Director, Pharmacy Revenue Cycle Management

Humana • Louisville, KY

14d

About The Position

Become a part of our caring community and help us put health first The Director, Revenue Cycle Management for Humana Pharmacy will own the billing, collections and reporting for CenterWell Pharmacy & Specialty pharmacy and Humana Pharmacy Solutions, Humana’s captive PBM. This role will lead a large workforce across multiple geographies to maximize our billing while also ensuring to meet our patient, pharmaceutical clients and PBM partner needs. Within CenterWell Pharmacy, we continue to lead the industry with new product launches, including our Direct to Consumer and Direct to Employer offerings. This leader will be nimble and change oriented to meet the evolving market needs. This position may involve some financial budgeting as well as making decisions related to implementation of new/updated programs or large-scale projects to help support the strategic goals of the pharmacies. Additionally, the candidate will have the following key responsibilities: · Own the reconciliation of billing with the GL with partnership with controllership team · Provide comprehensive decision-making across the enterprise as it comes to revenue accounting · Develop and maintain team performance across our BPO partner and internal associates · Monitor performance by comparing and analyzing actual results with plans and forecasts · Improve financial status by analyzing results and variances, identifying trends, and recommending actions Use your skills to make an impact

Requirements

• Bachelor's degree in finance, accounting or related field
• 8 or more years of revenue cycle management
• 5 or more years of management experience
• Experience advising senior leadership on billing/collections strategies
• Knowledge of pharmacy revenue cycle management
• Prior experience developing methods and criteria for revenue cycle management
• Exceptional communication and presentation skills, with the ability to influence and engage diverse audiences
• Ability to lead and manage special projects that may necessitate cross-functional partnerships
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Nice To Haves

• Prior health insurance industry experience working in revenue cycle management
• Pharmacy pricing knowledge or experience

Responsibilities

• Own the reconciliation of billing with the GL with partnership with controllership team
• Provide comprehensive decision-making across the enterprise as it comes to revenue accounting
• Develop and maintain team performance across our BPO partner and internal associates
• Monitor performance by comparing and analyzing actual results with plans and forecasts
• Improve financial status by analyzing results and variances, identifying trends, and recommending actions

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees