Implementation Specialist

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

As the nations 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

The Implementation Specialist manages and coordinates benefit plan implementation for new and existing customers. This person provides focused service, fostering strong relationships with internal business partners, in order to assure all group implementation and administrative updates are loaded correctly.

Job duties include

• Analyzing and determining if products and services selected by clients are aligned and can be adequately supported by existing systems or operating platforms; additionally, seeking solutions and negotiating 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 (Pharmacy Benefit Managers, Managed Care Entities, etc.) and analytics vendors, and provide the required structure for client billing and reporting.
• Actively consulting and communicating with internal staff regarding the details associated with new business and revision activity in a timely manner, as well as validating account structure.
• Completing 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.
• Monitoring and managing internal installation process, as well as maintaining case tracking to meet constituents expectations and business goals.
• Maintaining data files for monthly group reporting, assuring PHI (Personal Health Information) guidelines are being followed.
• Running monthly reports for all clients and brokers.
• Responding to escalated issues related to group setup.
• Assisting with the development and testing of new or enhanced group setups.
• Providing technical expertise to team/unit, mentoring junior staff members, and assisting with the development and implementation of training tools and processes.
• Running ad hoc data programs to assist with streamlining setup of group and eligibility files.
• Running ad hoc data programs to quickly audit setup of customized group enrollments.
• Partnering in projects with our Products and IT teams to add/enhance products and services.
• Serving as the point person for testing of all changes related to the ER/EO/GIM data files.
• Performing other duties as needed.
  

Required Qualifications

• 1+ year of experience in health care.
  

Preferred Qualifications

• 3+ years of experience in health care.
• Previous experience in medical group implementation.
• Previous experience working with medical data files.
• Detail-oriented.
• Strong analytical skills.
• Excellent multi-tasking ability.
• Associates degree or higher.
  

Education

• 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 $122,400.00

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.

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.
  

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 01/19/2026

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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