Senior Manager, ACAS Provider Contract Testing

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 care for people where, when, and how they choose, in a way that is uniquely connected, convenient, and compassionate.

We are seeking a Senior Manager, Commercial Contract Testing to join our Testing Center of Excellence (TCOE). This role requires a strategic leader with deep expertise in commercial contract testing, governance, and quality assurance. You will own the testing team and be responsible for stakeholder communication, governance, escalations, and delivery oversight to ensure accurate and timely implementation of commercial contract changes.Key Responsibilities

• Ownership & Leadership: Lead the Commercial Contract Testing team, ensuring alignment with organizational goals and quality standards.
• Governance & Compliance: Establish and maintain governance frameworks for testing processes, ensuring adherence to regulatory and contractual requirements.
• Stakeholder Communication: Serve as the primary point of contact for business and IT stakeholders, providing clear updates on testing progress, risks, and mitigation strategies.
• Escalation Management: Proactively identify and resolve issues, managing escalations effectively to minimize impact on delivery timelines.
• Delivery Oversight: Oversee end-to-end testing activities for commercial contracts, ensuring accuracy, completeness, and timely delivery.
• Metrics & Reporting: Develop and present comprehensive quality and performance reports to senior leadership, including actionable insights and recommendations.
• Team Development: Mentor and coach team members, fostering a culture of accountability, collaboration, and continuous improvement.
• Innovation & Automation: Partner with IT to enhance testing automation capabilities and adopt innovative approaches to improve efficiency and accuracy.

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

• 5+ years of experience managing quality assurance or testing teams.
• 5+ years in commercial Aetna Claim Adjudication System (ACAS) contract testing, claims adjudication systems, or related functions.
• 5 + years proven track record in governance, stakeholder management, and escalation handling.
• 5 + years strong program and project management expertise, including integrated planning and risk management.

Preferred Qualifications

• Experience with commercial health programs, including employer-sponsored plans and individual markets.
• Familiarity with automation tools and frameworks for contract testing.
• Advanced problem-solving and decision-making capabilities.
• Excellent communication and leadership skills with the ability to influence across multiple levels.
• Analytical mindset with experience in metric-driven reporting and decision-making.

Education

Bachelor's degree required or equivalent work 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.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 peopleWe 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 https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 12/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Watertown, CT

Job ID: CVS-R0776992

Employment Type: OTHER

Posted: 2025-11-21T19:46:56