Healthcare Technical Consultant Jobs

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. CVS Health is seeking an SDET Manager to lead Quality Engineering and software delivery transformation across the Medicare Sales & Acquisition ecosystem. This role is critical to modernizing how we build, test, and deliver software, including embedding AI-driven capabilities into the SDLC. You will translate business workflows (Sales, Enrollment, Broker, and Telesales) into scalable, automated testing solutions that improve speed, quality, and operational efficiency. This is a hands-on technical leadership role responsible for driving test automation strategy, enabling intelligent SDLC pipelines, and building a high-performing engineering team aligned to enterprise goals. This role will also help shape the team's transition toward AWS-native test infrastructure and agent-orchestrated cycles, positioning the organization to scale automation alongside delivery volume in future years. Key Responsibilities Lead the design and implementation of AI-augmented Quality Engineering solutions — including agentic test generation, self-healing frameworks, and AI-assisted defect analysis — advancing the SDLC toward an AI-driven Automated Delivery Lifecycle (ADLC) Drive the migration of automation frameworks and test data management onto AWS-native services (e.g., Bedrock for model orchestration, Lambda/Step Functions for event-driven test pipelines), enabling

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. CVS Health is seeking an SDET Manager to lead Quality Engineering and software delivery transformation across the Medicare Sales & Acquisition ecosystem. This role is critical to modernizing how we build, test, and deliver software, including embedding AI-driven capabilities into the SDLC. You will translate business workflows (Sales, Enrollment, Broker, and Telesales) into scalable, automated testing solutions that improve speed, quality, and operational efficiency. This is a hands-on technical leadership role responsible for driving test automation strategy, enabling intelligent SDLC pipelines, and building a high-performing engineering team aligned to enterprise goals. This role will also help shape the team's transition toward AWS-native test infrastructure and agent-orchestrated cycles, positioning the organization to scale automation alongside delivery volume in future years. Key Responsibilities Lead the design and implementation of AI-augmented Quality Engineering solutions — including agentic test generation, self-healing frameworks, and AI-assisted defect analysis — advancing the SDLC toward an AI-driven Automated Delivery Lifecycle (ADLC) Drive the migration of automation frameworks and test data management onto AWS-native services (e.g., Bedrock for model orchestration, Lambda/Step Functions for event-driven test pipelines), enabling

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 Health100 is America's trusted front door to health and care. The Health100 platform integrates any participating health plan, PBM, pharmacy (retail and specialty), provider, digital health point solution provider, and employer, and addresses the top health care challenges for the consumer. We are looking for a hands-on, passionate engineering leader to join a high-energy, mission-driven team on the forefront of digital health innovation — reinventing how consumers engage with their health. As the Lead Director of Software Engineering, you will lead the strategic vision, development, and execution of our platform engineering roadmap. You will drive innovation, manage cross-functional teams, and ensure the delivery of high-quality products that exceed consumer expectations. As a key strategic leader, you will own integration strategy and execution across multiple domains, managing partner requirements, technical constraints, and external commitments while advancing platform modernization initiatives. You will partner closely with external stakeholders, understand their technical constraints and success criteria, and communicate risks and feasibility clearly in both technical and business terms. Responsibilities: </

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 Starting Pay: Based on experience Scheduled - Monday-Thursday Hours - 3pm-1am Position Summary The Maintenance Technician is responsible for maintaining, troubleshooting, repairing, and improving equipment within a fast-paced, mid-to-large volume distribution or manufacturing facility. This role supports operational efficiency by performing preventative maintenance, diagnosing equipment issues, reading schematics, conducting voltage testing, and repairing conveyor systems and other facility equipment. The ideal candidate is mechanically inclined, safety-focused, and skilled at identifying and resolving equipment failures to minimize downtime. What You'll Do • Perform preventative maintenance on conveyors, machinery, and facility equipment to ensure optimal performance and reliability. • Troubleshoot mechanical, electrical, pneumatic, and conveyor system issues to quickly identify root causes and implement repairs. • Read and interpret electrical schematics, blueprints, wiring diagrams, and technical manuals. • Utilize electrical testing equipment to conduct voltage readings and diagnose electrical system issues. • Inspect equipment regularly for signs of wear, damage, or potential failures and recommend corrective actions. • Execute repairs on conveyor systems, motors, gearboxes, drives, sensors, and other product

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 Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and problems. Perform adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process. Performs claim re-work calculations. Follow through completion of claim overpayments, underpayments, and any other irregularities. Process complex non-routine Provider Refunds and Returned Checks. Review and interpret medical contract language using provider contracts to confirm whether a claim is overpaid to allocate refund checks. Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals. Ensures all compliance requirements are satisfied and that all payments are made following company practices and procedures. Review and handle relevant correspondences assigned to the team that may result in adj

