Pharmacy Benefit Manager Operations Specialist

CVS Health • Rhode Island, Rhode Island • 4h ago

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 Pharmacy Benefits Manager Operations Specialist is a member of Meritain Health PBM Operations Team, and is responsible for collaborating with Implementation Managers, Pharmacy Implementation Managers, various external PBM vendors, and clients, in order to implement the following files to be used for invoice processing and member accumulators: eligibility, accumulators, invoices, and claims detail. The Pharmacy Benefits Manager Operations Specialist is the liaison between Meritain and the PBM vendors to which they are assigned.

In this role, you will:

Meet with PBM ( Pharmacy Benefit Manager ) vendors and groups to complete new group and renewal group implementations.

Set up new group and renewal group implementations in the system based on selected PBM vendor with data elements, field mapping, naming conventions, file feed locations, platform, and back-end vendor.

Coordinate and conduct IT ( Information Technology ) related activities such as ticket submissions and testing.

Notate tasks and relevant dates for new group and renewal group implementations within Salesforce.

Ensure that new group and renewal group implementation tasks are completed, file receipts confirmed, and hand off sheet routed to Invoice Processor team.

Support escalations with a sense of urgency, regularly communicate with stakeholders, and see various processes through to completion.

Required Qualifications

2+ years of healthcare industry and/or PBM vendor experience.

Proficiency with Microsoft desktop software applications, such as Outlook, Word, and Excel.

Preferred Qualifications

1+ year of experience working for an Rx company.

Previous experience utilizing Salesforce.

Ability to work efficiently in a team-based environment.

Strong attention to detail.

Education

High School diploma, G.E.D. or equivalent experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

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 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: 03/30/2026

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

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

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