[Hiring] Associate Testing Specialist @CVS Health

Role Description

Develops and executes comprehensive testing processes for system enhancements and new products and processes encompassing all aspects of customer service including claims, enrollment, provider contracts, and benefits administration.

• Responsible for creating and executing defined unit testing processes to provide quality audits for vendor contracts prior to implementation.
• Assists with testing simple system enhancements.
• Prepares and executes a comprehensive test plan and test scripts to provide quality audits for vendor contracts to ensure quality and accuracy is maintained.
• Verifies that system functions according to user requirements and conforms to established guidelines.
• Follows standardized best practices for documenting and executing simple to moderately complex test plans.
• Validates test results, documents discrepancies, and follows through with resolutions to ensure all issues are resolved.
• Reports progress of problem resolution to management.
• Communicates test outcomes to end users for sign-off on the results.
• Serves as liaison between the system end users and the IT team.
• Performs other duties as required.

Qualifications

• 2+ years related experience in a service center medical claims (not RX claims) processing or managed care operational role.
• 1 year recent and related system processing, payment, and benefits experience, preferably IDX managed care.
• Broad knowledge of medical terminology, claims, customary and reasonable cost containment, coordination of benefits, diagnosis coding, and general customer services sources.
• Excellent verbal and written communication skills.

Requirements

• QNXT managed care (preferred).
• High School Diploma or GED.

Benefits

• Comprehensive and competitive mix of pay and benefits.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.