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# Senior Software Engineer - Backend

- **Company:** CVS Health
- **Location:** Los Angeles, CA, United States (Remote available)
- **Experience:** Expert
- **Salary:** $83,430.0 - $222,480.0
- **Contract:** Permanent contract
- **Skills:** Artificial Intelligence, Amazon Web Services, Microsoft Azure, Cloud Engineering, Code Coverage, Code Review, Command-Query Responsibility Segregation (Software Development), Extract Transform Load (ETL), Interoperability, MongoDB, Service Design, Fast Healthcare Interoperability Resources, Backend, Health Level Seven International, Event Sourcing, Domain Driven Design, GPT, Databricks
- **Published:** October 18, 2026
- **Apply:** https://dejobs.org/x/x/23194139C5CC400EBC63DFF9923486C6/job/

## About the Role

* 5+ years building distributed backend systems in production
 * Proficiency building system prompts and utilizing AI frameworks
 * Hands-on experience with MongoDB or comparable document stores
 * Track record of leading technical work across a team - not just executing it
 * Experience with cloud-native deployment (Azure, AWS, or GCP)

Preferred Requirements

 * Experience building extract, transform, load (ETL/ELT) workflows using Databricks
 * Deep familiarity with domain-driven design and bounded context modeling
 * Experience with healthcare interoperability standards (FHIR, HL7) or EMR integrations
 * Background in high-throughput, low-latency service design at scale
 * Experience with event sourcing, CQRS, or other advanced event-driven patterns, * Bachelor's degree preferred/specialized training/relevant professional qualification.

## Description

Our engineering teams build the software that powers clinical care delivery at Oak Street Health - patient scheduling, care coordination, clinical records, and the integrations that connect our systems to health networks across the country. As a Sr Software Engineer, you'll own complex workstreams, drive technical decisions within your domain, and mentor the engineers around you. The work needs to be reliable, maintainable, and built to evolve - and in a healthcare environment, the quality of the design has direct clinical consequences.

What you'll do

 * Design robust system prompts using LLM frameworks
 * Partner with product teams and business stakeholders to understand and automate workflows
 * Design and implement robust file-ingestion pipelines using Databricks
 * Own a domain or service area end-to-end, including its data model and integration contracts
 * Lead code reviews, set technical standards, and mentor junior and mid-level engineers
 * Hold the team accountable for test coverage, observability, and the production health of the services you own