Lead Director, Revenue Cycle, CVS Health

CVS Health

Location:
United States, Monroeville, Pennsylvania

Category:
Customer Service

Contract Type:
Employment contract

Salary:

100000.00 - 231540.00 USD / Year

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Job Description:

Leads a team responsible for the timely and comprehensive collection and preservation of cash associated to Specialty Pharmacy revenue while minimizing cost to collect. Contributes to fostering a strong culture of employee engagement and compliance, driving efficient operations, continuous improvement, and strategy development and execution.

Job Responsibility:

Develop and maintain a strong revenue cycle leadership team and staff
Provide direct oversight to billing and collections operations ensuring departmental performance goals are met
Monitor and trend department performance metrics
Investigate variances and resolves any issues
Maintain primary responsibility for resolving all payer/client issues
Assure compliance with all regulatory, payer, and Government directed programs
Advance the adoption of automation, AI, and strategic solutions
Elevate customer service standards and patient financial experience
Maintain accountability for providing leadership and financial reporting
Participate in revenue cycle strategy development
Evaluate new vendor capabilities and participate in contracting process
Responsible for managing policy and procedure development
Use predictive insights to proactively identify revenue risks
Monitor KPI's and metrics related to reimbursement, cash flow, aging AR and denial trends
Serve as subject matter expert for billing regulations and lead education efforts

Requirements:

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
Bachelor degree OR equivalent experience

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
August 25, 2025

Expiration:
September 05, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Lead Director, Revenue Cycle

CVS Health

Location:United States, Monroeville, Pennsylvania

Category:Customer Service

Contract Type:Employment contract