ACAS Plan Testing Specialist

CVS Health; Michigan; Hybrid; USD 44,000 - 102,000; Full time

Job summary

CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing in ACAS. You will interpret client intent behind medical benefit designs and validate outcomes through claims-based testing, collaborating with cross-functional teams to ensure accurate plan testing before claim release.

Responsibilities include designing test strategies, guiding testers, troubleshooting discrepancies, and driving automation opportunities to improve efficiency and coverage within a dynamic benefits

Qualifications

• Bachelors/associate level knowledge of health plans and testing approaches.

Responsibilities

• Review client benefit intent and translate into testing guidance for plan testers.

Skills

ACAS platform

Claims adjudication

Testing coordination

Education

Associate's degree or equivalent experience

Tools

PERS/CCI

Job description

CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing in ACAS. You will interpret client intent behind medical benefit designs and validate outcomes through claims-based testing, collaborating with cross-functional teams to ensure accurate plan testing before claim release.

Responsibilities include designing test strategies, guiding testers, troubleshooting discrepancies, and driving automation opportunities to improve efficiency and coverage within a dynamic benefits