ACAS Plan Testing Analyst — Claims Validation & Design
CVS Health
CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. This role requires collaboration across teams and expertise in ACAS and PERS/CCI to ensure accurate testing before claim release. The position emphasizes designing test strategies, guiding testers, and improving testing efficiency while aligning with plan adjudication knowledge and deadlines. #J-18808-Ljbffr CVS Health
$21.1 - $49.08 per hour
...community at a time. Position Summary The Analyst, Plan Testing is responsible for supporting Commercial plan... ...interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. This role requires strong collaboration and...ClaimsHourly payFull timeTemporary workLocal area$100k - $120k
...unifies clinical, claims, financial, and social... ...Senior Business Analyst is a critical... ...disparate datasets, and design metrics, cubes,... ...scripts used in data validation, transformation,... ...engineering and testing teams. Identify opportunities... ...wellbeing 401(k) Plan with company match...ClaimsTemporary workWork experience placement- ...and transparency and better connect brands and consumers. We design and develop labeling and functional materials, radio-frequency... ...Paid vacation and paid holidays Job Description The Space Planning Analyst manages planogram version / store combinations, store planogram...SuggestedContract workSeasonal workWork at officeLocal areaWorldwideFlexible hours
- ...Member Services Analyst The Member Services Analyst for the Institutional and Institutional Equivalent Special Needs Plan (I/IE-SNP) serves as the primary point of contact for membership... ..., authorizations, enrollments, claims, grievances, and appeals in full compliance...ClaimsWork at office
- ...maintenance sector seeking a Senior FP&A Analyst to serve as a trusted financial partner to... ...to senior leadership. You will own core planning cycles, translate operational activity into... ...including timeline management, template design, and consolidation across business units....SuggestedWork at officeShift work
$94.2k
...primarily using administrative (e.g., healthcare claims, medical records) and public data sources... ...the ability to clearly translate complex design, data, and analytic concepts is critical... ...Writes and reviews statistical analysis plans (SAPs) based on the protocol, including...ClaimsFor contractorsWork at officeLocal area$600 per month
...homeowners, performing inspections, and navigating them through the claims process with the support of a powerhouse team behind you. We... ...outdoors and ability to climb ladders for roof inspections Valid driver's license and reliable transportation We offer $600...ClaimsWeekly payLocal area- ...expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and... ...of all information obtained Requirements Possess a valid state issued driver's license Possess a current private investigator...ClaimsFlexible hours
- The Senior Technical Test Analyst will support large-scale enterprise... ...with integration testing, data validation, ETL processes, and data... ...cases based on requirement and design documents. Analyze issues... ...strategy development, test planning, and test execution. #J-188...Work experience placement
$78.63k - $100.5k
...Comprehensive Insurance Plans Mental and... ...Overview The Product Designer contributes to a collaborative... ...reporting, pilot testing, etc.) to guide product... ...patterns, user validation, and research Improve... ...a suspicious message claiming to be from HealthStream...ClaimsTemporary workWork from homeFlexible hours$36 per hour
...photobooth companies—blending technology, design, and nostalgia to create experiences... ...renewals, certificates of insurance (COIs), claims coordination, and broker communication to... ...Medical, Dental & Vision Insurance ~401k Plan ~ Short & Long Term Disability ~ Paid...ClaimsContract workTemporary workPart timeFor contractorsWork at officeMonday to Friday- ...Vice President of Claims Adjudication About the Company Premier cost-effective commercial... ...to play a pivotal role in the design and execution of its claims strategy and... ...This leadership role involves strategic planning, fostering relationships both internally...Claims
- ...in Nashville, TN is seeking a Lead Quality Improvement Data Analyst to join the QI Data Analytics team supporting the Chief... ...for CMO teams and TennCare VBP programs, surface trends from claims data, and design strategies for complex data requests. Responsibilities include...ClaimsWork at office
- DLR Group is an integrated design firm with a promise to elevate the human experience through... ..., the quality of project documents, claim prevention, team collaboration, and communication... ...architecture, engineering, interiors, planning, and building optimization for new builds...ClaimsWork at office
- ...the Program Management Team made up of a planning, engineering, procurement, legal, project... ...agreements between an infrastructure owner and design and construction providers (Projects... ...’s legal department for resolution of claims, formal disputes and litigation. Capture...ClaimsFull timeContract workFor contractors
