Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Staff Software Engineer(full stack)

Join us as we transform healthcare by building a unified technology platform for value-based care. As a Staff Software Engineer, you will be the key individual contributor driving high-impact, distributed systems from concept to production. We are looking for an entrepreneurial expert with deep technical acumen who can take full accountability for project success through hands-on development, robust design, and technical influence.
Key Responsibilities and Ownership
You will operate as a high-impact technical individual contributor, owning the delivery and operational excellence of critical platform components. Your impact will be driven through deep hands-on development, rigorous design, and technical mentorship.

• Project Ownership & Design:
  • Take full technical accountability for projects from inception to deployment.
  • Drive and document all technical designs, including High-Level Design (HLD) and Low-Level Design (LLD).
• Strategic Alignment:
  • Partner closely with Product to ensure technical designs meet complex business requirements.
  • Collaborate with other Staff Engineers and teams to define and deliver holistic, cross-functional solutions.
• Full-Stack Development & Expertise:
  • Design, build, and maintain enterprise-grade systems with a focus on .NET (C#) for scalable backend services.
  • Hands-on experience with gRPC and REST API development.
• Data Systems Integration:
  • Design services that deeply integrate with data systems, leveraging Kafka-driven pipelines.
  • Utilize expert knowledge in PostgreSQL and other SQL-based RDBMS.
• DevOps & Automation (Full Application Lifecycle):
  • Own the full application lifecycle: implementation, testing, deployment via CI/CD pipelines (Azure DevOps/GitHub), and production monitoring.
  • Drive quality standards using tools like SonarQube and contribute to infrastructure automation with Terraform.
• Technical Mentorship & Best Practices:
  • Serve as a technical guide and mentor to peers.
  • Champion best practices for maintainability, testing, observability, and distributed systems design across the team.
• Innovation & Velocity:
  • Research, propose, and spearhead the adoption of new technologies and AI-assisted tooling (like Cursor AI) to enhance engineering velocity and platform capabilities.

Required Technical Qualifications

• Experience: 7+ years of professional software development experience, with a proven track record of significant technical ownership over large-scale systems.
• Deep .NET Ecosystem Expertise: Extensive, hands-on experience with C# / .NET for building high-performance, scalable backend services.
• Data and Messaging:
  • Expert SQL skills and hands-on experience with RDBMS like PostgreSQL or SQL Server.
  • Proven experience with event-streaming platforms like Kafka.
• Full-Stack Capability: Proven ability to deliver large-scale systems end-to-end, including UI and service layers.
• Communication: Exceptional technical communication skills to effectively drive consensus and document complex technical solutions.

Preferred Qualifications

• API Design Mastery: Strong expertise in designing and implementing robust gRPC and REST APIs for distributed microservices.
• Cloud & CI/CD:
  • Strong experience with cloud platforms (Azure, AWS, or GCP).
  • Expert-level experience with containerization (Docker) and deploying through CI/CD pipelines (Azure DevOps/GitHub).
• Foundational Excellence: Elite-level understanding of software engineering fundamentals:
  • Distributed systems design, architecture patterns, concurrency, algorithms, and defensive programming.
• Deep RDBMS Optimization: Proven expertise in PostgreSQL/SQL Server query tuning, indexing, and data partitioning for performance at scale.
• Domain-Driven Design (DDD): Practical experience applying DDD principles to model complex business domains and structure scalable microservices.
• Advanced Testing Practices: Experience with contract testing (for API boundaries) and implementing automated performance or load testing frameworks.
• Application and Performance Monitoring (APM): Experience configuring and utilizing platforms like New Relic for proactive alerting, distributed tracing, and root cause analysis.
• Advanced CI/CD Strategies: Proven experience with advanced deployment patterns (e.g., blue/green, canary releases) and integrating quality gates (SonarQube) into pipelines.
• Security Best Practices: Practical knowledge of implementing security controls such as OAuth/OIDC, JWT handling, and addressing common vulnerabilities (e.g., OWASP Top 10).
• Familiarity with asynchronous, event-based architectures (e.g., event sourcing, Saga patterns).
• Experience with agile methodologies and acting as the technical authority within a development team.

Education: Bachelors of Science in Computer Science or a related field or equivalent work experience.

About Signify Health

Signify Health is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals' clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers and community resources, we're able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.

Our high-performance networks are powered by more than 10,000 mobile doctors and nurses covering every county in the U.S., 3,500 healthcare providers and facilities in value-based arrangements, and hundreds of community-based organizations. Signify's intelligent technology and decision-support services enable these resources to radically simplify care coordination for more than 1.5 million individuals each year while helping payers and providers more effectively implement value-based care programs.

Pay Range

The typical pay range for this role is:

$106,605.00 - $284,280.00

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. This position also includes an award target in the company's equity award program.

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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 12/18/2025

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