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PBM Finance Operations - Member Experience Director

Company: CVS Health
Location: Scottsdale
Posted on: June 7, 2021

Job Description:

Job Description

CVS Health has an exciting opportunity to join our PBM Finance team as a Director, PBM Financial Operations - Member Experience. This is a newly created role to report to the Senior Director, Finance Operations, and will lead a team focused on driving operational performance and service excellence. This team will support the core member-facing finance operations within the PBM while working with enterprise teams to establish capabilities and processes that align with similar operations. The Director will have deep operational customer-facing expertise. You will possess excellent communication skills, with the ability to drive strategic initiatives. You will work with leaders across the organization to achieve operational excellence.

Key Responsibilities:

  • Collections - Lead Member Mail Copay Team to drive increased collections and focused service excellence
  • Member Disputes - Lead Member Dispute Team to provide efficient and timely resolution to member issues pertaining to payments and billing
  • Member Premiums - Leader Member Premium Invoice & Payment process to support designated Medicare Part D Plans
  • Member Payments - Leader Member Payments Team to provide

Required Qualifications

10 years of experience in financial or service operations

5 years in leadership roles

Preferred Qualifications

Experience in healthcare industry, including health insurance, PBM or pharmacy services

Experience in regulated industry and compliance environment

Experience with Vendor Relationships

Collections experience or other direct Customer-facing experience


Bachelor's degree required

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Keywords: CVS Health, Scottsdale , PBM Finance Operations - Member Experience Director, Other , Scottsdale, Arizona

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