Plan Testing Analyst: ACAS Testing & Benefit Design

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health 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. Strong collaboration, communication, and ACAS proficiency are essential for accurate plan testing before claims release.

The role emphasizes translating client intent into testing guidance, designing robust test strategies, and guiding testers through execution while identifying defects and

Qualifications

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

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 next steps.
• Log confirmed defects with the appropriate contacts and support resolution through follow-up.
• Resolve questions and concerns raised by plan testers throughout the testing process.
• Continuously review automation opportunities and strengthen testing efficiency and coverage.
• Analyze defect trends and adjust test strategies, scenarios, or claims selections as needed.

Skills

ACAS platform

claims adjudication

Education

Associate's degree or equivalent experience

Job description

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. Strong collaboration, communication, and ACAS proficiency are essential for accurate plan testing before claims release.

The role emphasizes translating client intent into testing guidance, designing robust test strategies, and guiding testers through execution while identifying defects and