[Hiring] Senior Manager Medicare Testing @CVS Health

Role Description

At Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner. Aetna is currently seeking a Senior Manager for the Test Center of Excellence team. This individual will be responsible for overseeing the design and implementation of the test strategy and process governance. You'll make an impact by:

• Leading and overseeing the processes within the organization’s Quality Assurance area, ensuring alignment with the overall business strategy.
• Developing and leading the test strategy for various components, including:
  • Unit testing
  • User acceptance testing
  • End-to-end testing
  • Regression testing
  • Financial neutrality testing
  • Performance testing
• Establishing and monitoring the ongoing capabilities required for an effective test environment.
• Creating targeted and comprehensive test scenarios with statistically valid volume to ensure the expected performance of benefits and contracts, including:
  • Medicare pricing
  • Provider configuration
  • Claim scenarios
• Managing the identification, resolution, and mitigation of defects, including analysis of Source-related pricing and claims behavior and validation of expected versus actual outcomes.
• Providing recommendations for enhancing metrics and reporting standardization.
• Integrating standards with quality principles and methodologies.
• Designing, developing, and implementing process improvement changes for the organization.
• Building relationships with technical and organizational leaders to ensure alignment and achievement of long-term testing objectives, partnering with Medicare, Source, business, and technology stakeholders as appropriate.
• Advising management on issues related to process implementation and refinement, including Medicare and Source testing risks, coverage, and quality considerations.
• Managing team performance through regular feedback, timely evaluations, and fostering engagement, motivation, and team development.

Qualifications

• 7+ years of experience in Quality Assurance
• 5+ years of experience in design and execution of test strategy, which includes components such as:
  • Unit testing
  • User acceptance testing
  • End-to-end testing
  • Regression testing
  • Financial neutrality testing
  • Performance testing
• Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes.
• Knowledge of Medicare lines of business
• Experience with HealthEdge Source or comparable healthcare claims pricing platforms, with the ability to interpret pricing behavior, configurations, release changes, defects, and expected claim outcomes.
• Ability to travel up to 10%

Preferred Qualifications

• Experience supporting HealthEdge Source release and regression testing, including analysis of pricing changes, historical defects, and production claim scenarios.
• Ability to translate Medicare and Source subject-matter expertise into test scenarios, expected outcomes, defect analysis, and reusable testing knowledge.

Education Requirements

• Bachelor's degree required or equivalent experience

Pay Range

The typical pay range for this role is: $82,940.00 - $182,549.00. This pay 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

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Benefits for this position include:
  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources, based on eligibility