We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission to the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Contributes to compliance reporting and documentation, highlighting findings, recommendations, and areas of concern to be delivered to coding resources. - Demonstrated ability to apply coding judgment and make decisions using industry-standard evidence and tools, exercising independent judgment to determine final outcomes prior to submission with minimal supervision. - Adhere to stringent timelines consistent with project deadlines and directives. - Demonstrates a strong commitment to enhancing and promoting quality; consistently delivers accurate and thorough work, and supports others in achieving the same standards through effective mentoring and instruction. - Serves as the training resource and subject matter expert to vendors, providers and other team members for questions regarding ICD coding and documentation requirements. - Comprehensive knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. - Identify and communicate documentation deficiencies to allow for continuous education opportunities for providers, vendors, and peers. - Expertise in medical documentation, fraud, abuse and penalties for documentation and coding violations based on governmental guidelines. - Evidenced knowledge of problem solving and decision making skills. - Acts as mentor to provide education to internal staff based on audit findings; provides general education on ICD codes as appropriate. - Communicates with corporate legal and compliance teams to ensure accurate and timely reporting to external authorities. - As the need arises, may liase with regulatory bodies, auditors, and legal professionals to address compliance-related matters. Required Qualifications - Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing. - Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required. - Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 5 years for CPC. - CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required. - CPMA (Certified Professional Medical Auditor) or CDEO (Certified Documentation Expert Outpatient) preferred. Preferred Qualifications - Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications). - Experience with International Classification of Disease (ICD) codes required. - Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required. - Expertise in medical documentation, fraud, abuse and penalties for documentation and coding violations based on governmental guidelines. Education - Bachelor's degree preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

• Participar en la definición de los criterios de aceptación de los requisitos/funcionalidades. • Ayudar al equipo a organizarse para que los compromisos acordados en el plan de pruebas se realicen. • Definir la estrategia de pruebas identificando las necesidades de automatización, además del plan de pruebas a seguir y la regresión, teniendo en cuenta posibles pruebas con soluciones de terceras partes involucradas en la solución. • Identificar todas las necesidades (dispositivos, datos, virtualización…) para realizar la prueba y asegurar su cobertura. • Elaborar los casos de prueba (a partir de los criterios de aceptación) coordinando con el resto del equipo el entendimiento sobre cómo debe funcionar el producto, minimizando defectos y garantizando la cobertura funcional completa. • Ejecuta las pruebas de sistema y validación de integración con otros sistemas de forma manual y/o automática. • Identifica defectos y colabora en la resolución de los mismos. • Facilita la participación en las pruebas de los Stakeholders necesarios para su validación. • Entiende las modificaciones y/o defectos que el usuario identifica y colabora en su resolución junto al equipo. • Asegurar que el resultado de las pruebas es satisfactorio y que el SW está en condiciones de promocionar al siguiente entorno. • Promueve la calidad del SW de cada sprint. • Soporte a las pruebas unitarias de los desarrolladores. • Diseña y ejecuta los casos de prueba automáticos según los criterios definidos en la Estrategia donde se habrán identificado las funcionalidades críticas para las regresiones automáticas intra-sprint o en cada reléase. • Gestiona la provisión de las necesidades de la pruebas (dispositivos, datos, virtualización…) apoyándose si es necesario en un servicio externo.

Role Description This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Quality Engineer - REMOTE. In this crucial role, you will drive the definition and execution of robust testing frameworks and quality engineering standards across various product domains. By leveraging your leadership and technical expertise, you'll mentor fellow engineers and influence significant decisions that will enhance efficiency and elevate quality across platforms. Your impact will be felt through improved processes and innovative solutions that elevate the user experience for over 150 million listeners monthly. - Lead Quality Engineering across multiple projects, overseeing framework design, automation strategy, and execution. - Architect, develop, and maintain scalable testing frameworks (UI, API, and backend) using Playwright, Selenium, and REST Assured. - Drive quality governance and standardization of automation practices across teams. - Review and approve QE code contributions, providing technical feedback on design, extensibility, and maintainability. - Lead performance and reliability testing, developing frameworks to measure key performance metrics and identify bottlenecks. - Collaborate cross-functionally with Product, Development, and DevOps to define and implement comprehensive testing strategies. - Analyze test results and system performance; use data to drive process improvements and product optimizations. - Act as a QE subject matter expert in architectural discussions and major technical initiatives. - Contribute to building and maintaining CI/CD pipelines (GitLab, Jenkins), optimizing build efficiency and test integration. - Mentor and guide QE engineers, elevating technical maturity and quality culture across teams. - Stay informed on emerging testing tools, frameworks, and methodologies, and lead the adoption of those that improve efficiency and scalability. Qualifications - Bachelor’s or Master’s degree in Computer Science, Software Engineering, or related field. - 7+ years of experience in Quality Engineering or Software Development in Test. - Expertise in automation framework design and architecture (Playwright, Selenium, REST Assured, or equivalent). - Strong programming skills in Java. - Experience with performance testing, API test automation, and CI/CD integration (GitLab, Jenkins). - Proficiency in cloud-based testing environments (AWS, GCP). - Experience with Docker/Kubernetes, SQL, and NoSQL databases. - Strong problem-solving, analytical, and communication skills. - Demonstrated leadership in driving process improvements, mentoring engineers, and influencing technical direction. - Experience with Ads and Media domain systems. - Experience leading cross-functional QE initiatives in large-scale distributed environments. - Familiarity with data pipelines and service monitoring tools. - Test data management, performance benchmarking, and cloud-native QA solutions. - Must have a legal right to work in the U.S. Benefits - Competitive salary range of $111,800 to $170,000 based on skills and experience. - Eligibility for discretionary short-term and long-term incentives. - A diverse and inclusive work environment that fosters mutual respect, professionalism, and cooperation. - Opportunities for professional development and mentorship. - Work-life balance with remote working options.

• Regression testing support of existing websites • Responsible for creating an end-to-end test plan of projects; executing the plan and managing all activities in the plan to ensure that all the objectives are met and that the solution works as expected. • Application should be tested in terms of functionality, performance, reliability, stability and compatibility with other legacy- and/or external systems • Ensuring that every phase and feature of the software solution is tested and that any potential issue is identified and fixed before the product goes live • Use existing frameworks and tools to develop and execute automated test scripts • Maintain and update automation scripts as requirements evolve • Assist QA Automation Engineer with mentoring QA team members on test automation efforts • Analysis of requirements to produce manual and automated test cases • Ability to shift between automation and manual testing tasks as needed • Review of bug fixes and minor system enhancements to ensure expected results are achieved • Working with the developer team to provide continuous iterative feedback • Setting estimates and expectations for task completion, tracking on target deadlines • Other support tasks as required