Senior Manager, ACAS Provider Contract Testing, CVS Health

CVS Health

Location:
United States, Work at Home

Category:
IT - Administration

Contract Type:
Employment contract

Salary:

82940.00 - 182549.00 USD / Year

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Job Description:

Senior Manager role in the Testing Center of Excellence (TCOE) requiring strategic leadership with deep expertise in commercial contract testing, governance, and quality assurance. Responsible for stakeholder communication, governance, escalations, and delivery oversight to ensure accurate and timely implementation of commercial contract changes at CVS Health.

Job Responsibility:

Lead the Commercial Contract Testing team, ensuring alignment with organizational goals and quality standards
Establish and maintain governance frameworks for testing processes, ensuring adherence to regulatory and contractual requirements
Serve as the primary point of contact for business and IT stakeholders, providing clear updates on testing progress, risks, and mitigation strategies
Proactively identify and resolve issues, managing escalations effectively to minimize impact on delivery timelines
Oversee end-to-end testing activities for commercial contracts, ensuring accuracy, completeness, and timely delivery
Develop and present comprehensive quality and performance reports to senior leadership, including actionable insights and recommendations
Mentor and coach team members, fostering a culture of accountability, collaboration, and continuous improvement
Partner with IT to enhance testing automation capabilities and adopt innovative approaches to improve efficiency and accuracy

Requirements:

5+ years of experience managing quality assurance or testing teams
5+ years in commercial Aetna Claim Adjudication System (ACAS) contract testing, claims adjudication systems, or related functions
5+ years proven track record in governance, stakeholder management, and escalation handling
5+ years strong program and project management expertise, including integrated planning and risk management
Bachelor's degree required or equivalent work experience
Strong work ethic, self-starter, ability to thrive in dynamic, collaborative environment

Nice to have:

Experience with commercial health programs, including employer-sponsored plans and individual markets
Familiarity with automation tools and frameworks for contract testing
Advanced problem-solving and decision-making capabilities
Excellent communication and leadership skills with the ability to influence across multiple levels
Analytical mindset with experience in metric-driven reporting and decision-making

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
CVS Health bonus, commission or short-term incentive program
Equity award program

Additional Information:

Job Posted:
November 23, 2025

Expiration:
December 31, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Senior Manager, ACAS Provider Contract Testing