Executive Director, Adjudication Data Services

CVS Health

Remote Actively hiring
Remote, USA · Buffalo Grove-2100 E Lake Cook, US Posted 17 days ago $175,100–$334,750 / year
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At a glance

AI generated

TL;DR

Seeking an Executive Director of Adjudication Data Services to lead the transformation and modernization of CVS Health’s Adjudication Data Services portfolio, including Eligibility, Member Data Transition, Drug, Pharmacy, and Managed File Transfer systems. This role involves driving project initiatives on IBMi series platforms, Azure, and Google Cloud, collaborating with stakeholders to develop innovative solutions that align with strategic goals. The ideal candidate will have over 12 years of Healthcare IT experience, including 4 years at a director level, with expertise in cloud engineering, AI technologies, and managing cross-functional teams. They should be proficient in cloud infrastructure design, budget management, and fostering a culture of innovation while ensuring compliance with regulatory requirements.

Skills

Azure Google Cloud IBM iSeries AI Cloud Engineering CI/CD Agile Scrum Terraform Kubernetes Docker Python PostgreSQL AWS Prometheus Grafana ITIL DevOps AS/400 Mainframe

What you'll do

  • Lead cross-functional teams to develop and implement modern data domain solutions using cloud technologies.
  • Partner with stakeholders to translate business needs into effective implementation plans for Adjudication Data Services.
  • Innovate by integrating AI into business processes and software engineering to enhance service delivery.
  • Build and execute a strategy for simplifying data exchanges in Pharmacy Benefit Management (PBM).
  • Establish application development standards to promote modularization of adjudication functions and domain services.

What we're looking for

  • 12+ years of Healthcare IT experience with at least 4 years in a Director-level position leading teams on cloud technologies.
  • Extensive client-facing support experience handling production issues and executive reporting across diverse teams.
  • Strong skills in managing cross-functional issues, scaling support operations, and leading without direct authority.
  • Proficiency in AI technologies, strategic planning for enterprise applications, and budget management.
  • Expertise in designing scalable and secure cloud infrastructure on platforms like Azure and Google Cloud.
  • Experience analyzing enterprise platforms to identify deficiencies and recommending improvements for growth and optimization.

Market check

Salary context

This $175,100–$334,750 range sits above 86% of similar postings on FindRole.

Peer median band

$137,000–$220,000

Median floor and ceiling across peers.

Typical midpoint (25–75%)

$141,592–$228,177

Middle half of comparable postings.

Based on 239 comparable postings.

* 240 is the maximum number of comparable postings sampled.

Employer

About CVS Health

CVS Health is a leading American healthcare company operating retail pharmacies, pharmacy benefit management services, and a health insurance segment through Aetna, one of the nation''s largest health insurers. Industry: Healthcare & Pharmacy

CVS Health currently has 89 open roles on FindRole.

Listed pay typically runs $118,450–$260,590 across 86 roles with salary data.

Most-posted roles

View all roles at CVS Health

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