Senior Software Engineer - Backend

ISHE; Idaho; On-site; USD 83,000 - 222,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Retirement savings options

Job summary

Oak Street Health is seeking a Senior Software Engineer to own complex workstreams and mentor engineers in a healthcare-focused environment.

You will design system prompts, build robust backend services, and collaborate with product teams to automate workflows while ensuring reliability and high-quality data integration across health networks.

Qualifications

• 5+ years building distributed backend systems in production.
• Proficiency building system prompts and utilizing AI frameworks.
• Hands-on experience with MongoDB or comparable document stores.
• Track record of leading technical work across a team.
• Experience with cloud-native deployment (Azure, AWS, or GCP).

Responsibilities

• Design robust system prompts using LLM frameworks.
• Partner with product teams and business stakeholders to understand and automate workflows.
• Design and implement robust file-ingestion pipelines using Databricks.
• Own a domain or service area end-to-end, including its data model and integration contracts.
• Lead code reviews, set technical standards, and mentor junior and mid-level engineers.
• Hold the team accountable for test coverage, observability, and the production health of the services you own.

Skills

Distributed systems

System prompts

MongoDB

Cloud deployment

Leadership

Education

Bachelor's degree

Tools

Databricks

MongoDB

Azure

AWS

GCP

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

About the role

Our engineering teams build the software that powers clinical care delivery at Oak Street Health - patient scheduling, care coordination, clinical records, and the integrations that connect our systems to health networks across the country. As a Sr Software Engineer, you'll own complex workstreams, drive technical decisions within your domain, and mentor the engineers around you. The work needs to be reliable, maintainable, and built to evolve - and in a healthcare environment, the quality of the design has direct clinical consequences.

What you'll do

• Design robust system prompts using LLM frameworks
• Partner with product teams and business stakeholders to understand and automate workflows
• Design and implement robust file-ingestion pipelines using Databricks
• Own a domain or service area end-to-end, including its data model and integration contracts
• Lead code reviews, set technical standards, and mentor junior and mid-level engineers
• Hold the team accountable for test coverage, observability, and the production health of the services you own

Minimum Requirements

• 5+ years building distributed backend systems in production
• Proficiency building system prompts and utilizing AI frameworks
• Hands-on experience with MongoDB or comparable document stores
• Track record of leading technical work across a team - not just executing it
• Experience with cloud-native deployment (Azure, AWS, or GCP)

Preferred Requirements

• Experience building extract, transform, load (ETL/ELT) workflows using Databricks
• Deep familiarity with domain-driven design and bounded context modeling
• Experience with healthcare interoperability standards (FHIR, HL7) or EMR integrations
• Background in high-throughput, low-latency service design at scale
• Experience with event sourcing, CQRS, or other advanced event-driven patterns

Education

• Bachelor's degree preferred/specialized training/relevant professional qualification.

About Oak Street Health

Oak Street Health delivers value-based primary care to Medicare-eligible adults through a network of clinics across the U.S. Our engineering teams build the platforms that make that care possible - from the clinical workflows providers use every day to the data systems that power population health. We are part of CVS Health.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$83,430.00 - $222,480.00

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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/23/2026

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