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Testing Specialist ACAS
Summary
Position Summary
The Testing Specialist is responsible for performing 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 Testing Specialist is responsible for reviewing benefit intent, designing the appropriate test approach, and executing testing to validate Commercial plans in ACAS. Key responsibilities include:
+ Review client benefit intent and translate it into clear test conditions for plan testing.
+ Design test strategies, test plans, and test scenarios that validate the intended plan behavior.
+ Execute plan testing in ACAS by processing test claims and confirming 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 that arise during the testing process by collaborating with the appropriate stakeholders.
+ 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
+ 3+ years of experience with the ACAS platform and specific knowledge of medical plan and claims adjudication.
+ Strong business and organizational knowledge
+ Ability to manage multiple tasks and deliver assignments within projected timelines.
Preferred Qualifications
+ Excellent verbal and written communication skills.
Education
+ HS Diploma and equivalent experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$18.50 - $42.35
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 fullโtime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellโbeing 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 (https://learn.bswift.com/cvshealth-mainland) .
We anticipate the application window for this opening will close on: 11/20/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
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