Executive Director, Claim Platform Quality Assurance

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Position Summary

At Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health’s unrivaled presence in local communities and their pharmacy benefits management capabilities, we’re joining members on their path to better health and transforming the health care landscape in new and exciting ways every day.

Aetna is recruiting for an Executive Director, Claim Platform Quality Assurance for the Claims Center of Excellence Automation team who will own the design and execution of the organization's claim platform test strategy. Lead programs for test domains, associated applications, and functional testing support teams. Develop methodology to achieve best in class quality, cost efficiency, and timely deliverables. Ensure compliance of product testing with organizational requirements.

You'll make an impact by:

• Lead area processes for the organization's Quality Assurance area, and ensures methods align with the overall business strategy.

• Lead test strategy development which includes components such as unit testing, user acceptance testing, end to end, regression testing, financial neutrality, performance testing, etc. across claims platforms. 

• Establish and monitoring the ongoing capabilities needed for an effective test environment.

• Develop targeted and broad test scenarios with statistically valid volume that ensure benefits and contracts perform as expected.

• Manage defect identification, resolution, and mitigation

• Formulate organizational policies, goals, and objectives based on best practices in the field.

• Deliver enhancement recommendations to standardize metrics and reporting.

• Establish integration of standards with quality principles and methodology.

• Design, develop, and re-engineer process improvement changes for the organization.

• Develop relationships with technical and organizational leaders to ensure alignment and achievement of long-term testing vision.

• Advise management on proposed process implementation and refinement issues.

• Manage team performance through regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and team development.

• Oversee unit's staffing headcount, vendor staffing/expense (as applicable) and overall financial performance to budget. Support attainment of key financial targets associated with reducing the impact of configuration defects that lead to operational rework expense and late claim interest penalty expense

Required Qualifications

The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company’s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:

• 10+ years of experience in Quality Assurance
• 5+ years of experience in design and execution of test strategy, which includes components such as unit testing, user acceptance testing, end to end, regression testing, financial neutrality, performance testing, etc.  
• Adept at execution and delivery (planning, delivering, and supporting) skills 
• Adept at business intelligence 
• Adept at collaboration and teamwork 
• Mastery of problem solving and decision-making skills 
• Mastery of growth mindset (agility and developing yourself and others) skills 
• Ability to work in a hybrid work environment

Education Requirements

Bachelor's degree required or equivalent experience

Pay Range

The typical pay range