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CVS Health Testing Analyst in Arizona

Job Description

This is a full time telework position. Candidates may reside in any state (US). The Testing Analyst is responsible for developing and executing comprehensive testing processes for system enhancements, new business products, and processes encompassing all aspects of the customer service function including but not limited to claims, enrollment, provider contracts, and benefits administration.Fundamental Components:-• Prepares and executes a comprehensive test plan and test scripts to provide quality audits for vendor contracts to ensure quality and accuracy is maintained. -• Verifies that system functions according to user requirements and conforms to established guidelines. -• Completes comprehensive test conditions and test cases for system enhancements and new business products and processes. -• Follows standardized best practices for documenting and executing moderately complex to complex test plans. -• Validates test results, documents discrepancies, and follows through with resolutions to ensure all issues are resolved. -• Reports progress of problem resolution to management. -• Serves as liaison between the system end users and the IT team. -• Serves as technical resource for assigned area. -• Identifies differences between organization standards and user applications. -• Suggests modifications to conform to standards. -• Provides training and guidance to lower level staff. -• Performs other duties as required.

Required Qualifications

-• Strong skills in critical thinking, analysis, and documentation.-• Previous (5+ years) related experience in a service center claims processing or managed care operational role.-• Previous (3-5 years) experience in a quality assurance and/or testing environment.-• Minimum of one year recent and related system processing, payment, and benefits experience, preferably QNXT managed care.-• Advanced knowledge of medical terminology, claims, customer service and reasonable cost containment, coordination of benefits, diagnosis coding and general customer service sources-• Excellent verbal and written communication skills.-• Demonstrated proficiency with personal computer, keyboard navigation skills and familiarity with MS Office Suite applications.

Preferred Qualifications

  • Bachelor's degree preferred.

Education

  • High School Diploma or equivalent.

Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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