Plan Testing Specialist: ACAS & Claims Validation

CVS Health; Alabama; Hybrid; USD 18,000 - 68,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Bonus eligibility

Job summary

CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing. The role involves interpreting medical benefit designs and validating them through ACAS-based claims testing.

Strong collaboration with stakeholders is essential to ensure new and revised plans test accurately before claim release. Responsibilities include designing test strategies and guiding testers, logging defects, and driving process improvements.

Qualifications

• Strong business and organizational knowledge and ability to manage multiple tasks within timelines.
• Able to translate client benefit intent into testing guidance and plans.

Responsibilities

• Review client benefit intent and translate into testing guidance for testers.
• Design test strategies, plans, and scenarios to validate plan behavior.
• Provide testers with instructions to execute plan testing and confirm outcomes.
• Research testing issues and determine next steps when results differ.
• Log defects and coordinate resolution with contacts.
• Support testers by addressing questions throughout testing.
• Identify automation opportunities to improve efficiency and coverage.
• Analyze defect trends and adjust test strategies as needed.

Skills

ACAS platform experience

Medical plan knowledge

Claims adjudication

Task management

Communication skills

Education

Associate's degree or equivalent experience

Job description

CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing. The role involves interpreting medical benefit designs and validating them through ACAS-based claims testing.

Strong collaboration with stakeholders is essential to ensure new and revised plans test accurately before claim release. Responsibilities include designing test strategies and guiding testers, logging defects, and driving process improvements.