Lead Director, Revenue Cycle

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
The Lead Director, Revenue Cycle position leads a team who are collectively responsible for the timely and comprehensive collection and preservation of cash associated to Specialty Pharmacy revenue while minimizing our cost to collect. The Lead Director, Revenue Cycle contributes to fostering a strong culture of employee engagement and compliance. The Lead Director, Revenue Cycle contributes to driving efficient operations, continuous improvement, and short and long term strategy development and execution. The role requires close collaboration across Finance, Operations, Contracting, Legal, Compliance, etc.Key Responsibilities:

• Develop and maintain a strong revenue cycle leadership team and staff through effective recruitment, talent management, creation of a collaborative results-oriented culture, and a focus on continual improvement and provide direct oversight to billing and collections operations ensuring departmental performance goals are met.
• Monitor and trend department performance metrics on a daily and monthly basis.
• Investigate variances and resolves any issues.
• Maintain primary responsibility for resolving all payer/client issues while leading discussions with Payers, Sales and Legal.
• Assure compliance with all regulatory, payer, and Government directed programs within the A/R area.
• Advance the adoption of automation, AI, and strategic solutions to improve our operational efficiency, revenue forecasting, denial prevention, and collection strategies.
• Elevate customer service standards and patient financial experience.
• Maintain accountability for providing leadership and financial reporting and support across the revenue cycle operations, including month-end close activities. Participate in revenue cycle strategy development as a thoughtful leader and content expert, sharing best practices, optimizing performance, and leading the transformation .
• Evaluate new vendor capabilities, participate in the contracting process and support subsequent onboarding and go-live activities.
• Responsible for managing policy and procedure development and adherence. Use predictive insights to proactively identify revenue risks, improve patient financial experience, and guide strategic decision-making.
• Monitor KPI's and metrics related to reimbursement, cash flow, aging AR and denial trends: report findings and recommendations to senior leadership.
• Serve as subject matter expert for billing regulations and lead education efforts across departments.

• Minimum 10 years related work experience.
• Leadership experience overseeing large teams across multiple functions.
• Drives strategy and implements strategy execution.
• Strong change management and organizational transformation experience.
• Proven track record using automation, analytics, or AI-enabled solutions to improve outcomes.
• Ability to thrive in a fast-paced, dynamic environment and manage multiple priorities effectively.

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.