Lead Director, Software Engineering - Commercial Claims

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.Position Summary:
The Lead Director of Software Engineering is responsible for leading engineering teams that support the development, maintenance, and modernization of legacy systems-primarily IBM Mainframe platforms-used for commercial claims routing, adjudication, and operational reporting. This role ensures the reliability, scalability, and compliance of claims platforms, while partnering with cross-functional stakeholders to deliver strategic outcomes aligned with enterprise goals.
🔹 Key Responsibilities

• Own engineering strategy and execution for commercial claims systems, including routing, adjudication, and operational reporting.
• Lead teams working on legacy platforms, with a focus on IBM Mainframe technologies (e.g., COBOL, JCL, DB2, CICS), while welcoming transferable experience from other legacy environments.
• Collaborate with product, design, data, and business leaders in a "Five-in-a-Box" model to deliver integrated solutions.
• Drive modernization initiatives such as API enablement, data extraction, and selective migration to hybrid architectures.
• Ensure compliance with regulatory requirements and internal audit standards across claims workflows.
• Promote engineering excellence through structured change management, performance optimization, and automation.
• Manage vendor relationships and ensure seamless integration with external systems and services.

🔹 Qualifications

• 10+ years of experience in software engineering, with 5+ years in leadership roles.
• Experience with legacy platforms supporting high-volume, business-critical workflows; IBM Mainframe experience is a strong plus but not required.
• Proven experience managing large-scale adjudication systems and leading modernization efforts.
• Strong understanding of regulatory compliance in claims processing.
• Excellent communication and stakeholder management skills.

🔹 Preferred Experience

• Familiarity with enterprise reporting platforms and data warehousing.
• Experience with Agile methodologies adapted for legacy environments.
• Leadership in matrixed organizations and cross-functional team management.

Education:

Bachelor's degree in Computer Science, Engineering, or related field; advanced degree preferred.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.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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 01/05/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Spring House, PA

Job ID: CVS-R0710135_1001

Employment Type: FULL_TIME

Posted: 2025-09-18T19:44:35