Director - Benefits Verification

  • Company: CVS Health
  • Location: Mount Prospect, Illinois
  • Posted: December 09, 2017
  • Reference ID: 730921BR
Position Summary:
The primary responsibilities of the Director of Benefits Verification is to oversee all Benefits Verification across multiple sites in the Specialty organization which includes accountability for service performance, customer satisfaction, financial performance, and regulatory compliance.

Duties and responsibilities include:

Accountable for leading the management team with respect to benefits investigation including internal and external payers, major medical and electronically adjudicated payers, including prior authorizations, where applicable. Responsibilities include:
* Service performance, customer satisfaction and financial performance.

* L
ead the team of managers that make up a team of 600+ staff colleagues.
* Collaborate with other functional areas to support operational and financial objectives of the specialty pharmacy services group as it relates to day-to-day pharmacy operations.
* Acts as the subject matter expert for cross functional collaborative efforts.
* Provides effective leadership and direction to all direct reports while managing and fostering a dynamic and progressive work environment characterized by high integrity, productivity, quality, and a
commitment to excellence and respect.
* Develops staffing plan for the department in collaboration with recruiting and human resources.
* Facilitates effective communication within the organization and with other departments that may interact with the Benefits Verification Department.

Required Qualifications:
* 10+ years of operational leadership experience in managing multiple operations, teams, and business processes in a healthcare environment, which includes oversight and accountability of financial budgets, financial goals and planning. *
Experience overseeing teams of a minimum of 150 people.

Preferred Qualifications:
Specialty Pharmacy, benefits verification and/or medical billing and reimbursement experience

Bachelor's Degree in related field

Business Overview:
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

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