• The Director, Revenue Cycle Management for Humana Pharmacy will own the billing, collections and reporting for CenterWell Pharmacy & Specialty pharmacy and Humana Pharmacy Solutions, Humana's captive PBM
• This leader will be nimble and change oriented to meet the evolving market needs
• This position may involve some financial budgeting as well as making decisions related to implementation of new/updated programs or large-scale projects to help support the strategic goals of the pharmacies
• Own the reconciliation of billing with the GL with partnership with controllership team
• Provide comprehensive decision-making across the enterprise as it comes to revenue accounting
• Develop and maintain team performance across our BPO partner and internal associates
• Monitor performance by comparing and analyzing actual results with plans and forecasts
• Improve financial status by analyzing results and variances, identifying trends, and recommending actions
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

• Bachelor's degree in finance, accounting or related field
• 8 or more years of revenue cycle management
• 5 or more years of management experience
• Experience advising senior leadership on billing/collections strategies
• Knowledge of pharmacy revenue cycle management
• Prior experience developing methods and criteria for revenue cycle management
• Exceptional communication and presentation skills, with the ability to influence and engage diverse audiences
• Ability to lead and manage special projects that may necessitate cross-functional partnerships
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested

Satellite, cellular and microwave connection can be used only if approved by leadership

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense
• The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting

The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc $126,300 - $173,700 per year

• This job is eligible for a bonus incentive plan
• This incentive opportunity is based upon company and/or individual performance
• Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being
• Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work

Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities