Senior Manager, ACAS Provider Contract Testing

Job not on LinkedIn

November 21

🦌 Connecticut – Remote

Although this job is listed in Connecticut, this company may be open to hiring remote in other states.

💵 $82.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

Apply Now

Receive Emails with Similar Jobs

CVS Health

WebsiteLinkedInAll Job Openings

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.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Lead the Commercial Contract Testing team, ensuring alignment with organizational goals and quality standards. • Establish and maintain governance frameworks for testing processes, ensuring adherence to regulatory and contractual requirements. • Serve as the primary point of contact for business and IT stakeholders, providing clear updates on testing progress, risks, and mitigation strategies. • Proactively identify and resolve issues, managing escalations effectively to minimize impact on delivery timelines. • Oversee end-to-end testing activities for commercial contracts, ensuring accuracy, completeness, and timely delivery. • Develop and present comprehensive quality and performance reports to senior leadership, including actionable insights and recommendations. • Mentor and coach team members, fostering a culture of accountability, collaboration, and continuous improvement. • Partner with IT to enhance testing automation capabilities and adopt innovative approaches to improve efficiency and accuracy.

🎯 Requirements

• 5+ years of experience managing quality assurance or testing teams. • 5+ years in commercial Aetna Claim Adjudication System (ACAS) contract testing, claims adjudication systems, or related functions. • 5 + years proven track record in governance, stakeholder management, and escalation handling. • 5 + years strong program and project management expertise, including integrated planning and risk management. • Bachelor's degree required or equivalent work experience.

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access • Many other benefits depending on eligibility