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
- Support the onboarding and implementation of EDI partners by coordinating system setup, configuration, testing, and production readiness activities.
- Partner with internal and external stakeholders to gather business requirements, document implementation needs, and support solutions that meet operational and client expectations.
- Develop and execute test cases to validate system functionality, confirm requirements are met, and ensure accurate end-to-end processing across test and production environments.
- Review and interpret technical specifications, healthcare EDI formats, and related documentation to ensure accuracy, compliance, and alignment with business needs.
- Educate and support clients through implementation activities, including production preparation and changes to communication protocols, file formats, or software.
Required Qualifications
- 2+ years of comprehensive knowledge of EDI transactions, including testing standard X12 transactions such as 837P, 837I, 837 Outgoing, 999, TA1, and U277.
- 2+ years of experience using crosswalks, HIPAA implementation guides, and requirements documents to validate that data has been mapped to the correct database fields.
- 2+ years of understanding of privacy rules and HIPAA compliance
- 2+ years of experience working with clients on issue resolution and problem-solving discussions.
- 2+ years of experience in a client-facing environment partnering directly with clients on EDI-related issue resolution, testing activities, root-cause analysis, and problem-solving discussions.
- Ability to present ideas in business-friendly and user-friendly language
- Highly motivated and self-directed.
- Strong analytical and problem-solving skills.
- Ability to prioritize and execute tasks effectively in a high-pressure environment.
- Ability to work both independently and in a collaborative team environment.
- Strong verbal and written communication skills.
Preferred Qualifications
- Background in healthcare preferred.
Education
- Associate degree required; Bachelor’s degree preferred.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$46,988.00 - $112,200.00This 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.
Skills Required
- 2+ years comprehensive knowledge of EDI transactions including testing standard X12 transactions (837P, 837I, 837 Outgoing, 999, TA1, U277).
- 2+ years experience using crosswalks, HIPAA implementation guides, and requirements documents to validate data mapping to database fields.
- 2+ years understanding of privacy rules and HIPAA compliance.
- 2+ years experience working with clients on issue resolution and problem-solving discussions.
- 2+ years client-facing experience partnering directly with clients on EDI-related issue resolution, testing activities, and root-cause analysis.
- Ability to present ideas in business-friendly and user-friendly language.
- Highly motivated and self-directed.
- Strong analytical and problem-solving skills.
- Ability to prioritize and execute tasks effectively in a high-pressure environment.
- Ability to work both independently and in a collaborative team environment.
- Strong verbal and written communication skills.
- Associate degree.
- Bachelor's degree.
- Background in healthcare.
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
