Plan Testing Analyst

CVS Health•Work At Home-Connecticut, CT

22h•$21 - $49

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 The Analyst, Plan Testing is responsible for supporting Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. This role requires strong collaboration and communication skills, along with expertise in ACAS and related platforms such as PERS/CCI, to ensure new and revised plans are tested accurately before claim release.

Requirements

Strong business and organizational knowledge, including 3+ years of experience with the ACAS platform and specific knowledge of medical plan and claims adjudication.
Ability to manage multiple tasks and deliver assignments within projected timelines.

Nice To Haves

Excellent verbal and written communication skills.

Responsibilities

Review client benefit intent and translate it into clear testing guidance for plan testers.
Design test strategies, test plans, and test scenarios that validate the intended plan behavior.
Provide instructions to testers on how to execute plan testing and confirm expected claims outcomes.
Research testing issues when results do not align with expected outcomes and determine the appropriate next steps.
Log confirmed defects with the appropriate contacts and support resolution through follow-up and clarification.
Resolve questions and concerns raised by plan testers throughout the testing process.
Continuously review automation opportunities and recommend improvements to strengthen testing efficiency and coverage.
Analyze defect trends and adjust test strategies, scenarios, or claims selections as needed.