Senior Manager, Member A/R and Disputes

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 SummaryThe Sr. Manager , Member A/R and Disputes requires an ambitious, motivated, and eager individual, looking to work for an industry-leading company. This position is part of our PBM Financial Operations Member Experience department, a dynamic and skilled group, which manages all member-facing financial activities for CVS Health's Caremark business. The Sr. Manager will oversee all member A/R and collections activities for our m ail o rder p harmacy along with member dispute resolution for mail order and the Medicare Prescription Payment Program (M3P) . Key Responsibilities -Lead the team and build relationships across departments to deliver on key enterprise initiatives-Manage multiple projects with strict deadlines, delivering best in class service to stakeholders , and identifying business and client requirements associated with team/department deliverables-Actively find solutions for resolving complex processes/requests through creative and sustainable solutions, identify opportunities to increase operational efficiency utilizing proven metrics, and initiate and lead projects which align to departmental goals.
- Functional accountability to oversee client relationships, member inquiry, vendor relationships, premium invoicing , application of payments, and reconciliation of payment functions-Organize cross-functional teams to support larger organizational efforts; facilitating internal and external discussions to identify and/or resolve issues-Identify opportunities for process improvements aligning with long-term organizational strategies-Maintain high standards of compliance including adherence to policies and regulations set forth by government agencies including the Centers for Medicare and Medicaid Services (CMS)This is a hybrid role requiring 3 days per week on-site at one of these locations: Northbrook, IL, Scottsdale, AZ, Irving, TX, Hartford, CT, or Woonsocket, RI. Additional CVS Health locations and Remote may be considered.Required Qualifications

• 7 + years experience in finance, billing, or a related field

• 3 + years experience leading a team and developing talent

• Knowledge of SAP, S4 , LINKS, SalesForce , RxClaim , PeopleSafe, Compass and other Caremark specific applications

• Demonstrated ability to determine key business issues and develop appropriate action plans from multi-disciplinary perspectives

• Ability to quickly grasp a new subject and cultivate subject matter expertise to become a resource for all questions and requests related to this domain area within the department and organization

• Strong written and verbal communication skills

• Ability to manage through all levels of the organization

• Ability to function effectively in a high-volume, fast-paced environment

• Intermediate experience with Excel and Access

• Understanding of data fundamentals including developing and utilizing relational databases

• General knowledge of Medicare Part D

• Bachelor's Degree or equivalent work experience required

• 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.