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
40Time Type
Full timePay Range
The typical pay range for this role is:
$66,330.00 - $145,860.00This 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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
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.
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.
Skills Required
- Minimum 5-7 years of professional experience in healthcare management leading teams of individual contributors
- Experience overseeing projects and processes requiring complex resolution across short- and long-term timelines
- Experience working with legal and compliance partners to maintain billing and coding guidelines
- Experience as a business analyst, report writer, project manager, or in a similar role
- Experience monitoring KPIs and reporting variances, risks, and process improvement opportunities
- Epic Professional Billing PB Resolute experience
- Epic PB reporting experience with Slicer Dicer and Workbench Reporting
- AAPC certification such as CPB, CPC, or CRC
- Proficiency with Microsoft Office tools including Word, Excel, and PowerPoint
- Excellent written and oral communication skills
- Experience developing and maintaining standard operating procedures
- Ability to analyze and interpret status and outcome reports and provide actionable insights to senior leadership
- Bachelor's degree
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
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Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
CVS Health Insights
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