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. Job Summary Entry‑level developer role focused on building and supporting modern full‑stack applications. Ideal for recent graduates or early‑career professionals with experience in AWS cloud development (including Python and PySpark) and SQL Server. Experience Agile practices and exposure to AI‑assisted development is also needed. Key Responsibilities Develop, maintain, and support applications and services deployed in AWS cloud environments. Build and optimize SQL Server database components, including queries and stored procedures. Translate business and technical requirements into scalable, maintainable solutions. Write clean, secure code adhering to development standards and best practices. Leverage AI assistants for code generation, refactoring, testing, and documentation with appropriate validation. Participate in Agile practices and events (planning, stand‑ups, reviews, retrospectives). Troubleshoot and resolve application and data issues. Contribute to code reviews and continuous quality improvement. Collaborate across engineering, QA, and business teams. Support application deployment and operations in AWS. Required Qualifications Bachelor’s degree in Computer Science, Information Technology, Software Engineering, or a related field. 1–5 years of professiona

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 CVS Health is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers’ lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a Staff Software Engineer – Search / AI who as a Senior technical leader, be responsible for driving architecture, design, and delivery of scalable, cloud-native platforms built on microservices architecture and AI capabilities. This role combines deep hands-on engineering with strategic leadership to build intelligent, distributed systems. The right candidate will be a strong analytical thinker and be able to simplify complex problems, processes or projects into component parts explore and evaluate them systematically. We love to collaborate and help each other and we want someone to share that ideology. Expectations for the Role Drive enterprise architecture and technical strategy with strong focus on microservices-based design and AI platform engineering Design and develop highly scalable microservices architectures, including APIs, domain-driven services, and event-driven systems Lead the development and integration of AI/ML solutions, including LLMs, Retrieval-Augmented Generation (RAG), and agentic frameworks Develop sc

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 We are seeking a Software Development Engineer In Test, to apply advanced software engineering skills to improve quality across the development lifecycle through scalable test frameworks, developer tooling, and reusable automation solutions. This is a senior individual contributor role for a developer who specializes in testing, testability, and quality engineering. This role combines hands-on engineering with technical leadership across teams. The individual will influence architecture, strengthen automation strategy, improve developer feedback loops, and help establish consistent quality engineering practices that scale across products and platforms. The role carries strong Software Development Engineer in Test expectations, with an emphasis on building engineering solutions that improve product quality, platform reliability, and development velocity. Primary Responsibilities Design, develop, and evolve scalable test frameworks, automation libraries, and developer-facing quality tools Understand how the broader software ecosystem works together and define quality engineering approaches that align to platform strategy Partner with Product, Architecture, and Engineering teams to define test strategy, coverage goals, and acceptance criteria Build reusable utilities, harnesses, mocks, stubs, and data solutions that improve system

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. Locations: CVS Health follows a hybrid work model providing office-based colleagues the ability to flex between working in the office and working from home based on the work you need to accomplish. Various locations available and will be confirmed during conversations with the recruiter. Position Summary Designs and defines the technical architecture and infrastructure required for digital solutions. Utilizing Natural Language Processing, Deep Machine Learning, and Algorithms & Data Structures Writes code, develops software components, and implements complex functionalities according to project requirements. Collaborates with other members of the development team and stakeholders to make high-level architectural decisions, proposes design patterns, and ensures scalability, performance, and maintainability of digital solutions. Leverages advanced programming skills to design and implement complex features, optimize performance, and ensure code efficiency. Integrates various software components or systems, ensuring seamless communication and interoperability between different parts of the digital solution. Writes and executes comprehensive test cases, conducts code reviews, performs debugging, and troubleshoots issues to ensure the reliability, stability, and high quality of digital solutions. Participates in agile or other development

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 A Workday Integration Senior Developer is a specialized technical role responsible for designing, developing, implementing, and maintaining integrations between Workday and other internal or external systems. This role requires deep technical expertise in Workday’s integration tools, integration methodologies, Workday Extend and best practices to ensure data flows smoothly and accurately between Workday and other enterprise and external system. Responsibilities include: Design Integration Solutions: Lead the design and development of integration solutions between Workday and external systems (such as payroll, benefits, HR, finance, or third-party applications). Writes code, develops software components, and implements complex functionalities according to project requirements. Workday Studio: Use Workday Studio to develop complex integrations involving multiple systems, including configuring web services (REST/SOAP), developing transformation logic, and handling data mappings. Workday Extend: Development and Configuration of Workday Extend Apps and Workday Orchestration. Pre-built Connectors: Leverage Workday Cloud Connect and other pre-built connectors to integrate Workday with third-party applications efficiently. Customization: Customize integrations to meet the unique busine

