SME ACAS Benefits Testing
CVS Health
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 committed to building a world of health around every consumer, supported by passionate colleagues who strive to transform healthcare. As the nation’s leading health solutions company, we serve millions of Americans through our local presence, digital channels, and a workforce of over 300,000 purpose‑driven professionals. We are seeking a Testing Subject Matter Expert (SME) – Aetna Claim Adjudication System (ACAS) Benefits to join our Testing Center of Excellence (TCOE). This role is a hands‑on individual contributor responsible for executing, analyzing, and improving commercial benefits testing across ACAS. The Testing SME brings deep domain expertise in benefits configuration and claims adjudication and plays a critical role in identifying defects early, assessing risk, and strengthening testing effectiveness. The ideal candidate is highly analytical, detail‑oriented, and comfortable operating independently while collaborating closely with business partners, configuration teams, and auditors. Key Responsibilities Hands‑On Testing & Analysis Execute end‑to‑end benefits testing in ACAS test environments, including complex and high‑risk scenarios. Design, review, and refine test cases to ensure accurate coverage of benefit configurations and business rules. Validate test results and analyze defects to determine root cause and downstream impact. Defect Identification & Risk Assessment Identify configuration defects, data issues, and adjudication gaps prior to production release. Assess defect sev...
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