- ...Lucent Health combines top-tier claims management with a... ...management that enables health plan participants to make smarter,... ...relates to their benefit plan design. They will provide consultative... ...healthcare insurance organization. # Valid Producer License Preferred...ClaimsContract workLocal areaNight shift
- ...the Program Management Team made up of a planning, engineering, procurement, legal, project... ...agreements between an infrastructure owner and design and construction providers (Projects... ...’s legal department for resolution of claims, formal disputes and litigation. Capture...ClaimsFull timeContract workFor contractors
$116.2k - $229.1k
...configuration and integration designs. You will set technical... ...decisions, design and validate solution prototypes, and guide build, testing, deployment, and... ...PolicyCenter, Billing, and/or Claims systems) • 4 yrs of... ...estimating and planning Large Scale System Implementations...ClaimsVisa sponsorship$20 - $22 per hour
...Job Summary We are seeking a Certified Medical Coder - Claims for a full-time, 100% remote contract opportunity supporting claims... ...from the past 5 to 10 years for accuracy and consistency. - Validate, standardize, and update claim severity classifications across...ClaimsHourly payFull timeContract workTemporary workWork experience placementRemote work- ...A professional claims adjusting firm based in Tennessee seeks Independent Insurance Claims Adjusters to address the growing demand in storm-related claims. This role offers the opportunity to significantly impact individuals and businesses recovering from disasters. The...ClaimsFlexible hours
$90k - $100k
...As a Sr. Salesforce Business Analyst within our Global Sales... ...will serve as a consultative design expert and platform evaluator... ...solutioning and user acceptance testing (UAT) validation, maintaining an end-to-end... ...Experienced Referral Payment Plan: No Benefits Incentive...WorldwideRelocation- ...value stream from quoting through claims — will capture significant... ...understand the domain deeply enough to design what the reinvented experience... ...agent orchestration.Build and validate carrier-specific business... ...disability coverage, a 401(k) plan, bonus opportunities, paid...ClaimsFull timeLive inWork at officeLocal areaShift work
- ...United States DLR Group is an integrated design firm with a promise to elevate the human... ...to project schedules, budgets, and work plans. As part of our integrated design team... ..., the quality of project documents, claim prevention, team collaboration and communication...ClaimsWork at officeLocal areaWork from home
$125k - $150k
...will manage a varied caseload of general liability matters, including personal injury, premises liability, and professional liability claims. The role requires strong litigation experience, client-focused advocacy for insurance carriers, and the ability to handle matters...ClaimsWork at office$43.89k - $102.08k
...Position Summary The Business Analyst provides foundational support... ...documentation files in designated repositories Collect, organize... ...completeness, formatting, and validation checks and elevate missing information... ...with medical and/or pharmacy claims data preferred Education...ClaimsRemote jobHourly payFull timeTemporary workLocal area$50k
...Space Planning AnalystEarn: $50,000 / yearBenefits:Health InsuranceDental InsuranceVision... ...for success.Summary: The Space Planning Analyst plays an instrumental role in business processes... ...responsible for merchandise layout and design of new and remodel stores to help support...Work experience placementSeasonal workWork at office$69.92k - $125.85k
...settle complex property insurance claims. You will confirm/analyze... ...travel with minimal notice during designated CATs. Works various types... ...through MVR & possession of valid driver's license. May require... ..., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA...ClaimsHourly payFull timeContract workH1bLocal areaRemote workAfternoon shift- A reputable insurance firm based in Goodlettsville is seeking Independent Insurance Claims Adjusters. This role offers flexibility, competitive compensation, and the opportunity to make a real difference in the lives of those affected by disasters. Candidates with experience...Claims
- Auto-Owners Insurance is seeking a Bodily Injury Claims Representative to join our Claims department. The role involves assembling facts, determining coverage, evaluating loss, and negotiating settlements with agents and insureds. You will study policies to understand...Claims
- A claims adjusting firm in Tennessee is seeking Independent Insurance Claims Adjusters to join their team. This position offers a rewarding career path with flexibility and competitive compensation. The role includes helping clients recover from unforeseen disasters and...ClaimsFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to ACAS Plan Testing Analyst — Claims Validation & Design. Be the first to apply!
- business planning analyst Nashville, TN
- healthcare claims Nashville, TN
- claims associate Nashville, TN
- workers compensation claims Nashville, TN
- medical claims auditor Nashville, TN
- property claims Nashville, TN
- unemployment claims Nashville, TN
- claims intake Nashville, TN
- veterans claims Nashville, TN
- claims processing Nashville, TN


