Analyst, Client Implementations (MAPS)

CVS Health•Washington, NV

3d•$43,888 - $93,574

About The Position

The Analyst, Client Implementations works with Implementation Managers, Product Development, Network Operations, and other internal partners to determine appropriate system setups for clients. Because many client arrangements use customized setups involving multiple vendors, services, and reporting requirements, the Analyst evaluates client requirements alongside internal processes to identify viable configurations that meet client and internal needs. The role also handles monthly standard reporting for each client and processes renewal group changes. The Analyst assesses whether selected products and services can be supported by existing systems or operating platforms and develops solutions for non-standard plan selections. The position sets up and validates complex account structures and benefit plans, coordinates implementation activity, maintains case tracking, runs data programs and reports, maintains reporting data files in accordance with PHI guidelines, and participates in testing data-file enhancements and changes.

Requirements

1–3 years of healthcare industry experience with benefits interpretation.
High school diploma.
Detail oriented.
Highly organized.
Strong communication skills.

Nice To Haves

Salesforce experience.
Bachelor’s degree.
Healthcare industry experience.

Responsibilities

Analyze client product and service selections to determine whether existing systems and operating platforms can support them.
Seek solutions and negotiate essential requirements for non-standard plan selections.
Structure group setups in the Meritain system to align with vendor partners and analytics vendors and support client billing and reporting.
Consult and communicate with internal staff about new business and revision activity, and validate account structure.
Complete timely and accurate setup of complex account structures and detailed benefit plans in systems for multiple constituents.
Monitor and manage the internal installation process and maintain case tracking to meet constituent expectations and business goals.
Run ad hoc data programs to streamline setup of group and eligibility files.
Run ad hoc data programs to audit customized group enrollments.
Maintain data files for monthly group reporting while following PHI guidelines.
Run monthly reports for all clients and brokers.
Participate in testing enhancements or changes to ER/EO/GIM data files.
Set up and run the standard reporting package for each client each month and process renewal group changes.