Senior GenAI Architect — Regulated Healthcare AI

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

Benefits offered by this job

Comprehensive benefits package

Bonus eligibility

Equity award program

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 collaborate across data science, clinical, product, security, privacy, legal, and business teams to deliver trustworthy, scalable AI solutions and report to the Lead Director on the Commercial team in our Aetna Technology organization.

Qualifications

• 10+ years of software engineering experience with 5+ years in solution architecture or system design.
• 5+ years building large-scale microservices and APIs (Node.js, TypeScript, Java, or Python).
• 5+ years hands-on AWS and/or GCP experience (serverless, event-driven, CI/CD, AI/ML).
• Experience with AWS Bedrock or GCP Vertex AI, or equivalent.
• Production experience with agentic AI frameworks, RAG architectures, and vector databases.
• Strong Python skills for AI/ML engineering.
• Experience delivering AI/ML systems in regulated environments with security, privacy and audit requirements.

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 that address privacy, security, governance, auditability, model risk, and appropriate human oversight in a regulated environment.
• Define AI architecture, standards, and engineering best practices for areas such as agent orchestration, RAG, tool/MCP integrations, evaluation, and enterprise AI adoption.
• Partner across product, engineering, data, security, privacy, legal, compliance, and business teams to translate strategic needs into scalable AI solutions and influence technical direction.
• Provide hands-on technical leadership through design reviews, mentorship, architecture guidance, build-vs-buy decisions, and clear technical documentation.

Skills

Software architecture

Microservices & APIs

Cloud experience (AWS/GCP)

Python for AI/ML

Regulated-environment delivery

Influence across teams

Education

Bachelor's degree in CS/Engineering or equivalent

Tools

AWS Bedrock

GCP Vertex AI

LangSmith

Arize AI

Kubernetes

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 collaborate across data science, clinical, product, security, privacy, legal, and business teams to deliver trustworthy, scalable AI solutions and report to the Lead Director on the Commercial team in our Aetna Technology organization.