Manager, ACAS/Commercial Benefits Testing

Reposted 23 Days Ago
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Hiring Remotely in Home, Klouékanmè, Kouffo, BEN
Remote
102K-204K Annually
Senior level
Fitness • Healthtech • Retail • Pharmaceutical
The Role
The Manager of Testing COE leads quality engineering practices for ACAS benefits testing, focusing on automation, risk-based testing, team management, and quality metrics reporting.
Summary Generated by Built In

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

At CVS Health, we are building a world of health around every consumer through innovation, accountability, and quality. The Testing Center of Excellence (TCOE) plays a key role in ensuring our platforms deliver accurate, compliant, and reliable outcomes for members and clients.

The Manager, Testing COE is responsible for executing and enabling quality engineering practices for ACAS (Aetna Claim Adjudication System) benefits testing. This role focuses on hands‑on quality engineering execution, supporting shift‑left testing, automation adoption, and risk‑based testing approaches within assigned programs or domains.
 

Key Responsibilities

Quality Engineering Execution & Enablement

  • Apply quality engineering practices across ACAS benefits testing for assigned initiatives.
  • Support early validation of requirements, benefit configurations, and adjudication logic to reduce downstream defects.
  • Ensure quality gates and test readiness criteria are followed within programs.

Automation & Modern Testing Support

  • Support the adoption of automation‑enabled testing for benefits and claims adjudication scenarios.
  • Work with automation engineers to leverage existing test frameworks and reusable assets.
  • Identify opportunities to improve test efficiency through automation and improved test design.

Risk‑Based Testing & Defect Analysis

  • Execute and support risk‑based testing approaches, focusing on high‑impact benefit and claim scenarios.
  • Analyze defects to determine root cause, claim exposure, and potential member or client impact.
  • Escalate high‑risk findings and trends to senior QE or COE leadership.

Team Oversight & Day‑to‑Day Leadership

  • Manage and support a team of quality engineers and testers (onshore/offshore).
  • Review test artifacts, execution results, and defect documentation for quality and completeness.
  • Provide coaching and guidance to strengthen testing rigor and QE skills within the team.

Metrics, Reporting & Continuous Improvement

  • Track and report quality metrics such as defect trends, test coverage, and execution effectiveness.
  • Participate in continuous improvement efforts to reduce rework and post‑release corrections.
  • Contribute feedback to evolving TCOE standards, templates, and best practices.

Collaboration & Stakeholder Engagement

  • Collaborate closely with configuration teams, business SMEs, and engineering partners.
  • Communicate testing outcomes, risks, and defects clearly to project and program stakeholders.
  • Support audits, validations, and issue resolution activities as needed.
Required Qualifications
  • 5 + years of experience in healthcare technology or operations, with exposure to claims adjudication and benefits configuration.
  • 2 + years of experience in quality engineering, testing, or QA roles, including team or work‑stream leadership.
  • Hands‑on experience with claims adjudication systems and benefits testing (ACAS or similar platforms).
  • Experience executing scenario‑based and risk‑based testing.
  • Strong analytical and problem‑solving skills with attention to detail.
  • Ability to work independently while collaborating effectively across teams.
Preferred Qualifications
  • Experience with commercial health benefits and claims processing.
  • Familiarity with ACAS, PERS, or comparable adjudication platforms.
  • Strong written and verbal communication skills.
Education
  • Bachelor’s degree required or equivalent relevant work experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$101,970.00 - $203,940.00

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/30/2026

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

Skills Required

  • 5+ years of experience in healthcare technology or operations
  • 2+ years of experience in quality engineering, testing, or QA roles
  • Hands-on experience with claims adjudication systems and benefits testing
  • Experience executing scenario-based and risk-based testing
  • Strong analytical and problem-solving skills with attention to detail
  • Ability to work independently while collaborating effectively across teams

CVS Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.

  • Healthcare Strength Healthcare coverage is positioned as comprehensive for benefits-eligible colleagues, including medical, dental, and vision with free preventive care and access to virtual care and select no-cost MinuteClinic services. Mental health support is also highlighted with no-cost confidential counseling sessions per issue.
  • Retirement Support Retirement benefits include a 401(k) with a dollar-for-dollar match up to 5% after meeting service and hours requirements. Ownership programs are also offered through an employee stock purchase plan with a stated purchase discount.
  • Pay Growth & Progression A companywide minimum wage floor establishes a baseline that is framed as a positive starting point in some roles and markets. Unionized or high-cost areas are described as having clearer wage scales and step-ups that can materially lift pay over time.

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The Company
HQ: Woonsocket, RI
119,959 Employees
Year Founded: 1963

What We Do

CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.

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