Revenue Cycle Consultant

Centaur Services

36d • Remote

About The Position

Are you ready to make a meaningful impact in the infusion reimbursement market? Under the guidance of the Vice President of Portfolio Strategy, Infusion, you will have the unique opportunity to drive Innovation, leverage your expertise to optimize revenue performance for our health system customers and shape the future by playing a key role in defining the direction of our product portfolio and influencing the culture of our expanding team. Knowledge of national and regional payer policies, coding, and government payers will be invaluable as we strive to enhance our customer engagements and deliver exceptional results. Join us in this exciting journey to transform the infusion landscape!

Requirements

• Bachelor's degree in a related field preferred
• 5+ years in infusion billing, reimbursement, and/or payer contracting.
• Experience in pharmaceutical supply chain or healthcare reimbursement
• Familiarity with industry EMR, CRM and RCM software platforms (e.g., CareTend, Brightree, Epic)
• Understanding of medication reimbursement, patient assistance programs, and CRM system functionality
• Knowledge of billing best practices in home infusion and infusion suites; infusion clinic (buy-and-bill) preferred
• Open to challenges and committed to continuous improvement
• Strong relationship-building skills to effectively build customer relationship
• Comfortable with ambiguity; able to act independently and seek guidance as needed
• Well-organized with the ability to manage multiple customer engagements
• Strong analytical and problem-solving skills, familiarity with accounting and financial metrics
• Effective oral and written communication skills
• Proficient in computer use and knowledgeable in Microsoft Office

Nice To Haves

• Previous consulting experience preferred

Responsibilities

• Lead RCM engagements, assessing existing programs and identifying enhancement opportunities through data-driven KPI assessments.
• Spot inefficiencies in current procedures and recommend actionable enhancements, building recommendation reports with supporting timelines for execution.
• Oversee program improvements identified and drive change management at organizations to realize greater revenue.
• Develop reimbursement training content and facilitate education of customer employees..
• Maintain knowledge of CRM tools used by customers in the reimbursement process.
• Manage escalation pathways for complex reimbursement cases.
• Start as an individual contributor working alongside teammates with potential to manage a team as we scale.
• Work with internal leadership and external partners to identify new strategies and business opportunities based on customer needs.
• Develop a toolkit to scale customer engagements and enhance deliverables, including best practices documentation and SOPs.
• Track payor trends and challenges, creating resources to support customer-specific strategies.
• Represent Cencora at conferences and generate commercial activity.
• Assist in customer proposal development and finalist meetings.
• Willingness to travel up to 40%.

Benefits

• We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day.
• In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness.
• This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
• To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level