Lead Director - Software Development Engineering (Claims Adjudication)
$144.2k - $288.4kCVS 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 Would you like to join a Fortune 5 company as a part of our growing Information Technology team? Are you looking for a dynamic leadership opportunity to make a difference? Are you passionate about doing what's right? Join the CVS Health Adjudication Team! This high-profile IT Director role is jointly responsible for the transformation, modernization and automation strategy along with its execution for the Claim adjudication platform. Major Responsibilities Include Directing a high skilled team of 50+ technology professionals, will act as the IT leader responsible for core adjudication strategic programs. Responsible for the development and delivery of optimized technology solutions for CVS Health's Claims Adjudication platform. Will be a transformational leader providing forward-thinking and strategic direction in jointly developing and executing on our vision for Adjudication as a Service. Strategy will include driving down cost of change, increase speed to market, technology relevance in ensuring scalability and serviceability of the platform Create and ensure the implementation of application development standards to drive architectural roadmap for simplification and modularization of key adjudication functions. In addition, will be leading large enterprise strategic and compliance programs working in close collaboration with PSS IT and Business leaders Assist in the business development process, setting priorities, and understanding requirements and technical platforms available to meet the business needs. Should anticipate any challenges related to organic growth, system performance or EOL software / hardware potentials while ensuring all regulatory/compliance requirements are met. The Director will lead an experienced and motivated team tasked with delivering high-quality, modular and scalable solutions, ensuring that CVS Health continues to stay innovative in the healthcare marketplace. To be successful in this role you must exhibit the following Experience with industry leading expertise in IBMi and similar technologies API Development: Designing and building RESTful APIs using Java to connect frontend interfaces with backend IBM i systems. System Integration: Seamlessly connecting AS/400 with other enterprise systems, cloud platforms, and third-party web services. Experience leading strategic planning for enterprise applications including planning related to scalable growth, performance tuning, and optimization of the systems. Experience analyzing the enterprise platforms and related technologies to detect critical deficiencies and recommend solutions for improvement Experience in creating and running budgets, strategic planning, process enhancement, technical leadership, HR management and staff development Competencies Able to Navigate a Complex Organization: The ideal candidate will have worked effectively in an organization of considerable size, scope and complexity. He or she will be highly effective at partnering across boundaries, and will understand how to collaborate, influence and drive impact across the organization. This leader will have the ability to interact with and influence senior management enterprise wide and create marketing programs that further company objectives. The successful candidate will possess a demonstrated ability to work collaboratively across complex, multifunctional teams. Highly Skilled Communicator with the Ability to Connect Deeply with People: The ideal candidate will possess excellent communication skills and will present his/her views in a clear and compelling manner. He/she should be a good listener who is straightforward, articulate and open in communication with others. This executive will have the presence and credibility to win support and buy-in. He/she must create enthusiasm among the team and be able to create a rally cry around key initiatives throughout the company. Demonstrate Excellence and Accountability: Innovate; anticipate the future; work toward continuous improvement; work cross-functionally to achieve right outcomes; create and lead with a sense of urgency; translate strategy into action. Deliver Quality Service and Value: Build trust by creating value-added relationships with all constituents; aspire to be the best; balance the needs of all constituents; exceed constituents' expectations. Lead Change: Inspire others; communicate a compelling vision; convince others and organizations to embrace change; negotiate skillfully; understand what motivates other people/groups Drive for Results: Focus on actions and outcomes; drive with energy; take initiative; remain organized and resourceful; marshal multiple/matrixed resources to get things done; possess a detail orientation. Build Employee Engagement: Encourage independent thinking and initiative; value diversity; build confidence and pride in the company; inspire others to contribute; create open, honest dialogue; create and communicate a vision that aligns performance with strategy; celebrate successes; express ideas effectively Required Qualifications 10+ years of IT experience in a large-scale complex technology environment, leading IT teams focused on application/system architecture & application development. Java Stack: Expert knowledge of Core Java, JEE, Spring, Spring Boot, JDBC, and Hibernate. IBMi Fundamentals: Understanding of AS/400 architecture, CL (Control Language) commands, and the Integrated File System (IFS). Modern