Manager, ACAS/Commercial Benefits Testing

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🕒 3 days ago

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• Apply quality engineering practices across ACAS benefits testing for assigned initiatives. • Support early validation of requirements, benefit configurations, and adjudication logic to reduce downstream defects. • Ensure quality gates and test readiness criteria are followed within programs. • Support the adoption of automation‑enabled testing for benefits and claims adjudication scenarios. • Work with automation engineers to leverage existing test frameworks and reusable assets. • Execute and support risk‑based testing approaches, focusing on high‑impact benefit and claim scenarios. • Manage and support a team of quality engineers and testers (onshore/offshore). • Track and report quality metrics such as defect trends, test coverage, and execution effectiveness. • Collaborate closely with configuration teams, business SMEs, and engineering partners.

🎯 Requirements

• 5 + years of experience in healthcare technology or operations, with exposure to claims adjudication and benefits configuration. • 2 + years of experience in quality engineering, testing, or QA roles, including team or work‑stream leadership. • Hands‑on experience with claims adjudication systems and benefits testing (ACAS or similar platforms). • Experience executing scenario‑based and risk‑based testing. • Strong analytical and problem‑solving skills with attention to detail. • Ability to work independently while collaborating effectively across teams.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility

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