Testing Specialist ACAS
Core
Perform commercial plan testing by interpreting client intent behind medical benefit designs and validating it through claims-based testing in ACAS.
Role type
Testing Specialist (Health Insurance Claims)
Builds
Validated commercial medical plans and claims adjudication logic
Domain
Health Insurance / Claims Adjudication
Required skills
ACAS platform expertise, medical plan and claims adjudication knowledge, test strategy design, defect analysis, claims processing
Preferred skills
Strong verbal and written communication skills
Technologies
ACAS, PERS, CCI
Responsibilities
Review client benefit intent and translate into test conditions; Design test strategies, plans, and scenarios; Execute plan testing by processing test claims and confirming outcomes; Research testing issues and determine next steps; Log confirmed defects and support resolution; Collaborate with stakeholders to resolve questions; Analyze defect trends and adjust test strategies.
Seniority
Mid-level, hands-on IC