Analyst, Client Implementations (MAPS)
- Salary
- $43.9K–$93.6K
- Hiring from
- United States
- Work type
- Hybrid
- Posted
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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.
Position Summary
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. 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.
Fundamental Components
- 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 ad hoc data programs to assist with streamlining setup of group and eligibility files
- Runs ad hoc 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 with benefits interpretation.
Preferred Qualifications
- Healthcare industry experience.
- Salesforce experience preferred.
- Detail oriented.
- Highly organized.
- Strong communication skills.
- Bachelors degree preferred.
Education
- High school diploma and 1-3 years healthcare industry experience with benefits.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $93,574.00This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
About us
Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