Web Frontend: Proficiency in JavaScript frameworks like Angular, React, or Vue.js. Database & SQL: Deep experience with SQL/400, DDS, and modern RDBMS concepts (PostgreSQL, mongoDB, or SQL Server). DevOps & Tooling: Familiarity with Git for version control, CI/CD pipelines, Maven, and containerization tools like Docker or Kubernetes In depth understanding of APIs and microservices-based architecture Ability to travel up to 10% of the time Preferred Qualifications Health Care Industry domain knowledge including 2+ years' experience in a Director level role or 4+ years of diverse experience in a Sr Manager role. Experience in enterprise development tools and methodologies (XP, Agile) including DevSecOps and DataOps Experience integrating with legacy mainframe/mid-range applications including developing roadmaps for modernization of the applications Education Bachelor's Degree in Computer Science or equivalent experience Pay Range The typical pay range for this role is: $144,200.00 - $288,400.00 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. 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: 09/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr CVS Health
- CVS Health is seeking an IT Director to lead the Claims Adjudication platform, directing a large team of technology professionals and shaping modernization... ...initiatives. The role focuses on architecture, API development, and scalable solutions across enterprise systems,...Claims
$144.2k - $288.4k
...time. Position Overview The Lead Director is a critical role,... ...the Executive Director of Adjudication Services Engineering at Caremark. This leadership... ...improvement and development of both new and existing... ...consistent and effective software delivery practices. Facilitate...SuggestedHourly payFull timeTemporary workLocal area$144.2k - $288.4k
...We are looking for a hands-on, passionate engineering leader to join a high-energy, mission-driven... ...engage with their health. As the Lead Director of Software Engineering, you will lead the strategic vision, development, and execution of our platform engineering...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaRemote work- CVS Health is seeking a Lead Director within the Caremark Adjudication Services Engineering group to partner with business and IT leaders. The role drives strategy, architecture, and delivery across legacy IBMi AS400 and modern cloud platforms, with a hands-on leadership...Suggested
$179.4k - $204.7k
...Overview Lead Software Engineer, DevOps (Cloud Operations Resilience Engineering) Do you love building and pioneering in the technology... ...services ~2+ years of experience working within Agile Development Practices ~2+ years of experience working with Observability...SuggestedFull timePart timeInternshipH1bLocal area- ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters to join their team in Northbrook, Illinois. This role offers substantial training and growth opportunities for both seasoned professionals and newcomers. Adjusters will play an essential...ClaimsFlexible hours
- ...The primary objective of the Research and Development Project Manager role is to provide the... ...Development Project Manager will be the technical lead for key accounts. By utilizing both their... ...aspects, nutritional, allowable claims, formulation, and possible manufacturing...ClaimsFull timeFor contractors
$179.4k - $204.7k
...Lead Software Engineer, Full Stack Do you love building and pioneering in the technology space? Do you enjoy solving complex business problems in a fast-paced, collaborative, inclusive, and iterative delivery environment? At Capital One, you'll be part of a big group...Full timePart timeInternshipH1bLocal area- The Hispanic Alliance for Career Enhancement is seeking a Staff Software Development Engineer. This role involves managing technical needs across the Pharmacy Benefits Management space, along with developing and supporting web-based tools. The successful candidate will...
$179.4k - $204.7k
...Overview Lead Software Engineer, DevOps Do you love building and pioneering in the technology space? Do you enjoy solving complex business... ...Python ~2+ years of experience working within Agile Development Practices ~ Familiarity with OWASP and MITRE ATT&CK...Full timePart timeInternshipH1bLocal area$110k - $155k
...LibertyvilleDepartment: Research & Development Summary:Hollister Incorporated is an independent... ...customer-preferred new products.The Lead R&D Engineer is a member of the Hollister Ostomy... ...projects / product portfolio.Use CAD Software (i.e. Solidworks) to develop and...Work at officeWorldwideVisa sponsorship$118.45k - $260.59k
Position Summary The Staff Software Development Engineer is responsible for managing the technical needs... ...leaders of the PBM space and Claims Adjudication team to assess business goals, strategic... ..., with 2+ years in a technical lead role. 7+ years of experience developing...ClaimsFull timeTemporary workLocal areaRemote work$112.44k - $187.41k
...the primary Commercial Enablement partner to Sales Leadership Lead sales planning initiatives including goal setting, resource... ...intelligence platforms such as Definitive Healthcare, Playmaker, claims data providers, or similar solutions This job description is...ClaimsFlexible hours$50k - $60k
