Associate Testing Specialist

CVS Health • Washington, NV

1d • $17 - $26

About The Position

This position is part of Service Operations. The Associate Testing Specialist develops and executes comprehensive testing processes for system enhancements, new products, and processes across customer service functions, including claims, enrollment, provider contracts, and benefits administration. The role creates and executes unit testing processes and test plans to audit vendor contracts before implementation, verifies that system functions meet user requirements and established guidelines, and documents and follows through on discrepancies until resolved. The specialist reports problem-resolution progress to management, communicates test outcomes to end users for sign-off, and serves as a liaison between system end users and the IT team. Other duties may be assigned as required.

Requirements

• At least 2 years of related experience in a service center medical claims (not RX claims) processing or managed care operational role.
• At least 1 year of recent, related system processing, payment, and benefits experience; IDX managed care is preferred.
• Broad knowledge of medical terminology, claims, customary and reasonable cost containment, coordination of benefits, diagnosis coding, and general customer service sources.
• Excellent verbal and written communication skills.
• High school diploma or GED.

Nice To Haves

• QNXT managed care experience.
• IDX managed care experience.

Responsibilities

• Develop and execute testing processes for system enhancements, new products, and processes involving claims, enrollment, provider contracts, and benefits administration.
• Create and execute defined unit testing processes to quality-audit vendor contracts before implementation.
• Assist with testing simple system enhancements.
• Prepare and execute test plans and scripts to audit vendor contracts and ensure quality and accuracy.
• Verify that system functions meet user requirements and established guidelines.
• Document and execute simple to moderately complex test plans using standardized best practices.
• Validate test results, document discrepancies, and follow through on resolutions until issues are resolved.
• Report problem-resolution progress to management.
• Communicate test outcomes to end users for sign-off.
• Serve as a liaison between system end users and the IT team.
• Perform other duties as required.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• CVS Health bonus, commission, or short-term incentive program, subject to eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED