engineer to set the technical direction for enterprise-grade GenAI and agentic AI systems within a regulated healthcare environment. You will be a hands-on technical leader collaborating with data science, clinical, product, security, privacy, legal, and business teams to deliver trustworthy, scalable AI solutions.

You will report to the Lead Director on the Commercial team in our Aetna Technology organization, guiding architecture, reviews, and build-vs-buy

Qualifications

• 10+ years software engineering experience with architecture/systems design.
• 5+ years in building large-scale microservices and APIs.
• 5+ years hands-on AWS and/or GCP (serverless, CI/CD).
• Hands-on experience with AWS Bedrock or GCP Vertex AI or equivalents.
• Production experience with agentic AI frameworks, RAG architectures, and vector DBs.
• Strong Python skills for AI/ML engineering.
• Experience delivering AI/ML systems in regulated environments with security, privacy and audit requirements.
• Track record of influencing technical direction across multiple teams without direct authority.

Responsibilities

• Architect and deliver production-grade GenAI and agentic AI solutions, including RAG, vector search, model integration, tool orchestration, guardrails, and evaluation across AWS and/or GCP.
• Build scalable, cloud-native AI systems using serverless/event-driven architectures, APIs, CI/CD, infrastructure-as-code, and modern software engineering practices.
• Own the production AI lifecycle, from experimentation and deployment through monitoring, observability, performance, cost optimization, and continuous improvement.
• Establish secure and responsible AI practices addressing privacy, security, governance, auditability, model risk, and human oversight in a regulated environment.
• Define AI architecture, standards, and engineering best practices for agent orchestration, RAG, tool/MCP integrations, evaluation, and enterprise AI adoption.
• Partner with product, engineering, data, security, privacy, legal, compliance, and business teams to translate strategic needs into scalable AI solutions.

Skills

Python

Cloud platforms

Microservices

Leadership without authority

Regulated environment experience

Education

Bachelor's degree in CS/Engineering

Tools

Node.js

TypeScript

Java

AWS/GCP

Job description

CVS Health is seeking a Principal AI Engineer to set the technical direction for enterprise-grade GenAI and agentic AI systems within a regulated healthcare environment. You will be a hands-on technical leader collaborating with data science, clinical, product, security, privacy, legal, and business teams to deliver trustworthy, scalable AI solutions.

You will report to the Lead Director on the Commercial team in our Aetna Technology organization, guiding architecture, reviews, and build-vs-buy