Full Description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

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 Manager – Aetna Claim Adjudication System (ACAS) Provider Contract Testing to join our Testing Center of Excellence (TCOE). This role is pivotal in managing day-to-day testing operations for provider and commercial contracts, ensuring SLA adherence, inventory tracking, and seamless coordination with subject matter experts (SMEs) and analysts. The ideal candidate will be highly organized, detail-oriented, and capable of driving operational excellence in a fast-paced environment.

Key Responsibilities

Operational Oversight

Manage daily testing operations, ensuring smooth execution of all planned activities. Track and maintain inventory of test cases, environments, and data sets.

SLA Management

Monitor and enforce adherence to Service Level Agreements (SLAs) for testing deliverables. Identify risks to timelines and proactively implement mitigation strategies.

Coordination & Communication

Act as the primary liaison between testing teams, SMEs, and business analysts. Facilitate cross-functional collaboration to resolve issues and maintain delivery quality.

Governance & Reporting

Maintain governance standards for testing processes and documentation. Prepare and present operational metrics and status reports to leadership.

Issue Management

Handle escalations promptly and ensure timely resolution of defects and blockers.

Continuous Improvement

Identify process gaps and recommend improvements to enhance efficiency and accuracy.

Required Qualifications

The ideal candidate will possess a strong work ethic, be a self-starter, and thrive in a dynamic, collaborative environment. Key attributes include

3+ years in testing operations, quality assurance, or related functions. 3 + years of proven experience in managing day-to-day operations and SLA compliance. 3 + years of proficiency in tracking tools and reporting dashboards.