Senior Manager – ACAS, Commercial Benefits Testing

Job not on LinkedIn

🕒 August 10

🦌 Connecticut – Remote

🦌 Connecticut – Remote

💵 $82.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Define and drive the quality engineering strategy for ACAS benefits testing aligned with enterprise TCOE standards • Champion shift-left quality practices through early validation of requirements, benefit configurations, and adjudication logic • Establish engineering-led approaches to defect prevention, testability, and quality gates • Lead adoption and expansion of automation-first testing for benefits and claims adjudication scenarios • Partner with automation architects and engineers to design scalable test frameworks, reusable assets, and data strategies • Define risk-based testing models for high-impact benefit configurations and claim scenarios • Guide assessment of claim exposure, financial risk, and member/client impact associated with defects • Analyze defect trends to identify systemic issues and inform upstream process or design improvements • Establish and monitor quality KPIs including defect leakage, automation coverage, test effectiveness, and rework reduction • Drive continuous improvement initiatives and contribute to enterprise testing standards, best practices, and governance frameworks • Partner with engineering, configuration, business, and audit teams • Influence design and configuration decisions with early quality and risk insights • Communicate quality risks, trends, and recommendations to senior stakeholders

🎯 Requirements

• 7+ years of experience in healthcare technology or operations, with deep exposure to claims adjudication and benefits configuration • 5+ years in quality engineering, testing leadership, or QA management roles • Strong experience with claims adjudication systems and benefits testing, such as ACAS or similar platforms • Proven ability to design risk-based and scenario-driven testing strategies • Experience leading teams and influencing quality outcomes across cross-functional stakeholders • Strong analytical, problem-solving, and decision-making skills • Experience in commercial health benefits and claims processing • Familiarity with ACAS, PERS, or comparable adjudication platforms • Strong executive-level communication skills and ability to translate complex quality risks into business impact • Bachelor’s degree required or equivalent relevant work experience

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being