Senior Manager ACAS/Commercial Benefits Testing

Overview 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. Key Responsibilities Define and drive the quality engineering strategy for ACAS benefits testing, aligned with enterprise TCOE standards. Champion shift‑left quality practices, including early validation of requirements, benefit configurations, and adjudication logic. Establish engineering‑led approaches to defect prevention, testability, and quality gates. Enable automation‑first testing for benefits and claims adjudication scenarios by partnering with automation architects and engineers. Design scalable test frameworks, reusable assets, and data strategies. Define risk‑based testing models focused on high‑impact benefit configurations and claim scenarios. Guide teams in assessing claim exposure, financial risk, and member/client impact associated with defects. Analyze defect trends to identify systemic issues and inform upstream process or design improvements. Establish and monitor quality KPIs (defect leakage, automation coverage, test effectiveness, rework reduction). Drive continuous improvement initiatives to improve testing efficiency, consistency, and outcomes. Contribute to enterprise testing standards, best practices, and governance frameworks within the TCOE. Serve as a senior quality engineering partner to engineering, configuration, business, and audit teams. Influence design and configuration decisions by providing early quality and risk insights. Communicate quality risks, trends, and recommendations clearly to senior stakeholders. Required Qualifications 7+ years of experience in healthcare technology or operations, with deep exposure to claims adjudication and benefits configuration. 5+ years in quality engineering, testing leadership, or QA management roles. Strong experience with claims adjudication systems and benefits testing (e.g., ACAS or similar platforms). Proven ability to design risk‑based and scenario‑driven testing strategies. Experience leading teams and influencing quality outcomes across cross‑functional stakeholders. Strong analytical, problem‑solving, and decision‑making skills. Preferred Qualifications Experience in commercial health benefits and claims processing. Familiarity with ACAS, PERS, or comparable adjudication platforms. Strong executive‑level communication skills with the ability to translate complex quality risks into business impact. Education Bachelor’s degree required or equivalent relevant work experience. Pay Range The typical pay range for this role is: $130,295.00 - $260,590.00. This 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. This position also includes an award target in the company’s equity award program. Benefits Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No‑cost programs for all colleagues including 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 and many other benefits depending on eligibility. For more information, visit Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr 4062 Aetna Resources, LLC