...Opportunity for advancement ~ Paid time off ~ Training & development Compensation: $50,000.00 - $60,000.00 per year Our team... ...with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...ClaimsFor contractorsWork at officeFlexible hours- ...Risk Manager is responsible for leading the organization’s enterprise insurance strategy, claims management oversight, and risk... ...jointly to the Controller and Director of Safety, this role serves as... ...reserves, monitor large-loss development, and provide financial...ClaimsWork at office
$25 - $30 per hour
Position Summary As an Insurance Collections Specialist, you will be responsible for managing and following up on outstanding insurance claims, resolving denials, and ensuring timely corrections for a high-volume portfolio. This position will work closely with the Manager...ClaimsFull timeWork at officeRemote work$209k - $238.5k
...Senior Lead Software Engineer, Full Stack (Enterprise Platforms Technology) Do you love building and pioneering in the technology space? Do you enjoy solving complex business problems in a fast-paced, collaborative, inclusive, and iterative delivery environment? At...Full timePart timeInternshipLocal area$73k - $110k
...contacts to implement solutions and reduce Medline's risk. Compile required information from various sources in order to submit insurance claims. Follow-up with adjusters and business partners to ensure accurate payment of claims. Support broader risk management services,...ClaimsMinimum wageContract workWork experience placementWorldwide- ...Trust Life Insurance Company in Glenview, IL is seeking a Medical Claims Adjuster III for a full-time, on-site role with three flexible remote days per month and half-day Fridays. The position adjudicates claims, interprets policy language, and communicates with...ClaimsFull timeRemote workFlexible hours
$225k - $250k
...technology function. This role will lead an established IT function, oversee... ...budgeting, vendor relationships, and software and infrastructure procurement decisions... ...its affiliated entities. Establish engineering standards, development practices, documentation...Temporary workWork at officeLocal area$124.2k - $207k
...Remote Req Number 329896About GraingerW.W. Grainger, Inc., is a leading broad line distributor with operations primarily in North... ...time, consistent with applicable law.Position Details:As a Saff Software Engineer (Software Engineer IV) you will develop applications that...Full timeLocal areaRemote workWorldwide- ...A claims adjusting firm is seeking Independent Insurance Claims Adjusters to join their team in Vernon Hills, Illinois. This opportunity offers a rewarding career helping clients recover from disasters while enjoying flexibility and competitive compensation. Candidates...ClaimsFlexible hours
- ...A claims adjusting company in Rolling Meadows, Illinois is seeking Independent Insurance Claims Adjusters. This role offers a rewarding career path in a growing field with flexible working conditions. Candidates should be licensed adjusters, ideally with experience in...ClaimsFlexible hours
- ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters in Lake Forest, Illinois. This is an excellent opportunity for those looking to make a difference while enjoying flexibility and competitive compensation. Whether you are an experienced...ClaimsFlexible hours
- ...A leading adjuster training company in Skokie, Illinois, is seeking Independent Insurance Claims Adjusters. This role offers a chance to make a meaningful impact on people's lives following disasters while enjoying flexibility and competitive pay. Comprehensive training...ClaimsFlexible hours
$42.54 - $65.94 per hour
...and severity of patient safety events and works closely with Claims Management to identify potential/actual professional and general... ...Career Pathways to Promote Professional Growth and Development Various Medical, Dental, and Vision options Tuition Reimbursement...ClaimsHourly payFull timePart timeFor contractorsMonday to FridayFlexible hours- A technology consulting firm is seeking a Technology Lead - J2EE with at least 4 years of experience in Information Technology and a strong background in Java and related frameworks. The role involves working in a team and interfacing with clients, particularly within...Full time
- UL Solutions is seeking a Senior Manager, Portfolio Management to establish, lead, and continuously improve the Global Technology portfolio governance, prioritization, and execution. Based in Northbrook, IL, the role is hybrid with three days in the Northbrook office weekly...Work at office
- ...datacenter testing programs. This role emphasizes coaching, training development, and strong technical communication within a multinational team... ...guide testing methods, push digitalization initiatives, and lead safety-focused process improvements while collaborating with...
- Technical Test Lead - SOA Testing/Service Virtualization/CA LISA Only US Citizen, GC & GC-EAD can Apply Overview Role: Technical Test... ...DevTest • Strong JAVA coding skills with minimum of 4 years of development experience • Service, end-to-end, regression testing of SOA...Full time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Lead Director - Software Development Engineering (Claims Adjudication). Be the first to apply!
- director software engineering Northbrook, IL
- director of web development Northbrook, IL
- development director Northbrook, IL
- leadership development manager Northbrook, IL
- director learning & development Northbrook, IL
- community development project manager Northbrook, IL
- development manager Northbrook, IL
- research and development manager Northbrook, IL
- head of learning & development Northbrook, IL
- director leadership development Northbrook, IL



