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
At CVS, we're building out the API Platform to enable teams across CVS Digital to quickly and easily deliver experiences into the hands of our customers, all at the scale of a Fortune 6 company! The API Platform will be leveraged by hundreds of engineers across CVS Health building sites used by millions of customers.
We are looking for a Staff Software Development Engineer Backend Node.js to lead the technical direction of an API platform that helps teams design, manage, and deploy APIs across gateway environments. This role is responsible for backend architecture, platform reliability, workflow orchestration, API design, and engineering standards across a TypeScript-based monorepo. You will work across GraphQL services, workflow systems, database-backed backend services, gateway integrations, and internal platform tooling.
The Staff Software Development Engineer Backend Node.js should be comfortable operating as a senior technical leader: setting architecture, making pragmatic tradeoffs, mentoring engineers, improving delivery quality, and driving clarity in ambiguous areas. This role is a strong fit for someone who enjoys platform engineering, internal developer products, API management, and backend systems that sit close to infrastructure and runtime concerns.
What You’ll Do
Lead backend architecture across core services, shared platform packages, and workflow-driven backend systems
Own the design and evolution of GraphQL APIs, service boundaries, data contracts, and typed backend integrations
Drive development of backend services built with TypeScript, Node.js, Fastify, PostgreSQL, and workflow orchestration technologies
Shape and improve systems that provision, configure, and integrate with API gateways and related platform infrastructure
Define patterns for service reliability, observability, security, authentication, and operational readiness
Guide schema design, data access strategy, migrations, and long-term maintainability of relational data models
Improve engineering standards through code review, technical design reviews, testing strategy, and mentoring
Partner closely with frontend engineers, product teams, and platform stakeholders to ensure backend capabilities support the full product workflow
Identify architectural risks, reduce knowledge silos, and create scalable patterns for a growing engineering organization
Contribute to a culture of strong ownership, high-quality delivery, and pragmatic technical leadership
Required Qualifications
7+ years of software engineering experience, including significant backend and platform engineering experience in production environments
Strong expertise in TypeScript and modern Node.js backend development
Proven experience designing and operating backend APIs at scale, especially GraphQL-based platforms
Strong experience with backend frameworks such as Fastify, Express, NestJS, or similar, with an ability to make sound architectural tradeoffs
Direct experience with API gateway technologies such as Kong, Apigee, or Azure API Management
Deep experience with PostgreSQL or other relational databases, including schema design, migrations, performance tuning, and data modeling
Hands-on experience with distributed workflows, asynchronous orchestration, or job-processing systems such as Temporal or similar platforms
Strong understanding of authentication and authorization patterns, including OAuth, OIDC, JWTs, and service-to-service security
Experience implementing observability practices including tracing, structured logging, metrics, and production diagnostics
Experience working in containerized environments and modern backend delivery workflows using Docker and CI/CD pipelines
Demonstrated ability to lead technical direction, mentor engineers, and influence architecture across teams
Strong testing instincts, especially around integration testing, backend correctness, and reliable release practices
Experience working effectively in a monorepo or multi-service platform environment
Preferred Qualifications
Experience building internal platforms, developer tooling, or API management products
Experience working with OpenAPI-driven systems, specification validation, or spec-based platform workflows
Familiarity with GraphQL code generation and strongly typed API contract workflows
Experience with cloud-agnostic platform design and multi-environment backend integration patterns
Experience working in large enterprise or regulated environments where reliability, auditability, and security are critical
Familiarity with modern monorepo tooling such as pnpm workspaces, Turborepo, and repository-wide code quality tooling
Experience partnering closely with frontend teams on product workflows that depend on backend platform capabilities
Education
- Bachelor’s degree or equivalent experience (Highschool diploma plus 4 years relevant work experience)
Pay Range
The typical pay range for this role is:
$118,450.00 - $260,590.00
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 7+ years of software engineering experience
- Strong expertise in TypeScript and Node.js
- Experience designing backend APIs at scale
- Experience with backend frameworks like Fastify
- Direct experience with API gateway technologies
- Deep experience with PostgreSQL and relational databases
- Hands-on experience with distributed workflows
- Understanding of authentication and authorization patterns
- Experience implementing observability practices
- Experience working in containerized environments
- Ability to lead technical direction and mentor engineers
- Strong testing instincts around integration testing
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Healthcare coverage is positioned as comprehensive for benefits-eligible colleagues, including medical, dental, and vision with free preventive care and access to virtual care and select no-cost MinuteClinic services. Mental health support is also highlighted with no-cost confidential counseling sessions per issue.
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Retirement Support — Retirement benefits include a 401(k) with a dollar-for-dollar match up to 5% after meeting service and hours requirements. Ownership programs are also offered through an employee stock purchase plan with a stated purchase discount.
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Pay Growth & Progression — A companywide minimum wage floor establishes a baseline that is framed as a positive starting point in some roles and markets. Unionized or high-cost areas are described as having clearer wage scales and step-ups that can materially lift pay over time.
CVS Health Insights
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.







