Associate Testing Specialist

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.

Position Summary

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.

• This position is part of Service Operations

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

Preferred Qualifications

• QNXT managed care

Education

High School Diploma or GED

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.