[Hiring] Manager, Revenue Cycle @CVS Health

Role Description

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.

• Leadership and Team Management: Provide leadership to critical aspects of billing operations while managing smaller teams responsible for day-to-day operations.
• Team Development: Develop a team focused on managing electronic eligibility responses, timely billing of claims, accurate payment posting, and utilizing an optimized insurance follow-up process.
• Process Documentation: Create process documentation providing clear communication to ensure efficient, accurate, and compliant billing workflows.
• Cross-Functional Collaboration: Work alongside other business leadership to provide consistent billing guidance and improve the clean claim rate.

Qualifications

• Minimum of 5-7 years of professional experience in healthcare management leading a team of individual contributors.
• Experience in oversight of projects and processes that require complex resolution within both short and long term timelines.
• Experience working with legal and compliance partners in support of maintaining proper billing and coding guidelines.
• Baseline discipline experience as a business analyst, report writer, project manager or similar role.
• Monitor KPIs and report on variances, risks and improvement process opportunities.

Requirements

• Epic Professional Billing (PB Resolute) experience.
• Epic PB reporting (Slicer Dicer, Workbench Reporting).
• AAPC certification (CPB, CPC or CRC).
• Proficiency in Microsoft Office tools (Word, Excel, PowerPoint).
• Excellent written and oral communication skills including development and maintenance of Standard Operating Procedures (SOP).
• Ability to analyze and interpret various status and outcome reports to provide actionable insights to senior leadership.

Benefits

• Comprehensive and competitive mix of pay and benefits.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.