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Manager – ACAS Provider Contract Testing

3 semanas atrás

São Paulo, São Paulo, Brasil CVS Health Tempo inteiro US$66.330 - US$145.860

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

At CVS Health, we are committed to building a world of health around every consumer, supported by passionate colleagues who strive to transform healthcare. As the nation's leading health solutions company, we serve millions of Americans through our local presence, digital channels, and a workforce of over 300,000 purpose-driven professionals.

We are seeking a Manager – Aetna Claim Adjudication System (ACAS) Provider Contract Testing to join our Testing Center of Excellence (TCOE). This role is pivotal in managing day-to-day testing operations for provider and commercial contracts, ensuring SLA adherence, inventory tracking, and seamless coordination with subject matter experts (SMEs) and analysts. The ideal candidate will be highly organized, detail-oriented, and capable of driving operational excellence in a fast-paced environment.

Key Responsibilities

Operational Oversight:

  • Manage daily testing operations, ensuring smooth execution of all planned activities.
  • Track and maintain inventory of test cases, environments, and data sets.

SLA Management:

  • Monitor and enforce adherence to Service Level Agreements (SLAs) for testing deliverables.
  • Identify risks to timelines and proactively implement mitigation strategies.

Coordination & Communication:

  • Act as the primary liaison between testing teams, SMEs, and business analysts.
  • Facilitate cross-functional collaboration to resolve issues and maintain delivery quality.

Governance & Reporting:

  • Maintain governance standards for testing processes and documentation.
  • Prepare and present operational metrics and status reports to leadership.

Issue Management:

  • Handle escalations promptly and ensure timely resolution of defects and blockers.

Continuous Improvement:

  • Identify process gaps and recommend improvements to enhance efficiency and accuracy.

Required Qualifications

The ideal candidate will possess a strong work ethic, be a self-starter, and thrive in a dynamic, collaborative environment. Key attributes include:

  • 3+ years in testing operations, quality assurance, or related functions.
  • 3 + years of proven experience in managing day-to-day operations and SLA compliance.
  • 3 + years of proficiency in tracking tools and reporting dashboards.

Preferred Qualifications

  • Familiarity with healthcare domain, provider contracts, and claims systems.
  • Experience with test management tools and automation frameworks.
  • Knowledge of Agile methodologies and continuous delivery practices.
  • Strong organizational and time management skills.
  • Excellent communication and stakeholder management abilities.

Education

Bachelor's degree required or equivalent work experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66, $145,860.00

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. 
 

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • 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.

  • Benefit solutions that address the different needs and preferences of our colleagues including 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 

We anticipate the application window for this opening will close on: 12/31/2025

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