Manager – ACAS Provider Contract Testing

CVS HealthHartford, CT
15d

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. At CVS Health, we are committed to building a world of health around every consumer, supported by passionate colleagues who strive to transform healthcare. As the nation’s leading health solutions company, we serve millions of Americans through our local presence, digital channels, and a workforce of over 300,000 purpose-driven professionals. We are seeking a Manager – Aetna Claim Adjudication System (ACAS) Provider Contract Testing to join our Testing Center of Excellence (TCOE). This role is pivotal in managing day-to-day testing operations for provider and commercial contracts, ensuring SLA adherence, inventory tracking, and seamless coordination with subject matter experts (SMEs) and analysts. The ideal candidate will be highly organized, detail-oriented, and capable of driving operational excellence in a fast-paced environment.

Requirements

  • 3+ years in testing operations, quality assurance, or related functions.
  • 3 + years of proven experience in managing day-to-day operations and SLA compliance.
  • 3 + years of proficiency in tracking tools and reporting dashboards.

Nice To Haves

  • Familiarity with healthcare domain, provider contracts, and claims systems.
  • Experience with test management tools and automation frameworks.
  • Knowledge of Agile methodologies and continuous delivery practices.
  • Strong organizational and time management skills.
  • Excellent communication and stakeholder management abilities.

Responsibilities

  • Manage daily testing operations, ensuring smooth execution of all planned activities.
  • Track and maintain inventory of test cases, environments, and data sets.
  • Monitor and enforce adherence to Service Level Agreements (SLAs) for testing deliverables.
  • Identify risks to timelines and proactively implement mitigation strategies.
  • Act as the primary liaison between testing teams, SMEs, and business analysts.
  • Facilitate cross-functional collaboration to resolve issues and maintain delivery quality.
  • Maintain governance standards for testing processes and documentation.
  • Prepare and present operational metrics and status reports to leadership.
  • Handle escalations promptly and ensure timely resolution of defects and blockers.
  • Identify process gaps and recommend improvements to enhance efficiency and accuracy.

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.

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What This Job Offers

Job Type

Full-time

Career Level

Manager

Number of Employees

5,001-10,000 employees

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