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. Senior Manager, Platform Engineering / DevOps Who Are You You are an experienced Senior Manager / emerging Staff-level leader in DevOps and Platform Engineering with strong technical depth and demonstrated leadership in delivering enterprise-scale cloud platforms. You bring a balanced mix of hands-on engineering expertise, team leadership, and execution rigor. You excel in driving outcomes in complex, multi-stakeholder environments, guiding teams to deliver secure, scalable, and high-quality platform solutions. You are comfortable leading engineers, managing stakeholders, and owning delivery across multiple workstreams. You demonstrate: A strong ownership mindset with accountability for delivery and outcomes Ability to translate business needs into actionable engineering roadmaps Solid expertise in cloud-native platforms, DevOps practices, and SRE principles Capability to lead teams and influence without requiring extensive tenure Role Responsibilities Development & Enforcement Own and execute the H100 platform engineering roadmap, aligned to enterprise priorities and program milestones Drive delivery of GCP-based platform capabilities (GKE, networking, IAM, CI/CD, observability) Establish and enforce engineering standards, best practices, and ADR compliance <li

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 We are seeking an experienced actuarial professional to support Medicaid managed care pricing evaluation, financial performance management, and strategic decision-making. This role requires a strong combination of actuarial expertise, business acumen, technical proficiency, and leadership capability. The successful candidate will serve as a key partner to market leadership, finance, and operational stakeholders while providing guidance and oversight to actuarial analysts supporting complex Medicaid markets. This position is ideal for an actuary with strong project management skills who can balance short-term deliverables and ad hoc requests with long-term strategic initiatives, thrive in a dynamic environment, and independently develop analyses to address emerging business questions. Medicaid Pricing and Actuarial Analysis • Lead actuarial evaluation of state capitation pricing and forecasting for Medicaid managed care programs. • Evaluate and interpret complex state rate-setting methodologies, risk adjustment programs, acuity adjustments, and regulatory requirements. • Assess revenue, medical cost, utilization, and margin drivers to identify emerging trends and business risks. • Summarize and communicate actuarial analysis for business leadership. Strategic Business Support • Partner with market, product, finance, and operations tea

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 CVS Health is seeking a Senior Varicent Integration & Platform Engineer with expertise in technical architecture and integration to join the Human Resources Technology team. This experienced and motivated professional will support Compensation business operations by delivering optimal, scalable technology solutions. As an integral member of the team responsible for the Varicent Sales Performance Management (SPM) platform, its integrations, and its technical architecture, this role will address the needs of Total Rewards and Human Resources business partners and stakeholders. The ideal candidate will combine deep technical and platform expertise with a demonstrated ability to collaborate with technical and non-technical partners. The role will provide essential support to the Compensation organization for sales incentive technology needs and will collaborate with HR Technology, Centers of Excellence (COEs), and HR Shared Services across all business segments. This individual will establish cross-functional relationships throughout HR Technology and Human Resources to ensure that solutions and initiatives are effectively designed and implemented, with colleague satisfaction as a key goal. Primary Responsibilities: Collaborate with business and technical partners to support the Varicent technical architecture and integration roadmap, including the e

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 The Executive Director, Digital Engineering- Aetna Member Care and Journey Services is a senior technology leader responsible for setting the technical vision, architectural direction, and engineering execution for member centric services. This role leads large-scale engineering teams that build high-performance backend APIs, microservices, and cloud-native systems that power member experiences across digital, agent, provider, and partner channels. The leader ensures exceptional service stability, resiliency, innovation velocity, and alignment with enterprise user experience and operational goals. Key Responsibilities 1. Backend API & Microservices Engineering Leadership • Lead the design, development, and delivery of scalable backend systems, APIs, and microservices powering member-facing capabilities. • Define API contract standards, and integration patterns used across Member Services platforms. • Drive service modernization by adopting cloud‑native architectures, containerization, and event-driven patterns. 2. Service Stability, Observability & Resiliency • Establish standards for availability, resiliency, performance, and disaster recovery across all services. • Implement SLO/SLI/error budget frameworks, health checks, and high‑availability architectures. <p

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 We are seeking an accomplished Principal Cloud Storage Engineer to lead the design, engineering, and evolution of our private cloud storage platforms. This role will focus on large-scale storage architecture, data protection, cyber recovery, and resiliency technologies across complex enterprise environments. The ideal candidate will combine deep technical expertise in storage systems with strong leadership, architectural vision, and the ability to influence technical direction across the organization. Key Responsibilities Architect and engineer enterprise storage platforms that ensure data integrity, availability, security, and disaster recovery readiness Design and implement end-to-end storage solutions, including Software Defined Storage, SAN, NAS, and object storage across private cloud and data center environments Drive strategic technology decisions by evaluating emerging products, tools, and standards supporting storage, data protection, cloud, and compute platforms Lead infrastructure initiatives involving storage modernization, data protection, cyber recovery, data migration, and resilience engineering Develop and execute enterprise strategies for backup, recovery, cyber vaulting, and business continuity Create and maintain comprehensive documentation of storage architectures, configurations, policies, and operation