Staff VP Revenue Cycle Management

Anticipated End Date:

2025-10-17

Position Title:

Staff VP Revenue Cycle Management

Job Description:

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.

Staff VP Revenue Cycle Management

Location:   May be located in any Elevance Health PulsePoint office preferably in Plano, TX, Lake Mary, FL, Atlanta, GA, Chicago, IL, Indianapolis, IN, or Ohio.

This role requires associates to be in-office at least 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.  Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Summary

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

Position Responsibilities

• 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.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $176,240.00 to $277,578.00.

Locations: Illinois

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Staff/Regional VP

Workshift:

Job Family:

AFA > Financial Operations

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.