Analyze premium data to identify variances and collaborate with stakeholders on solutions. Lead initiatives for process enhancements and provide subject matter expertise to actuarial teams regarding treaty and pricing artifacts.

Develop and maintain automated test frameworks for UI and APIs with Selenium and Rest Assured, migrate applications to TypeScript, build backend services, and integrate test suites with CI/CD pipelines while collaborating on test planning.

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 As a Test Analyst, you will be part of Government (Medicaid and Medicare) Benefit Client Services Testing team that is engaged across multiple functions including Benefits and Clinical Organization, with particular emphasis on solving problems, process improvement and increase automation opportunity within testing team. You will have the opportunity to utilize your communication skills and logical skills to analyze the business process, insert technology to solve problems and improve efficiency of Benefit testing operation. You will be responsible for performing analytical skill to review different Medicare federal compliance programs and benefit plans based on CMS Defined standards and translate those into business rule and define test strategy and scripts to validate the same. You will be responsible for driving all phases of Benefit testing cycle from requirement gathering to closure. This team works closely with internal and external partners to deliver key strategic projects, manage applications, and improve Client Services processes. You will actively participate on client calls. You will define Benefit test requirements, create test plans, and execute test scenarios, capture test results, present test results to all stakeholders and seek approval. To be successful you will bring your developed skills as an innovative, analytical, energetic, problem solver. You will be seen as a client problem-solver and will bring innovation solution for client requirements. If this describes you, then become part of our “go-to team”. As a Test Analyst, you will own following responsibilities: - Understanding Client needs and Client requirements, translate into Test Scenarios to validate Benefit Configuration and Benefits Coding. - Building relationships with key client partners through a consultative approach to fully understand benefit components of client benefit plan design needs - Translating Client needs and requirements to internal CVS Health team such as Benefits Coding and Quality Analysis team. - Providing timely communications to provide status updates and make decisions relative to client benefit set up. - Coordinate with your colleagues and take ownership of the test artifacts and client reviews - Support other test analysts by providing training, coaching, and counseling and providing in depth quality reviews of what you learn - Expertise on EZTEST Usage(myPBM), Sales force, EZQUERY, EXCEL Macros, Formulary management system and NDC LookUp Tool. - Translate CMS, Client defined Requirements, business rules, and validate before code promotion to production. - Facilitating internal and external meetings and presentations to provide status updates and ensure Benefit configuration accuracy for Client’s requirement - Define Benefit test requirements, create test plans, and execute test scenarios, capture test results, present test results to all stakeholders to ensure highest quality to meet or exceed turnaround time and project timelines. - Develop process improvement initiatives in support of department efficiency. Pinpoint areas of opportunity and training needs. - Work through the various phases of the project until all issues have been resolved, cleanup complete and all reportable items are closed to the satisfaction. - Escalate project risks and concerns to test management and other project stakeholders​ - Share the daily or weekly test status with management - Propose/develop testing automation tools to enhance testing accuracy and rapid turnaround Your success will be driven by exceeding client satisfaction score targets as well as working towards reduced service warranty payments to clients. Your healthcare industry knowledge in the areas of Formulary Management, Drug Utilization Management, and Claims Adjudication will also contribute to your success. You will operate in a dynamic environment with tight deadlines so ability to operate. The contributions you will make as a Test Analyst, Client benefits will position CVS Health as a leader in Client Satisfaction and service in the Pharmacy Benefit Management Marketplace. Required Qualifications 2+ years of Healthcare/PBM experience or 4+ years of IT experience. Preferred Qualifications - Excellent communication (Verbal and Written) and collaboration skills - Demonstrated ability to manage and organize projects from start to completion - Computer proficiency in MS Office applications (Microsoft Word; Microsoft Excel, Microsoft PowerPoint, and Microsoft Outlook). - Ability to work independently with little supervision - Ability to work and communicate effectively with multiple departments and individuals. - PBM/Claim Adjudication knowledge is mandatory - Plan Benefits, Formulary and Utilization Management knowledge is a plus. - EZQUERY/Sequel hands-on - Claim processing tool (EZTEST), Sales force. - Medicaid / Medicare requirement knowledge Education Bachelor’s degree Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $43,888.00 - $85,068.00 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: 04/17/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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 The Health Coach telephonically outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing any barriers to adherence by utilizing the member's benefits. This may include outreach to pharmacies and prescribers. The Health Coach utilizes a collaborative process of assessment, planning, implementation, and coordination to engage, educate, and promote/influence members in decisions related to achieving and maintaining optimal health status. - Assessment of Members:  Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health risk behaviors to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence. - Utilizes influencing/motivational interviewing skills to ensure member engagement and discern health needs based on key questions and conversation to promote behavior changes to achieve optimum level of health - Partners with members to identify opportunities for integration into available internal/external programs  - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting goals and objectives - Utilizing interviewing and active listening skills, provides coaching, information and support to empower the member to make ongoing independent healthy healthcare choices.  -  Interprets and utilizes guidelines/criteria to positively impact members health - Provides up-to-date healthcare information to help facilitate the member’s understanding of his/her  health status - Helps member actively and knowledgably participate with their provider in healthcare decisions - Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues. - Develops a proactive course of action to address issues presented to enhance the short and long term health outcomes as well as opportunities to enhance a member’s overall wellness through integration. Required Qualifications - 1-3 years Microsoft Office - 3-5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology - Managed Care and Medicare experience Preferred Qualifications - Healthcare licensure and/or certifications (RN, LPN, MSW, LCSW, CDE etc) highly preferred - 5 years practice experience-- Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology - Managed Care and Medicare experience - Previous telephonic coaching, education or case management experience - Excellent computer skills including MS Office applications  - Independent worker - Excellent time manager - Excellent analytical and problem solving skills \ Effective communications, organizational, and interpersonal skills, Bilingual a plus - Demonstrated ability to communicate, problem solve, and work  effectively with people, use good judgment in challenging situations - Experience in facilitating client positive behavioral change - Background in motivational interviewing, active listening skills. Education Associates Degree or equivalent experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $102,000.00 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: 04/03/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.