Manager, ACAS/Commercial Benefits Testing

CVS Health

3d

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary At CVS Health, we are building a world of health around every consumer through innovation, accountability, and quality. The Testing Center of Excellence (TCOE) plays a key role in ensuring our platforms deliver accurate, compliant, and reliable outcomes for members and clients. The Manager, Testing COE is responsible for executing and enabling quality engineering practices for ACAS (Aetna Claim Adjudication System) benefits testing. This role focuses on hands‑on quality engineering execution, supporting shift‑left testing, automation adoption, and risk-based testing approaches within assigned programs or domains.

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.

Nice To Haves

• Experience with commercial health benefits and claims processing.
• Familiarity with ACAS, PERS, or comparable adjudication platforms.
• Strong written and verbal communication skills.

Responsibilities

• Quality Engineering Execution & Enablement 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.
• Automation & Modern Testing Support 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. Identify opportunities to improve test efficiency through automation and improved test design.
• Risk‑Based Testing & Defect Analysis Execute and support risk-based testing approaches, focusing on high-impact benefit and claim scenarios. Analyze defects to determine root cause, claim exposure, and potential member or client impact. Escalate high-risk findings and trends to senior QE or COE leadership.
• Team Oversight & Day-to-Day Leadership Manage and support a team of quality engineers and testers (onshore/offshore). Review test artifacts, execution results, and defect documentation for quality and completeness. Provide coaching and guidance to strengthen testing rigor and QE skills within the team.
• Metrics, Reporting & Continuous Improvement Track and report quality metrics such as defect trends, test coverage, and execution effectiveness. Participate in continuous improvement efforts to reduce rework and post‑release corrections. Contribute feedback to evolving TCOE standards, templates, and best practices.
• Collaboration & Stakeholder Engagement Collaborate closely with configuration teams, business SMEs, and engineering partners. Communicate testing outcomes, risks, and defects clearly to project and program stakeholders. Support audits, validations, and issue resolution activities as needed.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees