Associate Testing Specialist

4004 Aetna Medicaid Administrators; North Carolina; Hybrid; USD 23,000 - 35,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health in North Carolina seeks a thorough Tester to develop and execute testing for claims, enrollment, provider contracts and benefits administration. You will create and run test plans, validate results, and coordinate sign-offs with end users and IT in a full-time Service Operations role.

Ideal candidates bring 2+ years in medical claims processing or managed care operations, plus experience in system processing and benefits.

Qualifications

• 2+ years in a service center medical claims or managed care operations.
• 1 year recent system processing, payment, and benefits experience, preferably IDX.
• Broad knowledge of medical terminology, claims, COB, diagnosis coding, and customer service.
• Excellent verbal and written communication skills.

Responsibilities

• Develops and executes comprehensive testing processes for system enhancements across claims, enrollment, provider contracts and benefits administration.
• Prepares and executes test plans and scripts; validates results and documents discrepancies to ensure quality.
• Acts as liaison between end users and the IT team; reports progress and coordinates sign-off on results.
• Performs other duties as required within Service Operations.

Skills

Medical claims

Customer service

Communication skills

Education

High School Diploma or GED

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Develops and executes comprehensive testing processes for system enhancements and new products and processes encompassing all aspects of customer service including claims, enrollment, provider contracts, and benefits administration. Responsible for creating and executing defined unit testing processes to provide quality audits for vendor contracts prior to implementation. Assists with testing simple system enhancements. Prepares and executes a comprehensive test plan and test scripts to provide quality audits for vendor contracts to ensure quality and accuracy is maintained. Verifies that system functions according to user requirements and conforms to established guidelines. Follows standardized best practices for documenting and executing simple to moderately complex test plans. Validates test results, documents discrepancies, and follows through with resolutions to ensure all issues are resolved. Reports progress of problem resolution to management. Communicates test outcomes to end users for sign-off on the results. Serves as liaison between the system end users and the IT team. Performs other duties as required. This position is part of Service Operations.

Required Qualifications

• 2+ years related experience in a service center medical claims (not RX claims) processing or managed care operational role.
• 1 year recent and related system processing, payment, and benefits experience, preferably IDX managed care.
• Broad knowledge of medical terminology, claims, customary and reasonable cost containment, coordination of benefits, diagnosis coding, and general customer services sources.
• Excellent verbal and written communication skills

Preferred Qualifications

• QNXT managed care

Education

• High School Diploma or GED

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $17.00 - $25.65. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/11/2026.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.