Implementation Specialist (MAPS Team)

Job Opportunity At CVS Health

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary Manages and coordinates benefit plan implementation for new and existing customers. Provides focused service fostering strong relationships with internal business partners to assure all group implementation and administrative updates are loaded correctly.

• Analyzes and determines if products and services selected by clients are aligned and can be adequately supported by existing systems or operating platforms; additionally, seeks solutions and negotiates essential requirements in support of any non-standard plan selections. Requires dynamic decision making to appropriately structure the group setups within the Meritain system to align with our vendor partners (PBM's, Managed Care Entities, etc..), analytics vendors and provide the required structure for client billing and reporting.
• Consults and communicates with internal staff regarding the details associated with new business and revision activity in a timely manner and validates account structure.
• Completes timely and accurate set-up of complex account structure and detailed benefit plans in systems for multiple constituents in order to satisfy both internal and external deadlines for production- impacting a wide variety of products and services.
• Monitors and manages internal installation process and maintains case tracking to meet constituents expectations and business goals.
• Runs adhoc data programs to assist with streamlining setup of group and eligibility files
• Runs adhoc data programs to quickly audit setup of customized group enrollments.
• Maintains data files for monthly group reporting, assuring PHI guidelines are being followed.
• Runs monthly reports for all clients and brokers.
• Participates in testing related to enhancements/changes made in the ER/EO/GIM data files.

Required Qualifications

• 1 year healthcare industry experience with benefits interpretation.

Preferred Qualifications

• Healthcare industry experience.
• Salesforce experience preferred.
• Detail oriented.
• Highly organized.
• Strong communication skills.

Education

• High school diploma or GED.

Anticipated Weekly Hours 40

Time Type Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $93,574.00

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.

We anticipate the application window for this opening will close on: 07/04/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.