Senior Manager ACAS​/Commercial Testing

Position Summary

At CVS Health, we are building a world of health around every consumer through innovation, accountability, and quality. The Senior Manager, Quality Engineering leads quality engineering practices in the ACAS (Aetna Claim Adjudication System) benefits ecosystem, driving defect prevention, shift‑left quality, automation, and risk‑based testing across the delivery lifecycle.

• Define and drive the quality engineering strategy for ACAS benefits testing, aligned with enterprise TCOE standards.
• Champion shift‑left quality practices, including early validation of requirements, benefit configurations, and adjudication logic.
• Establish engineering‑led approaches to defect prevention, testability, and quality gates.
• Lead the adoption and expansion of automation‑first testing for benefits and claims adjudication scenarios.
• Partner with automation architects and engineers to design scalable test frameworks, reusable assets, and data strategies.
• Define risk‑based testing models focused on high‑impact benefit configurations and claim scenarios.
• Guide teams in assessing claim exposure, financial risk, and member/client impact associated with defects.
• Analyze defect trends to identify systemic issues and inform upstream process or design improvements.
• Establish and monitor quality KPIs (defect leakage, automation coverage, test effectiveness, rework reduction).
• Drive continuous improvement initiatives to improve testing efficiency, consistency, and outcomes.
• Contribute to enterprise testing standards, best practices, and governance frameworks within the TCOE.
• Partner with engineering, configuration, business, and audit teams; influence design and configuration decisions by providing early quality and risk insights.
• Communicate quality risks, trends, and recommendations clearly to senior stakeholders.

• 7+ years of experience in healthcare technology or operations, with deep exposure to claims adjudication and benefits configuration.
• 5+ years in quality engineering, testing leadership, or QA management roles.
• Strong experience with claims adjudication systems and benefits testing (e.g., ACAS or similar platforms).
• Proven ability to design risk‑based and scenario‑driven testing strategies.
• Experience leading teams and influencing quality outcomes across cross‑functional stakeholders.
• Strong analytical, problem‑solving, and decision‑making skills.

• Experience in commercial health benefits and claims processing.
• Familiarity with ACAS, PERS, or comparable adjudication platforms.
• Strong executive‑level communication skills with the ability to translate complex quality risks into business impact.

Bachelor’s degree required or equivalent relevant work experience.

The typical pay range for this role is: $ - $. The actual base salary offer will depend on experience, education, geography and other factors. The position is eligible for bonus, commission or short‑term incentive program and an equity award program.

This full‑time position is eligible for a comprehensive benefits package including medical, dental, vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility.

The application window for this opening will close on: 06/30/2026.

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