CVS Health · 10 hours ago
Analyst, Revenue Cycle
United States
Full-time
Remote
Mid, Senior Level
$44K/yr - $94K/yr
5+ years expCVS Health is focused on building a connected and compassionate health experience. The Analyst, Revenue Cycle role involves acting as a subject matter expert in revenue cycle processes, conducting data analysis, and coordinating with cross-functional teams to improve revenue cycle efficiency and compliance.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
Act as a subject matter expert (SME) for all revenue cycle AR related to Infusion & Enteral and associated interfaces
Conducts data analysis and performs financial reviews to identify opportunities for revenue cycle improvement, including areas such as coding, billing, and reimbursement
Coordinates with cross-functional teams, including finance, billing, and coding departments, to identify and resolve revenue cycle issues, ensuring accurate and timely reimbursement
Under close supervision monitors key performance indicators (KPIs) and metrics related to revenue cycle management, providing regular reports and insights to management for decision-making and performance evaluation
Assists in the development and implementation of revenue cycle improvement initiatives, such as process enhancements, technology solutions, and training programs
Conducts audits and reviews to ensure compliance with coding, billing, and reimbursement regulations, identifying areas of non-compliance and implementing corrective actions
Assists in the development and maintenance of revenue cycle policies, procedures, and documentation, ensuring adherence to regulatory requirements and industry best practices
Coordinates with revenue cycle stakeholders to optimize revenue capture, streamline workflows, and improve operational efficiency
Works with revenue cycle staff, including training on coding and billing practices, addressing inquiries, and resolving complex issues
Stays informed about industry trends, changes in healthcare regulations, and advancements in revenue cycle management practices
Analyze and resolve complex payer issues within established time frames
Qualification
Required
5 or more years of revenue cycle experience, including a minimum of 3 years of Healthcare Industry billing experience
Verifiable High School Diploma or GED required
Preferred
Experience working with revenue cycle applications and healthcare finance and accounting principles
Familiarity with Specialty pharmacy and/or post-acute operations
Ability to multi-task and manage multiple projects or trainings at one time
Knowledge of federal, state and commercial payer reimbursement rules and regulations
Exceptional organizational skills and the ability to effectively prioritize work, multi-task, and follow through on assignments
Strong presentation skills
Excellent oral, written, and interpersonal communication skills
Prior experience with AR reporting including trending, aging, forecasting, etc
Skilled in use of MS Office Applications, particularly Excel
Ability to translate and effectively analyze large data sets
Highly motivated self-starter with the ability to work both independently and as a part of a cross-functional team
Strong working knowledge of Windows-based software applications (e.g., Word, PowerPoint, Excel, Visio)
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
2026-01-25
Company data provided by crunchbase