ACAS Plan Testing Specialist

CVS Health; California (MO); Hybrid; USD 29,000 - 68,000; Full time

Job summary

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

The candidate should have 3+ years of ACAS experience, excellent communication skills, and an Associate's degree or equivalent experience.

Qualifications

• 3+ years of experience with the ACAS platform and knowledge of medical plans and claims adjudication.
• Ability to manage multiple tasks and deliver assignments within projected timelines.
• 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.

Job description

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

The candidate should have 3+ years of ACAS experience, excellent communication skills, and an Associate's degree or equivalent experience.