Manager, Revenue Cycle(EPIC Reporting)

CVS Health Corporation; Northern (KY); Hybrid; USD 66,000 - 146,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a Billing Operations Leader to guide critical aspects of billing, manage smaller teams, and ensure timely billing and accurate payment posting. You will help develop a team focused on electronic eligibility responses and optimized follow-up processes.

You will create clear process documentation, collaborate across leadership, and work to improve the clean claim rate while maintaining compliance and quality in every step of the workflow.

Qualifications

• 5–7 years of healthcare management experience leading a team.
• Experience overseeing complex projects with tight or long timelines.
• Experience with billing guidelines and compliance partners.

Responsibilities

• Provide leadership to billing operations and small teams for day-to-day activities.
• Develop a team focused on electronic eligibility responses, timely billing, and payment posting.
• Create clear process documentation to ensure compliant workflows.
• Collaborate with other leaders to improve the clean claim rate.

Skills

Leadership

Team management

Project management

Communication

KPI reporting

SOP development

Education

Bachelor's Degree

AAPC certification (CPB, CPC or CRC)

Tools

Microsoft Office

Epic PB Resolute

Slicer Dicer

Workbench Reporting

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Leadership and Team Management: Provide leadership to critical aspects of billing operations while managing smaller teams responsible for day-to-day operations. Team Development: Develop a team focused on managing electronic eligibility responses, timely billing of claims, accurate payment posting, and utilizing an optimized insurance follow up process. Process Documentation: Create process documentation providing clear communication to ensure efficient, accurate, and compliant billing workflows. Cross-Functional Collaboration: Work alongside other business leadership to provide consistent billing guidance and improve the clean claim rate.

Required Qualifications

• Candidates will need to have a minimum of 5-7 years of professional experience in healthcare management leading a team of individual contributors.
• Experience in oversight of projects and processes that require complex resolution within both short and long term timelines.
• Experience working with legal and compliance partners in support of maintaining proper billing and coding guidelines.
• Baseline discipline experience as a business analyst, report writer, project manager or similar role.
• Monitor KPIs and report on variances, risks and improvement process opportunities.

Preferred Qualifications

• Epic Professional Billing (PB Resolute) experience
• Epic PB reporting (Slicer Dicer, Workbench Reporting)
• AAPC certification (CPB, CPC or CRC)
• Proficiency in Microsoft Office tools (Word, Excel, PowerPoint)
• Excellent written and oral communication skills including development and maintenance of Standard Operating Procedures (SOP), Ability to analyze and interpret various status and outcome reports to provide actionable insights to senior leadership.

Education

Bachelor's Degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $66,330.00 - $145,860.00 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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.