SME ACAS Testing

Position Summary

We are seeking a Testing Subject Matter Expert (SME) – Aetna Claim Adjudication System (ACAS) Benefits to join our Testing Center of Excellence (TCOE). The role is a hands‑on individual contributor responsible for executing, analyzing, and improving commercial benefits testing across ACAS.

• Execute end‑to‑end benefits testing in ACAS test environments, including complex and high‑risk scenarios.
• Design, review, and refine test cases to ensure accurate coverage of benefit configurations and business rules.
• Validate test results and analyze defects to determine root cause and downstream impact.
• Identify configuration defects, data issues, and adjudication gaps prior to production release.
• Assess defect severity, claim exposure, and potential member or client impact.
• Collaborate with configuration and business teams to clarify requirements and expected outcomes.
• Act as a trusted testing SME for ACAS benefits, supporting analysts, auditors, and business stakeholders.
• Collaborate with SMEs and configuration teams to resolve issues and validate fixes.
• Share insights on recurring defect patterns and risk areas to inform upstream improvements.
• Contribute to the development and continuous improvement of testing standards, templates, and best practices.
• Provide input into risk‑based testing approaches and test coverage decisions.
• Support efforts to reduce rework, revisions, and post‑release corrections through stronger testing rigor.
• Document test scenarios, results, and defect findings with clarity and precision.
• Provide clear, concise summaries of testing outcomes and risks to the broader TCOE and business teams.

• 3+ years of experience in benefits testing, quality assurance, or related functions.
• 5+ years of experience in healthcare.
• 3+ years of strong hands‑on experience with claims adjudication systems and benefit configuration testing.
• Proven ability to analyze complex benefit designs and identify defects independently.
• Experience working with test cases, test data, and defect tracking tools.
• Strong attention to detail and analytical problem‑solving skills.

• Experience with in the healthcare domain, particularly commercial benefits and claims processing.
• Familiarity with ACAS, PERS, or similar benefit configuration and adjudication platforms.
• Experience supporting risk‑based or scenario‑driven testing approaches.
• Knowledge of Agile or iterative delivery environments.
• Strong written and verbal communication skills, with the ability to explain complex issues clearly.

Bachelor’s degree required or equivalent work experience.

40

Full time

$ – $ (base salary, may vary with experience, geography, etc.)

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources based on eligibility.

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