Manager, Quality Engineering (Healthcare Claims)

CVS Health

95d • $83,430 - $203,940

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. We are seeking a candidate to lead Plan and Benefit testing for DDAT-NextGen Claims. This role involves understanding benefit structures and regulatory changes, staying current with testing practices and automation, and overseeing multifaceted Medicare workflows.

Requirements

• 3+ years of relevant work experience.
• Strong analytical skills for designing and implementing test strategies.
• Experience collaborating with cross-functional teams on risk mitigation.
• Proactive approach to anticipating challenges and driving improvements.
• Excellent communication skills.

Nice To Haves

• Bachelor's degree preferred or equivalent experience.

Responsibilities

• Lead Plan and Benefit testing for DDAT-NextGen Claims.
• Understand benefit structures and regulatory changes.
• Stay current with testing practices and automation.
• Oversee multifaceted Medicare workflows.
• Design and implement test strategies.
• Collaborate with cross-functional teams on risk mitigation.
• Anticipate challenges and drive improvements.
• Communicate effectively to simplify technical concepts.
• Improve quality and reduce defects.
• Expand testing coverage and accelerate cycles.
• Implement best practices in testing.
• Identify efficiencies to lower costs.

Benefits

• Affordable medical plan options.
• 401(k) plan (including matching company contributions).
• Employee stock purchase plan.
• No-cost 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree