Manager Application Development - Clinical UM Automation

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

Designs, develops, and enhances Clinical Utilization Management (UM) decision automation applications and platforms to meet business objectives and improve end‑user experience. Collaborates with Clinical UM stakeholders and cross‑functional technology teams to assess business and technical requirements and translate them into scalable, rules‑based application solutions. Drives solution quality through clear requirements definition, acceptance criteria, and partnership in testing and release activities. Supports the full application lifecycle by analyzing production behavior, performing root cause analysis, and coordinating fixes and enhancements to ensure stability, compliance, and continuous improvement of Clinical UM automation solutions. Implements development best practices to improve efficiency, reliability, and maintainability of the UM automation platform.

Required Qualifications

• 5–7+ years of experience designing, developing, enhancing, or supporting enterprise application solutions with accountability across the application development lifecycle.
• Demonstrated ability to assess business and technical requirements and translate them into application features, user stories, and functional specifications.
• Experience delivering high‑quality solutions through partnership in testing, release planning, and deployment activities.
• Proven ability to analyze application behavior in production, perform root cause analysis, and coordinate corrective and preventative solutions.
• Strong collaboration and communication skills, including the ability to partner effectively with business stakeholders, engineers, and quality assurance teams.
• Experience working in Agile delivery environments and applying development best practices to improve efficiency, quality, and delivery outcomes.

Preferred Qualifications

• Experience developing or enhancing rules‑based or decision automation solutions (e.g., IBM ODM or similar decision or rules engines).
• Experience supporting Clinical UM, eligibility/entitlement, or healthcare decisioning and automation platforms.
• Familiarity with monitoring, logging, and incident management tools (e.g., Splunk, ServiceNow) to support application health and stability.
• Experience using Agile delivery and backlog management tools such as Azure DevOps, JIRA, and/or Rally.
• Exposure to SQL or data platforms (e.g., Snowflake) to support investigation, validation, and post‑release auditing.
• Experience applying industry best practices to continuously improve application quality, reliability, and user experience.

Education

Bachelor’s degree preferred or equivalent combination of education, training, and relevant professional experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$101,970.00 - $203,940.00

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. 

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.

We anticipate the application window for this opening will close on: 04/26/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

For more details click Job Post.