Humana
Director, Pharmacy Revenue Cycle Management
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Director, Pharmacy Revenue Cycle Management
role at
Humana
Base pay range:
$126,300.00 /yr - $173,700.00 /yr
Become a part of our caring community and help us put health first.
Responsibilities This role will lead a large workforce across multiple geographies to maximize our billing while also ensuring to meet our patient, pharmaceutical clients and PBM partner needs. Within CenterWell Pharmacy, we continue to lead the industry with new product launches, including our Direct to Consumer and Direct to Employer offerings. This leader will be nimble and change oriented to meet the evolving market needs. This position may involve some financial budgeting as well as making decisions related to implementation of new/updated programs or large-scale projects to help support the strategic goals of the pharmacies. Additionally, the candidate will have the following key responsibilities:
Own the reconciliation of billing with the GL with partnership with controllership team
Provide comprehensive decision-making across the enterprise as it comes to revenue accounting
Develop and maintain team performance across our BPO partner and internal associates
Monitor performance by comparing and analyzing actual results with plans and forecasts
Improve financial status by analyzing results and variances, identifying trends, and recommending actions
Required Qualifications
Bachelor's degree in finance, accounting or related field
8 or more years of revenue cycle management
5 or more years of management experience
Experience advising senior leadership on billing/collections strategies
Knowledge of pharmacy revenue cycle management
Prior experience developing methods and criteria for revenue cycle management
Exceptional communication and presentation skills, with the ability to influence and engage diverse audiences
Ability to lead and manage special projects that may necessitate cross-functional partnerships
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Prior health insurance industry experience working in revenue cycle management
Pharmacy pricing knowledge or experience
Additional Information Interview Format: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Scheduled Weekly Hours: 40
Benefits Humana, Inc. offers competitive benefits that support whole-person well-being. Associates benefits include medical, dental and vision coverage, 401(k) plan, paid time off, disability insurance, life insurance, and more.
Equal Opportunity Employer It is the policy of Humana not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.
Seniority level Director
Employment type Full-time
Job function Health Care Provider
Industries Insurance
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Director, Pharmacy Revenue Cycle Management
role at
Humana
Base pay range:
$126,300.00 /yr - $173,700.00 /yr
Become a part of our caring community and help us put health first.
Responsibilities This role will lead a large workforce across multiple geographies to maximize our billing while also ensuring to meet our patient, pharmaceutical clients and PBM partner needs. Within CenterWell Pharmacy, we continue to lead the industry with new product launches, including our Direct to Consumer and Direct to Employer offerings. This leader will be nimble and change oriented to meet the evolving market needs. This position may involve some financial budgeting as well as making decisions related to implementation of new/updated programs or large-scale projects to help support the strategic goals of the pharmacies. Additionally, the candidate will have the following key responsibilities:
Own the reconciliation of billing with the GL with partnership with controllership team
Provide comprehensive decision-making across the enterprise as it comes to revenue accounting
Develop and maintain team performance across our BPO partner and internal associates
Monitor performance by comparing and analyzing actual results with plans and forecasts
Improve financial status by analyzing results and variances, identifying trends, and recommending actions
Required Qualifications
Bachelor's degree in finance, accounting or related field
8 or more years of revenue cycle management
5 or more years of management experience
Experience advising senior leadership on billing/collections strategies
Knowledge of pharmacy revenue cycle management
Prior experience developing methods and criteria for revenue cycle management
Exceptional communication and presentation skills, with the ability to influence and engage diverse audiences
Ability to lead and manage special projects that may necessitate cross-functional partnerships
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Prior health insurance industry experience working in revenue cycle management
Pharmacy pricing knowledge or experience
Additional Information Interview Format: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Scheduled Weekly Hours: 40
Benefits Humana, Inc. offers competitive benefits that support whole-person well-being. Associates benefits include medical, dental and vision coverage, 401(k) plan, paid time off, disability insurance, life insurance, and more.
Equal Opportunity Employer It is the policy of Humana not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.
Seniority level Director
Employment type Full-time
Job function Health Care Provider
Industries Insurance
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