Senior Manager, Software Development Engineering (Claims Adjudication)
$118.45k - $236.9kCVS Health
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.
Position Summary
As part of the exciting Adjudication Development Engineering team, you will be expected to be proficient in all critical functions of the application development and will champion SDLC methodologies with a deep understanding of best practices to ensure that quality standards are met. We believe for success you should have flexibility, possess a positive outlook, discernment, and inspire change within a fast growing environment.
This team directly impacts the lives of our pharmacy customers by creating systems that process prescriptions. The systems we work with process over 10 million scripts a day and is business critical. You can work knowing you are helping many people each day.
Development and Delivery Management
∙ You will manage assigned functional areas through detailed planning of projects, resources and skillset mapping.
∙ You will provide technology guidance to the resources, planned according to the functional and technical skillset required for the project delivery.
∙ You will successfully deliver all projects and programs without compromising quality, budget, scope and schedule.
∙ You will meet scheduled milestones to ensure projects / programs objectives are met in a timely manner.
∙ You should have a deep understanding, follow and provide guidance to project teams and resources on principles, practices and techniques followed within the application area and organization.
∙ You will contribute to IT project planning for one or more business areas; review progress toward plan regularly with clients and make modifications, as necessary; provide quantitative cost/benefit analysis; ensure team is following work, documentation, certification, and audit requirements, as needed
- Lead the development and delivery of innovative AI tools, ensuring alignment with the organization’s strategic goals
Resource Management
∙ You will set yearly goals focusing on career development. Discuss and layout plan of action to achieve goals and expectations.
∙ You will perform periodic assessment of CVS and vendor resources.
∙ Provide formal and informal feedback to address gaps in performance (functional, technical and soft skills).
∙ You will perform mid-year and year end assessment.
∙ Provide comprehensive feedback on strengths and development areas Oversee, review and take action on time sheets for CVS and vendor resource to ensure compliance. ∙ You will actively participate in recruitment and selection processes for both CVS and vendor candidates, as well as lead onsite and offshore vendor relationships.
∙ Commitment to ensuring teams adheres to the highest degree of integrity and Code of Conduct standards
Customer Relationship Management
∙ You will consult with business and IT stakeholders during execution of projects to ensure business and IT expectations are being met.
∙ You will address any challenge or road block to accomplish project goals and expectations.
∙ You will identify and develop services and service level agreements (SLAs); educate senior leaders on service-related information and continually improve related processes
Required Qualifications
7+ years of Information Technology experience including leadership and development management experience in core development and delivery areas including the following:
∙ 7+ years of experience in information technology principles, development methodologies and use of platforms/applications or software products
∙ 7+ years of experience mentoring and supervising full time employees work and career development; as well as onsite and offshore vendor relationships
∙ 5+ years of experience in handling customer expectations and relationship building
∙ 5+ years of experience leading large or multiple application teams to deliver projects and initiatives effectively
∙ 5+ years of technology development (Design, Coding and Testing) experience in IBMi technology.
Preferred Qualifications
∙ Health Care and PBM background
∙ IBMi/AS400 Series experience
Education
Bachelor’s degree or equivalent experience
Pay Range
The typical pay range for this role is:
$118,450.00 - $236,900.00
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 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 .
