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.

Position Summary

This position follows a hybrid working schedule in Monroeville, PA

The Manager, Contract Pricing will report to the Sr. Manager, AR Specialty. The primary responsibilities of the Manager include validating payment variances to contract terms, partnering with client contacts to recover underpayments, and escalating payment variances to the management and sales teams. The Manager is also responsible for identifying outliers in reimbursement rates, performing bad debt analysis, and recommending and assisting leadership in the implementation of approved recommendations. The Manager will present deep discount concerns to underwriting for reevaluation.

The Manager will also be responsible for supporting the RCM team by leading colleagues responsible for developing workflow systems and streamlining processes within the department.

In order to be successful in this role you must exhibit the following:

• Understanding conversion factors with the ability to identify if the billed quantity is correct based on the quantity dispensed. • Experiencing in navigating and understanding the billing, accounts receivable, insurance and pricing set-up screens in revenue cycle systems. • Extreme accuracy, organizational skills, and attention to detail.• Ability to work in teams and coordinate work efforts.• Exceptional verbal, interpersonal and written communication skills.• Ability to evaluate work and process flow to ensure optimal efficiencies.• Ability to manage multiple priorities.• Experience in a high intensity, fast paced production environment.

Required Qualifications• 5+ years of related experience:

• 2+ years reimbursement analysis or insurance collections or insurance claims processing experience

• 2+ years of experience with Microsoft Office applicationsPreferred Qualifications

• 2+ years overseeing revenue cycle management or reimbursement analysis teams

• 5+ years of leadership experience

  • Proficient in Microsoft office products including Excel, Word, Outlook, Teams, and One Note

• Proven ability to collaborate across business lines to work towards enterprise goals and objectives. - Ability to manage multiple workstreams and deliver results that meet or exceed expectations. - Experience working with revenue cycle applications and healthcare finance and accounting principles.Education•

• High School Diploma/GED required• Bachelor’s degree in business administration, accounting, finance, or health care management preferred

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

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. 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: 08/30/2024

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.