Elevance Health Staff VP Revenue Cycle Management (US) in MIDLAND, Georgia
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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
FL, ALTAMONTE SPRINGS
NY, NEW YORK
North Carolina, Cary
TX, GRAND PRAIRIE
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.
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.
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.
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
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
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Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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. Unless 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 an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
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 email@example.com for assistance.
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