
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🔥 12 hours ago
🌽 Illinois – Remote
💵 $66.3k - $145.9k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
💹 Revenue Operations
👻 Ghost score 0%
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10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• Provide leadership for critical aspects of billing operations • Manage smaller teams responsible for day-to-day operations • Develop a team focused on electronic eligibility responses, timely claims billing, accurate payment posting and optimized insurance follow-up • Create process documentation to support efficient, accurate and compliant billing workflows • Collaborate with business leadership to provide consistent billing guidance • Improve the clean claim rate • Monitor KPIs and report on variances, risks and process improvement opportunities
• Minimum of 5-7 years of professional experience in healthcare management leading a team of individual contributors • Experience overseeing projects and processes requiring complex resolution within short- and long-term timelines • Experience working with legal and compliance partners to maintain proper billing and coding guidelines • Baseline discipline experience as a business analyst, report writer, project manager or similar role • Ability to monitor KPIs and report on variances, risks and process improvement opportunities • Epic Professional Billing (PB Resolute) experience preferred • Epic PB reporting experience, including Slicer Dicer and Workbench Reporting, preferred • AAPC certification (CPB, CPC or CRC) preferred • Proficiency in Microsoft Office tools (Word, Excel, PowerPoint) preferred • Excellent written and oral communication skills, including development and maintenance of Standard Operating Procedures (SOPs), preferred • Ability to analyze and interpret status and outcome reports to provide actionable insights to senior leadership, preferred • Bachelor's Degree preferred
• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay
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