Testing Specialist ACAS

CVS Health•Work At Home-Connecticut, CT
•$19 - $42

About The Position

The Testing Specialist performs Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. The role collaborates with stakeholders and uses expertise in ACAS and related platforms such as PERS/CCI to ensure new and revised plans are tested accurately before claim release. The position reviews benefit intent, designs test approaches, and executes tests to validate Commercial plans in ACAS. It also investigates discrepancies between expected and actual results, supports defect resolution, identifies automation opportunities, and adjusts testing approaches based on defect trends.

Requirements

  • At least 3 years of experience with the ACAS platform and specific knowledge of medical plans and claims adjudication.
  • Strong business and organizational knowledge.
  • Ability to manage multiple tasks and deliver assignments within projected timelines.
  • High school diploma and equivalent experience.

Nice To Haves

  • Excellent verbal and written communication skills.

Responsibilities

  • Review client benefit intent and translate it into clear test conditions for plan testing.
  • Design test strategies, test plans, and test scenarios that validate intended plan behavior.
  • Execute plan testing in ACAS by processing test claims and confirming expected claims outcomes.
  • Research testing issues when results do not align with expected outcomes and determine appropriate next steps.
  • Log confirmed defects with appropriate contacts and support resolution through follow-up and clarification.
  • Resolve questions and concerns during testing by collaborating with appropriate stakeholders.
  • 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.

Benefits

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