CASY-MSCCN Jobs

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Staff VP Revenue Cycle Management (US)

• Job Family: Finance and Actuarial

• Type: Full time

• Date Posted:Oct 17, 2023

• Req #: JR90962

Location:

• FL, ALTAMONTE SPRINGS

• CT, WALLINGFORD

• FL, MIAMI

• TN, MEMPHIS

• RI, SMITHFIELD

• KY, LOUISVILLE

• NY, NEW YORK

• North Carolina, Cary

• TX, GRAND PRAIRIE

• NC, WINSTON

• GA, ATLANTA

• TN, NASHVILLE

• FL, TAMPA

• GA, AUGUSTA

• GA, MIDLAND

• DC, WASHINGTON

• TX, HOUSTON

• TN, KNOXVILLE

Description

BioPlus Specialty Pharmacy is now part of CarelonRx, and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.

Staff VP Revenue Cycle Management

Location: Strongly prefer candidate to reside within 50 miles of an Elevance Health office, and able to commute on-site at least 3 days per week.

Summary:

Responsible for billing, collections, and overall AR strategy and management of the BioPlus Specialty Pharmacy business unit. The successful candidate will be able to lead, coordinate, negotiate and develop relationships between the RCM Department, Payers, Physicians, Sales, Customer Service, and Pharmacy Operations. The role reports directly to the business unit CFO.

Position Responsibilities:

• Direct and oversee the operations of Revenue Cycle Management including, billing, collections, facilitating patient inquiries, payor audits, and patient copay accounts.

• Set strategy for Revenue Cycle Management in support of overarching organizational business objectives.

• Manage structure and processes to achieve company objectives regarding A/R, write-offs, cash collection, cash posting, and net billing revenue. Ensure compliance with all state and federal regulations and maintain compliance with all Medicare and private insurance regulations.

• Directs and oversees department responsible for system maintenance of existing revenue cycle applications.

• Provides oversight for system implementations, conversions, and upgrades for revenue cycle applications.

Position Requirements:

Requires a BA/BS in Accounting, Finance, or Business Administration and a minimum of 10 years of experience in healthcare revenue cycle management and/or patient financial services role.

Preferred Skills, Capabilities and Experiences:

• Strong experience in Part B (HME/DME) billing including experience in specialty pharmacy and infusion billing

• MBA preferred

• Minimum five (5) years Executive level (VP level or above) experience

• Minimum ten (10) years of experience in a progressively responsible healthcare revenue cycle and/or patient financial services role.

• Strategic thinker, and big picture leader

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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Email us (elevancehealth@icareerhelp.com) or call 1-877-204-7664