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Position Summary
At Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health's unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to better health and transforming the health care landscape in new and exciting ways every day.
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Aetna is seeking a Senior Manager - Testing Subject Matter Expert (SME) who will bring in-depth subject matter knowledge to support the testing team. This individual will play a crucial role in providing expertise and guidance in testing methodologies, tools, and best practices. They will collaborate with the team to develop and implement effective testing strategies, ensuring high-quality deliverables. The Senior Manager - Testing SME will also contribute to the continuous improvement of testing processes and drive innovation within the organization
You'll make an impact by:
- Serve as a subject matter expert for testing Medicare benefit plan designs on the Health Rules Payer platform and present test results to the Internal Benefits team.
- Translate intent and benefit requirements into test scenarios to validate benefit configuration and benefits coding.
- Possess expertise in the HRP platform.
- Translate CMS and state mandate benefit programs/rules to validate configurations before promotion to production.
- Facilitate internal and external meetings and presentations to provide status updates and ensure benefit configuration accuracy.
- Define benefit test requirements, create test plans, review test results, and present them to stakeholders.
- Assess risks, provide risk mitigation plans, and deliver weekly status updates to leadership and other stakeholders.
- Develop process improvement initiatives to enhance department efficiency, identify areas of opportunity, and address training needs.
- Advise colleagues on setting up and testing various benefit plan designs based on client requirements.
The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company's business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:
- 5+ years of experience in design and execution of test strategy, which includes components such as unit testing, user acceptance testing, end to end, regression testing, financial neutrality, performance testing, etc.
- Adept at execution and delivery (planning, delivering, and supporting) skills
- Prior experience working with HRP
- Knowledge of Claims adjudication and Medicare lines of business
- Ability to work in a hybrid work environment
- Mastery of problem solving and decision-making skills
- Mastery of growth mindset (agility and developing yourself and others) skills
- Bachelor's degree required or equivalent experience
The typical pay range for this role is:
$82,940.00 - $182,549.40
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 12/13/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.