Associate Manager, Payer Relations - Data Specialist

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This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose.
We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary The Associate Manager, Payer Relations - Data Specialist will report to the Manager, Accounts Receivable Specialty.
This person will assist Manager to analyze data across the business to make informed decisions or assist other team members and leadership in making sound decisions.
The primary responsibilities include: Identify, analyze, and interpret trends or patterns in data sets.
Work with management to prioritize business and information needs.
Developing workflow and work assignment strategies that contribute to the highest degree of productivity and accuracy Evaluating and identifying streamlined approaches to routine payment variance reviews to ensure most efficient, accurate review and escalation process.
Validating payment variances to contract terms, partnering with Reimbursement Analysis, payers, and client contacts to address payment discrepancies and escalating payment variances as appropriate.
Leading innovation through system enhancements and process redesign, manage and support projects as assigned by management, requested by payers, system enhancements and process changes.
The Manager will also be responsible for supporting the RCM team by leading colleagues responsible for developing workflow systems and streamlining processes within the department.
The Manager will also be responsible for preparation and coordination for all internal SOX Audits.
Required Qualifications 2+ years of experience working with data in Microsoft Access, Excel, and other analytical tools; including the ability to sort, filter, highlight, ad columns, create pivot tables, and utilizing formulas to compare large data sets.
3+ years experience in the healthcare industry.
Preferred Qualifications Experience with payer contracting, insurance plans and reimbursement analysis preferred.
Proven ability to collaborate across business lines to work towards enterprise goals and objectives.
Ability to manage multiple workstreams and deliver results that meet or exceed expectations.
Extreme accuracy, organizational skills, and attention to detail.
Ability to work in teams and coordinate work efforts.
Exceptional verbal, interpersonal and written communication skills.
Ability to evaluate work and process flow to ensure optimal efficiencies.
Ability to manage multiple priorities.
Experience in a high intensity, fast paced production environment.
Experience working with revenue cycle applications and healthcare finance and accounting principles Bachelor’s degree in business administration, accounting, finance, or health care management preferred Education Bachelor's Degree or Equivalent experience required Pay Range The typical pay range for this role is: $43,700.
00 - $100,000.
00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.
The Company offers a full range of medical, dental, and vision benefits.
Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.
The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.
CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.
As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year.
Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.
CVSHealth.
com/benefits CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment.
Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities.
As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions.
CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.
com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS).
We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.