ACAS-Driven Plan Testing Analyst

CVS Health

New York (NY)

Hybrid

USD 29,000 - 68,000

Full time

12 days ago

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Job summary

CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. This role requires collaboration and strong communication, with expertise in ACAS and related platforms to ensure new and revised plans are tested before claim release.

You will review benefit intent, design test strategies and guide testers, log defects, and continuously look for automation

Qualifications

3+ years of experience with the ACAS platform and medical plan/claims adjudication.
Ability to manage multiple tasks and meet deadlines.
Excellent verbal and written communication skills.

Responsibilities

Review client benefit intent and translate it into testing guidance for plan testers.
Design test strategies, test plans, and test scenarios that validate 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 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.