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Job Information

CVS Health Sr. Manager, Member Copay Billing in Irving, Texas

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.

This position is classified as hybrid and will be filled in Woonsocket, RI., Hartford, CT., Irving, TX., Northbrook, IL., or Scottsdale AZ. Additional locations may be considered

Position Summary

The Sr. Manager, Member Copay Billing is a member of the Pharmacy Benefit Management (PBM) Finance Operations Department. The Sr. Manager will have ownership and accountability over activities related to invoicing and accounts receivable management for Medicare Part D members utilizing the Medicare Prescription Payment Program (M3P). As a member of the Member Experience Leadership Team, the Sr. Manager will ensure accurate invoicing, dunning, reinstatement, and AR processes lead to a seamless and positive member experience.

M3P is a Medicare Part D requirement effective January 1, 2025 and thus, the Sr. Manager will partner with teams from across the PBM organization as well as third parties to ensure thorough establishment of systems, processes, and business practices needed to effectively manage the financial aspect for M3P enrollees. They will work with other Finance leaders to identify requirements and implement the new Med D Member Copay Billing organization. This will be a hands-on role during implementation, gradually transitioning to a traditional leadership role.

Required Qualifications

  • 7+ years experience in healthcare finance, billing, or a related field, with an emphasis on accounts receivable, billing, payment application, or reconciliation..

  • 5+ years experience leading a team and developing talent.

Preferred Qualifications

  • General PBM experience and knowledge.

  • General knowledge of Medicare Part D.

  • Knowledge of SAP, S4, SalesForce, RxClaim, PeopleSafe, Facets, and other Caremark specific applications.

  • Strong relationship building and communication skills.

  • Demonstrated ability to determine key business issues and develop appropriate action plans from multi-disciplinary perspectives.

  • Ability to quickly grasp a new subject and cultivate subject matter expertise to become a resource for all questions and requests related to this domain area within the department and organization.

  • Strong written and verbal communication skills.

  • Ability to manage through all levels of the organization.

  • Ability to function effectively in a high-volume, fast-paced environment.

  • Intermediate experience with Excel and Access.

Education

  • Bachelor’s Degree or equivalent experience required.

Pay Range

The typical pay range for this role is:

$75,400.00 - $166,000.00

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. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 05/09/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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