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
- # Lead Director - Software Development Engineering (RxClaim Strategic Programs... ...Join the CVS Health Adjudication Team!This high-... ...its execution for the Claim adjudication... ...technical leadership, HR management and staff developmentCompetencies... ...with and influence senior management...Claims
$92.7k - $185.4k
...time. As part of the Rx Claim FAB team, you will be expected... ...of the application development and will champion SDLC methodologies... ...Incident, Change and Problem Management Perform incident trend... ...Experience with RxClaim or other PBM Adjudication system is preferred. ~...SeniorClaimsHourly payFull timeTemporary workLocal area- Job title: Senior Software Engineer Location: Plano, TX hybrid (3 days/wk)Years of experience required... ...-on experience across full stack development, automation testing, cloud DevOps,... ..., Data Fusion.Domain Expertise: Claims Management, Risk Management, Financials,...SeniorClaims
- ...leading technology company in Texas is seeking a Sr Technical Recruiter with over 10 years of experience. This mid-senior level role involves managing the claim life cycle in Guidewire Claims Center, conducting integration testing, and leading project teams. Candidates...SeniorClaimsContract work
- Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze and adjudicate workers' compensation claims for clients across TX, OK, and LA, ensuring timely... ...standards. The role requires 5+ years of claims management experience, appropriate licensing in TX/OK/LA,...SeniorClaimsFlexible hours
- Senior Microsoft .NET Technical LeadWe are looking for a seasoned Microsoft Technical Lead... ...and report directly to the Product Manager. You will be responsible for developing,... ...applications using C#• Minimum 6+ years database development experience• Minimum 5+ years with data/...Senior
$118.45k - $260.59k
...Health is seeking a Staff Software Engineer specializing in developing... ...part of the very impactful Claims Adjudication team and this role will be... ..., or projects into manageable components for systematic... ...technologies, design principles, and development frameworks to ensure...ClaimsHourly payFull timeTemporary workLocal areaRemote work$286.2k - $326.7k
...Senior Director, Software Engineering - AI As a Capital One Senior Director of Software Engineering, you... ...our AI initiatives, developing and managing elite technical teams to architect... ...guide the professional and technical development of engineers, cultivating deep expertise...SeniorFull timeLocal area- ...build, and deliver top-notch technology products.As a Senior Manager of Software Engineering at JPMorgan Chase within the Consumer and Community Banking... ...:Executes creative software solutions, design, development, and technical troubleshooting with ability to think beyond...SeniorImmediate start
$240.7k - $303.2k
...-in‑class financing and software products for sustainable... ...that supports them. The Senior Director of Software Engineering will lead the Funding &... ...Strategic Leadership & People Management Lead and grow the... ...calibration, and career development for a team operating in...SeniorFor contractors- Milliman is seeking a Senior Insurance Applied AI Engineer to advance AI transformation within its newly formed Milliman AI Solutions practice. You will... ...client needs into scalable AI-enabled outcomes across underwriting, claims, and #J-18808-Ljbffr Milliman IrelandSeniorClaimsRemote job
- ...one of the world's leading financial institutions.As a Manager of Software Engineering at JPMorganChase within Corporate Sector, Enterprise Technology... ...the team.Applies knowledge of tools within the Software Development Life Cycle toolchain, including enterprise-authorized AI...SeniorWork at office
$168.1k - $227.4k
...strategic partner: software that understands what... ...generative-AI and agentic-engineering role first, at very... ...they book, the claim explained in plain language... ...easier. Managing dozens of programs,... ...judgment gates.As a Senior Software Development Engineer in BETS, you...SeniorClaimsInternshipFlexible hours$92.41k - $213.91k
....We are currently seeking a Senior Mainframe COBOL Developer /... ...mainframe solutions, mentor development teams, establish technical standards... ...challenges, leading engineering initiatives, and working on... ...collaboration, and stakeholder management skills.Proven ability to...SeniorFull timeTemporary workWork at officeRemote workFlexible hours- ...we’d love to meet you. The Senior Software Engineer, under minimal supervision,... ...participates in all phases of the development cycle: concept, technical... ..., hiring, performance management, promotion, transfer, compensation... ...any discrimination claim, or cooperating in related...SeniorClaimsPermanent employmentH1bWork at officeLocal areaRemote work
- ...integrations with external systems including rating engines, payment gateways, document services, and core platforms... ...post submission logic, policy lifecycle events, and claim/policy sync • Guide and mentor development teams on integration best practices and performance...Claims
