Staff VP Revenue Cycle Management

Position summary

CarelonRx A proud member of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

Responsible for billing, collections, and overall AR management for Specialty Rx.

Position accountabilities

• Direct and oversee all operations related to Revenue Cycle Management, including billing, collections, handling patient inquiries, managing payor audits, and overseeing patient copay accounts.

• Develop and implement strategies for Revenue Cycle Management to support and drive overarching organizational business goals.

• Manage structures and processes to achieve company objectives related to accounts receivable, write-offs, cash collection, cash posting, and net billing revenue.

• Ensure compliance with state and federal regulations, as well as adherence to Medicare and private insurance guidelines.

• Lead and oversee the department responsible for the system maintenance of existing revenue cycle applications.

• Provide oversight for system implementations, conversions, and upgrades related to revenue cycle applications.

Position requirements

• Bachelor's degree in Accounting, Finance, or Business Administration (BA/BS) is required.

• Minimum of 10 years of experience in healthcare revenue cycle management and/or patient financial services.

• Master of Business Administration (MBA) is preferred.

• Strong strategic planning and organizational skills.

• Excellent leadership and team management abilities.

• In-depth knowledge of healthcare regulations and compliance standards.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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.

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 and Influenza. 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 protected] for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.