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.

DDAT-NextGen Claims is looking for a dynamic leader with a strong background in healthcare systems and hands-on experience in software development life cycle. The ideal candidate will combine domain expertise in claims, capitation, member, and provider data with advanced technical skills in test automation, SQL Server, and cloud technology. This role also requires proven leadership in Scrum environments, including mentoring and guiding vendor teams as well as test case creation and execution. This role will be Job responsibilities include, but no limited to:

Data Integration & ETL Tools

• ETL testing and validation experience
• IBM DataStage development and troubleshooting
• Tidal job scheduling and execution
• JCL (Job Control Language) creation and execution

Database & Data Management

• SQL querying and database updates
• Microsoft Access database design and maintenance
• XML creation, parsing, and schema validation

Development Tools & Editors

• UltraEdit for code editing and data manipulation

Project Management & Agile Tools

• Agile, Scaled Agile (SAFe), and Waterfall methodologies
• Experience with Rally, JIRA, and RTC for work item tracking
• Participation in triage meetings for issue resolution

Quality & Requirements Management

• RQM (Rational Quality Manager) for test case management
• RTM (Requirements Traceability Matrix) usage for tracking coverage

CRM & Business Tools

• Salesforce platform experience

Required Qualifications:

• 5+ years of experience as a Technical lead designing and developing test solutions for integration or architecting large scale systems.
• 5+ years of experience with many of the following: Azure Cloud, Windows Servers, IBM Mainframes, SQL, REST APIs, Java Scripts, JCL, PYTHON, FileNet, SAFe, RTC, RQM, JIRA.
• 5+ years of experience in enterprise, application and information architecture methodologies and design and/or equivalent combination of education and work experience.
• 5+Designing and executing test strategies, test plans and test scripts.
• 3+ years of experience with testing object-oriented principles.
• 3+ years of experience with Agile/SAFe Scrum and Project management experience.
• 3+ years of working in a highly matrixed environment and managing vendor partners.
• Strong communication skills both written and verbal.

Preferred Qualifications:

• Experience Middleware, services/APIs with REST based.
• Experience designing complex integrations with a focus on performance engineering and loose coupling utilizing APIs and Services.
• Experience with design considerations for high volume transaction systems.
• Technical experience on Middleware, Messaging, API and REST Based services.
• Experience in the role of a Solutions Technical Lead with demonstrated experience in applying architecture blueprints and aligning projects to enterprise standards.
• 3+ years application development experience with REST API/microservices/Java frameworks.
• Experience with Cloud Platform like Azure, GCP and AWS.
• Healthcare or Medicare experience

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$83,430.00 - $203,940.00

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.

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: 11/27/2025

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