Senior Manager – Medicare Testing

CVS Health

. Lead and oversee processes within the Quality Assurance organization .

Posted 11/10/2026full-timeRemote • Connecticut • United StatesSenior💰 $82,940 - $182,549 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in Quality Assurance with a focus on developing and executing test strategies for healthcare claims pricing platforms, particularly Medicare. Proven ability to lead teams, manage performance, and implement process improvements while collaborating with various stakeholders.

Highest-signal resume keywords

Quality Assurance LeadershipTest Strategy DevelopmentMedicare Pricing KnowledgeHealthEdge Source ExperienceDefect Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Test Strategy DesignUnit TestingUser Acceptance TestingRegression TestingPerformance TestingDefect IdentificationStatistical AnalysisProcess ImprovementMetrics StandardizationClaims Analysis

Soft Skills

Team DevelopmentStakeholder CollaborationInfluencing ChangeFeedback ManagementEngagement Motivation

Certifications & Qualifications

Bachelor's Degree

Industry Keywords

Healthcare ClaimsMedicareQuality PrinciplesTesting MethodologiesClaims Behavior Analysis

About the role

Key responsibilities & impact

Lead and oversee processes within the Quality Assurance organization
Develop and lead test strategies covering unit, user acceptance, end-to-end, regression, financial neutrality, and performance testing
Lead testing across claims platforms, including Medicare pricing and HealthEdge Source-related testing
Establish and monitor capabilities for effective test environments
Create comprehensive test scenarios with statistically valid volume for benefits, contracts, Medicare pricing, provider, configuration, and claim scenarios
Manage defect identification, resolution, and mitigation
Analyze Source-related pricing and claims behavior and validate expected versus actual outcomes
Recommend enhancements to metrics and reporting standardization
Integrate standards with quality principles and methodologies
Design, develop, and implement process improvements
Build relationships with technical and organizational leaders and partner with Medicare, Source, business, and technology stakeholders
Advise management on Medicare and Source testing risks, coverage, and quality considerations
Manage team performance through feedback, evaluations, engagement, motivation, and team development

Requirements

What you’ll need

7+ years of experience in Quality Assurance
5+ years of experience in design and execution of test strategy
Proven leadership experience setting strategic direction and influencing change with quantifiable positive outcomes
Knowledge of Medicare lines of business
Experience with HealthEdge Source or comparable healthcare claims pricing platforms
Ability to interpret pricing behavior, configurations, release changes, defects, and expected claim outcomes
Ability to travel up to 10%
Bachelor's degree required or equivalent experience

Benefits

Comp & perks

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
Other resources supporting physical, emotional, and financial well-being