Senior Manager – ACAS, Commercial Benefits Testing

Job not on LinkedIn

🔥 0 minutes ago

🦌 Connecticut – Remote

🦌 Connecticut – Remote

💵 $130.3k - $260.6k / year

⏰ Full Time

🟠 Senior

👔 Manager

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CVS Health

WebsiteLinkedInAll Job Openings

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

• Define and drive the quality engineering strategy for ACAS benefits testing, aligned with enterprise TCOE standards. • Champion shift‑left quality practices, including early validation of requirements, benefit configurations, and adjudication logic. • Establish engineering‑led approaches to defect prevention, testability, and quality gates. • Lead the 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 focused on high‑impact benefit configurations and claim scenarios. • Guide teams in assessing 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 (defect leakage, automation coverage, test effectiveness, rework reduction). • Drive continuous improvement initiatives to improve testing efficiency, consistency, and outcomes. • Communicate quality risks, trends, and recommendations clearly to senior stakeholders.

🎯 Requirements

• 7 + years of experience in healthcare technology or operations • 5 + years in quality engineering, testing leadership, or QA management roles • Strong experience with claims adjudication systems and benefits testing (e.g., 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.

🏖️ Benefits

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