Testing Specialist ACAS
Core
Perform commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent 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, claims processing, defect analysis
Preferred skills
Communication skills, automation opportunity identification
Technologies
ACAS, PERS, CCI
Responsibilities
Review client benefit intent and translate it into clear test conditions; Design test strategies, test plans, and test scenarios; Execute plan testing in ACAS by processing test claims; Research testing issues and determine next steps; Log confirmed defects and support resolution; Analyze defect trends and adjust test strategies
Seniority
Mid-level, hands-on IC