CVS Kidney Care, a new CVS Health company, has been launched as part of the company’s portfolio of initiatives to transform health care and make a real difference in the lives of people impacted by chronic kidney disease. At CVS Kidney Care, we put the patient at the heart of everything we do. We are based on a culture of courage that rewards innovative thinking and bold action; we seek people who are ready for an entrepreneurial environment where ownership is empowered at all levels, ambiguity is actively embraced in order to accelerate innovation, and where all colleagues are committed to act as one team in service to our goals.

As the Manager of Accounts Receivable, you will be responsible for managing CVS Kidney Care’s existing billing process. You will also manage and oversee the installation of new applications, new components, and upgrade existing applications to meet CVS Kidney Care’s billing, collections and accounts receivable needs for all sales channels including, Aetna and PBM clients, strategic partnership, acquisitions, and value-based care relationships.

In addition, you will be responsible for reviewing billing reports to ensure compliance as well as provide consistent measurement and feedback of departmental expectations, success, and areas of concern.

In this role, you will also be responsible for identifying and quantifying trends/issues and effectively communicating/reporting them to the appropriate members of the management team along with the potential impact.

You will assist leadership in building and maintaining a high performing highly engaged team.

Knowledge of federal HIPPA, PHI and other regulatory requirements to help ensure compliance when working claims data is also important.

This role will:
• Manage existing billing activities including Aetna claim wire billing and PBM ancillary billing processes.
• Partner with CVS Kidney Care Finance to set up of intercompany transfers.
• Partner with CVS Kidney Care Finance to set up a stand-alone billing, collections and A/R process for Kidney Care and establish a contract management system on the front end that would then feed into the billing system.
• Oversee go-live and rollout support.
• Manage the support of users on new applications, modules, and functionality.
• Oversee analysis of necessary application modifications and work with the appropriate CVS IT colleague or the vendor to coordinate the modification.
• Provide and encourage advanced application troubleshooting support for the application(s).
• Oversee the resolution of critical issues. Forward issues to the correct group for remediation or elevate it to the vendor if required.
• Determine how a new system, upgrade, or new component can best meet the needs of the users.
• Manage the creation of system specifications from user requirements.
• Manage the creation of test plans and test new systems, version upgrades, and any system modifications.
• Oversee and manage application implementation, troubleshooting, and support.

Required Qualifications
3+ years in managing billing and A/R software.
3+ years of healthcare experience.

COVID Requirements
CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
Exceptional analytical skills with the ability to generate insights and action plans from data.
Excellent communication skills including interfacing with clients and Leadership.
Desire to be an individual contributor conducting company due diligence, and share with cross-functional teams.
Desire to work in a fast-paced environment with the ability to multi-task and manage multiple projects / responsibilities.
Ability to manage complex groups and prioritize competing objectives.
Facilitation and organizational skills; demonstrated ability to follow-up and follow through on tasks.
Ability to be flexible and change direction as needed.
Ability to motivate and drive team to successful, on-time results.

Education
Bachelors Degree or equivalent experience.

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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