at CVS Health in Northbrook, Illinois, United States
Job Description
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand – with heart at its center – our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
The Sr. Manager, Member A/R and Disputes requires an ambitious, motivated, and eager individual, looking to work for an industry-leading company. This position is part of our PBM Financial Operations Member Experience department, a dynamic and skilled group, which manages all member-facing financial activities for CVS Health’s Caremark business. The Sr. Manager will oversee all member A/R and collections activities for our mail order pharmacy along with member dispute resolution for mail order and the Medicare Prescription Payment Program (M3P).
Key Responsibilities:
-Lead the team and build relationships across departments to deliver on key enterprise initiatives -Manage multiple projects with strict deadlines, delivering best in class service to stakeholders, and identifying business and client requirements associated with team/department deliverables -Actively find solutions for resolving complex processes/requests through creative and sustainable solutions, identify opportunities to increase operational efficiency utilizing proven metrics, and initiate and lead projects which align to departmental goals. -Functional accountability to oversee client relationships, member inquiry, vendor relationships, premium invoicing, application of payments, and reconciliation of payment functions -Organize cross-functional teams to support larger organizational efforts; facilitating internal and external discussions to identify and/or resolve issues -Identify opportunities for process improvements aligning with long-term organizational strategies -Maintain high standards of compliance including adherence to policies and regulations set forth by government agencies including the Centers for Medicare and Medicaid Services (CMS) This is To view full details and how to apply, please login or create a Job Seeker account