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
The Product Implementation Manager role is responsible for product/plan approval and auditing, in additional to being the point of contact for benefit inquiries regarding Employer Group Medicare health products to internal and external partners. There is a high focus on quality assurance to guarantee benefits approved to be sold are compliant with Federal Medicare and Aetna Business standards.
The Product Implementation Managers primary role is ensuring the accuracy of plan data in the MPDT system and to act as a central point of contact for our internal downstream partners, regarding plan status throughout the Employer Group Medicare renewal cycle. As a member of this team, they will also participate in the annual Medicare BID cycle and the review of the yearly CMS required member materials. This role will interact daily with the EGWP Sales team and our internal downstream partners. Pinpoint focus on quality assurance from end to end regarding how products and benefits are confirmed and implemented accurately is a top priority. Raising, escalating, and mitigating risks and issues is essential.
Additional responsibilities include:
- Supporting the annual CMS bid filing for the Group Medicare business.
- Reviewing annual member materials (ANOC/EOC/SOC).
- Benefit and Product SME.
Required Qualifications
2+ Years working in the MPDT system
4+ Years Employer Group Medicare industry experience, specifically Medicare Advantage products such as product development, clinical, claims, operations requirements, implementation, and plan sponsor structure development.
4+ Years of proven track record for product/program management skills in a matrixed environment, including product implementation
Preferred Qualifications
Strong Employer Group Medicare product/benefit and operations knowledge
Prophecy with Microsoft products
Strong Analytical Skills
Education
Bachelors or 4+ years directly related work experience
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$54,300.00 - $119,340.00This 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 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: 08/09/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.