Senior Manager, Member A / R and Disputes

Sr. Manager, Member A / R and Disputes

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Sr. Manager, Member A / R and Disputes requires an ambitious, motivated, and eager individual, looking to work for an industry-leading company. This position is part of our PBM Financial Operations Member Experience department, a dynamic and skilled group, which manages all member-facing financial activities for CVS Health's Caremark business. The Sr. Manager will oversee all member A / R and collections activities for our mail order pharmacy along with member dispute resolution for mail order and the Medicare Prescription Payment Program (M3P).

Key Responsibilities

• Lead the team and build relationships across departments to deliver on key enterprise initiatives
• Manage multiple projects with strict deadlines, delivering best in class service to stakeholders, and identifying business and client requirements associated with team / department deliverables
• Actively find solutions for resolving complex processes / requests through creative and sustainable solutions, identify opportunities to increase operational efficiency utilizing proven metrics, and initiate and lead projects which align to departmental goals.

Functional accountability to oversee client relationships, member inquiry, vendor relationships, premium invoicing, application of payments, and reconciliation of payment functions.

This is a hybrid role requiring 3 days per week on-site at one of these locations : Northbrook, IL, Scottsdale, AZ, Irving, TX, Hartford, CT, or Woonsocket, RI. Additional CVS Health locations and Remote may be considered.

Required Qualifications

Preferred Qualifications

Education

Pay Range

The typical pay range for this role is :

$75,400.00 - $182,549.00

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.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

We anticipate the application window for this opening will close on : 10 / 31 / 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.