Epic PB Reporting Manager, Revenue Cycle

CVS Health Corporation

United States

Remote

USD 66,000 - 146,000

Full time

8 days ago
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Benefits offered by this job

Comprehensive benefits package

Job summary

CVS Health Corporation is seeking an experienced Billing Operations Leader to guide critical billing activities and develop a high-performing team focused on eligibility responses, timely claim billing, and accurate payment posting.

The role emphasizes process documentation, KPI monitoring, and collaboration with senior leadership to improve the clean claim rate, with a strong emphasis on compliance and quality in a health services environment.

Qualifications

  • 5-7+ years of healthcare management leading a team of individual contributors.
  • Experience overseeing projects and processes requiring complex resolution within short and long timelines.
  • Experience working with legal and compliance partners on billing/coding guidelines.
  • Baseline discipline experience as a business analyst, report writer, or project manager.

Responsibilities

  • Provide leadership to billing operations and manage smaller teams for day-to-day operations.
  • Develop a team focused on electronic eligibility responses, timely billing of claims, and optimized insurance follow up.
  • Create process documentation to ensure efficient, accurate, and compliant workflows.
  • Collaborate cross-functionally with business leadership to improve the clean claim rate.

Skills

Healthcare management
Project management
Regulatory compliance
Business analysis
KPI monitoring
Communication

Education

Bachelor’s Degree

Tools

Epic PB Resolute
Slicer Dicer
Workbench Reporting
Microsoft Office (Word, Excel, PowerPoint)

Job description

CVS Health Corporation is seeking an experienced Billing Operations Leader to guide critical billing activities and develop a high-performing team focused on eligibility responses, timely claim billing, and accurate payment posting.

The role emphasizes process documentation, KPI monitoring, and collaboration with senior leadership to improve the clean claim rate, with a strong emphasis on compliance and quality in a health services environment.

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