- ...underwriters and directly with UW managers on all mandatory referral... ...and underwriter capability development opportunities (e.g., skills,... ...partners (e.g., UW Support, Claims, Actuarial, NA Product Teams... ...; loss control/risk engineering; reinsurance; account management...SeniorClaimsFor contractorsLocal area
- First Insurance Company Of Hawaii is looking for an experienced insurance claims specialist to investigate and settle complex property claims. You will evaluate claims, communicate with stakeholders, and ensure thorough documentation of all processes. The ideal candidate...SeniorClaimsRemote jobWork at office
- Description The Senior Underwriting (UW) Officer, Risk Management, will report to the Executive... ...underwriter capability development opportunities (e.g.,... ...partners (e.g., UW Support, Claims, Actuarial, NA Product... ...; loss control/risk engineering; reinsurance; account management...SeniorClaimsLocal area
- ...Description Job Summary We are seeking a Senior Node.js Developer with strong hands-on... ...healthcare systems such as EHR/EMR , claims platforms, member portals, and third-party... ...compliance . Work closely with product managers, frontend teams, and architects to...SeniorClaims
- ...Manager Of Software EngineeringLead a high-impact engineering team in JPMorganChase's TCIO Trade Execution Technology. Partner with senior stakeholders to raise engineering standards and automate... ...solutions, including design, development, and technical troubleshooting...SeniorWork at officeImmediate start
- ...communicate and advance faster than ever.As a Senior Memory Design Engineer at Micron, you will have the... ....ResponsibilitiesContribute to the development, optimization, and layout of Memory,... ...authenticity of any communication claiming to be from Micron by checking the official...SeniorClaimsFull timeLocal areaImmediate start
- ...industry tools such as PrimeTime or Tempus under guidance of senior engineers.Collaborate with RTL design and integration teams to ensure correct... ...offers and to verify the authenticity of any communication claiming to be from Micron by checking the official Micron careers...SeniorClaimsFull timeLocal areaImmediate start
$286.2k - $326.7k
...Overview Senior Director, Software Engineering - AI As a Capital One Senior Director of Software Engineering... ...our AI initiatives, developing and managing elite technical teams to architect... ...the professional and technical development of engineers, cultivating deep...SeniorFull timePart timeLocal area- ...getting into contract with Client to manage End to End Claims Administration services. Our NTT Business... ..., navigate screens, and learn new software tools.• 6+ months of experience that... ...requirement.Posting Date:06/24/2026Department:Claims Adjudication & Case Management - 1447650025SeniorClaimsContract workMonday to FridayShift workWeekend work
- ...advance faster than ever.Design Development Technical Lead (DDTL) is... ...cross‑functional execution, manages design dependencies and risks... ...’s degree in Electrical Engineering or a related field, with equivalent... ...of any communication claiming to be from Micron by checking...SeniorClaimsFull timeFor contractorsLocal areaImmediate startShift work
$104.9k - $199.07k
..., enabling the firm to accelerate development, manage risk, and capitalize on emerging technologies... ...AI Solutions is seeking a Senior Insurance Applied AI Engineer to establish and refine the... ...points across actuarial, underwriting, claims, reporting, compliance, and...SeniorClaimsFull timeWork experience placementRemote workWorldwide- KFC Corporation is seeking a Senior Manager, Enterprise Technology FP&A in Plano, TX. You will partner with Technology, Product, Engineering, Cybersecurity, and Corporate Leadership to lead annual planning, forecasting, and investment analyses. The role demands advanced...Senior
- ...inefficient Pharmacy Benefit Management (PBM) sector by building a... ...Job Summary: As a Senior Benefits Configuration Tester... ...helping them understand SmithRx claims adjudication systems and upstream/downstream... ...testing and assist in the development of process improvements...SeniorClaimsWork experience placement
- ...Plano, Texas, is seeking a Technical Leader to drive innovation in Intelligent Power Device development. In this role, you will lead cross-functional teams, mentor engineers, and manage project lifecycle phases to ensure successful product development. The ideal candidate...Senior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Manager, Software Development Engineering (Claims Adjudication). Be the first to apply!
- software manager Richardson, TX
- director software engineering Richardson, TX
- director of software Richardson, TX
- application engineering manager Richardson, TX
- application manager Richardson, TX
- IT software development manager Richardson, TX
- director learning & development Richardson, TX
- director application development Richardson, TX
- leadership development manager Richardson, TX
- development director Richardson, TX



