Account Coordinator

Implementation Specialist

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

This position works with our Implementation Managers, Product Development Department, Network Operations and others to determine the most appropriate system setup for our Clients. With our proprietary system most of our clients are custom setups with multiple vendors and services, in addition to custom reporting requirements. To accommodate the implementation Specialist must analyze the client requirements with the requirements of our internal processes and departments to determine a viable setup that will meet the needs of our client and our internal partners. In some instances the setup may require programming in which case the Implementation Specialist will work with IT on the programming design and UAT testing. This position is also responsible for the setup and running of our standard reporting package for each client each month, and all renewal group changes/processing.

• 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

• 1-3 years Healthcare industry experience (Operations, Customer Service, Claims, and or Plan Build preferred)

Preferred Qualifications

• DOS system background
• Salesforce experience
• Excel is beneficial for the analyzing/matrixing out of the group setups

Education

• BA degree preferred or minimum High School Diploma or GED.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.