CVS Health
Scottsdale, Arizona, United States
PBM Finance Operations - Member Experience Director Fully Remote
Posted over 1 month ago
Job Description
Job Description
CVS Health has an exciting opportunity to join our PBM Finance team as a Director, PBM Financial Operations - Member Experience. This is a newly created role to report to the Senior Director, Finance Operations, and will lead a team focused on driving operational performance and service excellence. This team will support the core member-facing finance operations within the PBM while working with enterprise teams to establish capabilities and processes that align with similar operations. The Director will have deep operational customer-facing expertise. You will possess excellent communication skills, with the ability to drive strategic initiatives. You will work with leaders across the organization to achieve operational excellence.
Key Responsibilities:
* Collections - Lead Member Mail Copay Team to drive increased collections and focused service excellence
* Member Disputes - Lead Member Dispute Team to provide efficient and timely resolution to member issues pertaining to payments and billing
* Member Premiums - Lead Member Premium Invoice & Payment process to support designated Medicare Part D Plans
* Member Payments - Lead Member Payments Team to support all payment operations related to members including paper claims and claim adjustments
Required Qualifications
10 years of experience in financial or service operations
5 years in leadership roles
Preferred Qualifications
Experience in healthcare industry, including health insurance, PBM or pharmacy services
Experience in regulated industry and compliance environment
Experience with Vendor Relationships
Collections experience or other direct Customer-facing experience
Education
Bachelors degree required
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.
CVS Health has an exciting opportunity to join our PBM Finance team as a Director, PBM Financial Operations - Member Experience. This is a newly created role to report to the Senior Director, Finance Operations, and will lead a team focused on driving operational performance and service excellence. This team will support the core member-facing finance operations within the PBM while working with enterprise teams to establish capabilities and processes that align with similar operations. The Director will have deep operational customer-facing expertise. You will possess excellent communication skills, with the ability to drive strategic initiatives. You will work with leaders across the organization to achieve operational excellence.
Key Responsibilities:
* Collections - Lead Member Mail Copay Team to drive increased collections and focused service excellence
* Member Disputes - Lead Member Dispute Team to provide efficient and timely resolution to member issues pertaining to payments and billing
* Member Premiums - Lead Member Premium Invoice & Payment process to support designated Medicare Part D Plans
* Member Payments - Lead Member Payments Team to support all payment operations related to members including paper claims and claim adjustments
Required Qualifications
10 years of experience in financial or service operations
5 years in leadership roles
Preferred Qualifications
Experience in healthcare industry, including health insurance, PBM or pharmacy services
Experience in regulated industry and compliance environment
Experience with Vendor Relationships
Collections experience or other direct Customer-facing experience
Education
Bachelors degree required
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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