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Sr. Manager – Provider Contract and Pricing Testing

Sr. Manager – Provider Contract and Pricing Testing

CompanyCVS Health
LocationWaterbury, CT, USA
Salary$82940 – $182549
TypeContract
Degrees
Experience LevelSenior

Requirements

  • 5+ years of experience managing quality assurance projects.
  • 5+ years of experience in provider contract testing, claims adjudication systems, quality assurance, or related functions.
  • 5+ years of experience in managing, collecting, and analyzing testing metrics for reporting and delivery.
  • Proven program and project management experience, including the creation and management of integrated plans to ensure predictable outcomes.
  • Experience leading large integrated project plans and driving IT development to meet specific business needs.

Responsibilities

  • Oversee the quality assurance of Provider Contracts and Pricing, ensuring that both Provider and Member Experiences meet or exceed expectations through the use of test automation tools.
  • Collaborate with IT to support a robust testing automation framework for Provider & Contract Testing, driving the adoption and optimization of automation tools and implementing innovative approaches using proven technologies.
  • Mentor and motivate team members to reach their full potential while promoting industry best practices in Quality Assurance and Testing.
  • Deliver comprehensive quality reports on Provider & Contract Testing outcomes, making informed recommendations and taking appropriate actions based on the data.
  • Build a high-performing team by providing opportunities, guidance, and constructive feedback, while creating a talent pipeline for future growth.
  • Set team direction, resolve challenges, and provide technical support to ensure development objectives are met.

Preferred Qualifications

  • Experience with commercial, individual exchange, and Medicare programs.
  • Mastery of problem solving and decision-making skills.