Senior Manager – Medicare Testing

This is a fully remote position, open to applicants in Connecticut.

📋 Description

• Lead and manage processes within the Quality Assurance division.

• Develop and implement test strategies that encompass unit, user acceptance, end-to-end, regression, financial neutrality, and performance testing.

• Oversee testing activities across claims platforms, including Medicare pricing and HealthEdge Source-related evaluations.

• Establish and track capabilities for efficient test environments.

• Create detailed test scenarios with statistically significant volumes for benefits, contracts, Medicare pricing, provider configurations, and claims scenarios.

• Manage the identification, resolution, and mitigation of defects.

• Analyze Source-related pricing and claims behavior to validate expected versus actual outcomes.

• Suggest improvements for metrics and reporting standardization.

• Integrate standards with quality principles and methodologies.

• Design, develop, and implement process enhancements.

• Cultivate relationships with technical and organizational leaders, partnering with Medicare, Source, business, and technology stakeholders.

• Provide management with insights on Medicare and Source testing risks, coverage, and quality considerations.

• Oversee team performance through feedback, evaluations, engagement, motivation, and team development.

⛳️ Requirements

• Over 7 years of experience in Quality Assurance.

• More than 5 years of experience in the design and execution of test strategies.

• Demonstrated leadership experience in setting strategic direction and driving change with measurable positive outcomes.

• Knowledge of Medicare lines of business.

• Familiarity with HealthEdge Source or similar healthcare claims pricing platforms.

• Ability to interpret pricing behavior, configurations, release changes, defects, and anticipated claim outcomes.

• Willingness to travel up to 10%.

• A Bachelor's degree is required or equivalent experience.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program.

• Equity award program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.