ACAS Plan Testing Specialist

CVS Health

Rhode Island

Hybrid

USD 60,460,000 - 140,634,000

Full time

12 days ago

Get more replies from employers

Send a job-specific resume in minutes.

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. The role requires collaboration, strong communication, and expertise in ACAS and related platforms such as PERS/CCI to ensure accurate testing before claim release.

The position focuses on reviewing benefit intent, designing testing strategies, and guiding testers through validation of plan

Qualifications

3+ years of ACAS experience and knowledge of medical plan adjudication.
Ability to manage multiple tasks and meet timelines.

Responsibilities

Review client benefit intent and translate it into testing guidance for plan testers.
Design test strategies, plans, and scenarios to validate plan behavior.
Provide instructions to testers on how to execute plan testing and confirm expected claims outcomes.
Research testing issues when results differ from expectations and determine next steps.
Log defects with appropriate contacts and support resolution through follow-up.
Address questions from plan testers throughout testing.
Identify automation opportunities to improve testing efficiency and coverage.
Analyze defect trends and adjust test strategies or selections as needed.