Senior Manager, Member A/R and Disputes, CVS Health

CVS Health

Location:
United States, Northbrook

Category:
Finance

Contract Type:
Employment contract

Salary:

Not provided

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Job Description:

The Sr. Manager will oversee all member A/R and collections activities for CVS Health’s Caremark business, along with member dispute resolution for mail order and the Medicare Prescription Payment Program (M3P). This position involves cross-functional collaboration and maintaining compliance with regulations at a high level.

Job Responsibility:

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)

Requirements:

7+ years experience in finance, billing, or a related field
3+ years experience leading a team and developing talent

Nice to have:

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

What we offer:

Affordable medical plan options
a 401(k) plan (including matching company contributions)
an employee stock purchase plan
no-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling and 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:
September 30, 2025

Expiration:
October 31, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Senior Manager, Member A/R and Disputes