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# Senior Software Engineer - Backend

- **Company:** CVS Health
- **Location:** 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), Event-Driven Programming, Interoperability, MongoDB, Service Design, Fast Healthcare Interoperability Resources, Electronic Medical Records, Backend, Low Latency, Health Level Seven International, Event Sourcing, Domain Driven Design, GPT, Databricks
- **Published:** October 16, 2026
- **Apply:** https://www.careercircle.com/jobs/all/all/usa/all/all/6d7f70fe-7b68-479a-abc1-e2e949320c6a

## About the Role

Work from home, *Remote

MongoDB
Medicare
Scheduling
Compassion
Databricks
Code Review
Low Latency
Primary Care
Observability
Data Modeling
Code Coverage
Service Design
Microsoft Azure
Interoperability
Care Coordination
Population Health
Technical Standard
Workflow Management
Amazon Web Services
Workflow Automation
Time Off Management
Software Engineering
Domain Driven Design
Cloud-Native Computing
Event-Driven Programming
Electronic Medical Record
Extract Transform Load (ETL)
Fast Healthcare Interoperability Resources (FHIR)
Command-Query Responsibility Segregation (Software Development)

At least 5 years, * 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