Plan Testing Analyst

CVS Health; Washington (District of Columbia); Hybrid; USD 41,000 - 55,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Bonus eligibility

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 ACAS-based testing.

You will design test strategies, guide testers, and collaborate cross-functionally to ensure new and revised plans test accurately before claim release. This full-time role offers 40 hours weekly and a comprehensive benefits package.

Qualifications

• 3+ years of experience with the ACAS platform and medical plan adjudication.
• Ability to manage multiple tasks and meet deadlines.

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 appropriate contacts and support resolution through follow-up.
• Resolve questions and concerns raised by plan testers throughout testing.
• Continuously review automation opportunities and recommend testing efficiency improvements.
• Analyze defect trends and adjust test strategies or claims selections as needed.

Skills

ACAS platform experience

Medical plan adjudication knowledge

Education

Associate's degree or equivalent experience

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

The Analyst, Plan Testing is responsible for supporting Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. This role requires strong collaboration and communication skills, along with expertise in ACAS and related platforms such as PERS/CCI, to ensure new and revised plans are tested accurately before claim release.

Fundamental Components

The Analyst, Plan Testing is responsible for reviewing benefit intent, designing the appropriate test approach, and guiding testers on how to validate Commercial plans in ACAS. Key responsibilities include:

• 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.

Required Qualifications

• Strong business and organizational knowledge, including 3+ years of experience with the ACAS platform and specific knowledge of medical plan and claims adjudication.
• Ability to manage multiple tasks and deliver assignments within projected timelines.

Preferred Qualifications

• Excellent verbal and written communication skills.

Education

• Associate's degree or equivalent experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $49.08

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: 08/22/2026

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