Revenue Cycle Consultant

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

Job Details

Are you ready to make a meaningful impact in the infusion reimbursement market? Under the guidance of the Vice President of Portfolio Strategy, Infusion, you will have the unique opportunity to drive Innovation, leverage your expertise to optimize revenue performance for our health system customers and shape the future by playing a key role in defining the direction of our product portfolio and influencing the culture of our expanding team. Knowledge of national and regional payer policies, coding, and government payers will be invaluable as we strive to enhance our customer engagements and deliver exceptional results. Join us in this exciting journey to transform the infusion landscape!

Responsibilities :

Lead RCM engagements, assessing existing programs and identifying enhancement opportunities through data-driven KPI assessments.

Spot inefficiencies in current procedures and recommend actionable enhancements, building recommendation reports with supporting timelines for execution.

Oversee program improvements identified and drive change management at organizations to realize greater revenue.

Develop reimbursement training content and facilitate education of customer employees..

Maintain knowledge of CRM tools used by customers in the reimbursement process.

Manage escalation pathways for complex reimbursement cases.

Start as an individual contributor working alongside teammates with potential to manage a team as we scale.

Work with internal leadership and external partners to identify new strategies and business opportunities based on customer needs.

Develop a toolkit to scale customer engagements and enhance deliverables, including best practices documentation and SOPs.

Track payor trends and challenges, creating resources to support customer-specific strategies.

Represent Cencora at conferences and generate commercial activity.

Assist in customer proposal development and finalist meetings.

Willingness to travel up to 40%.

Education :

Bachelor's degree in a related field preferred

5+ years in infusion billing, reimbursement, and / or payer contracting.

Experience in pharmaceutical supply chain or healthcare reimbursement

Familiarity with industry EMR, CRM and RCM software platforms (e.g., CareTend, Brightree, Epic)

Previous consulting experience preferred

Skills and Knowledge :

Understanding of medication reimbursement, patient assistance programs, and CRM system functionality

Knowledge of billing best practices in home infusion and infusion suites; infusion clinic (buy-and-bill) preferred

Open to challenges and committed to continuous improvement

Strong relationship-building skills to effectively build customer relationship

Comfortable with ambiguity; able to act independently and seek guidance as needed

Well-organized with the ability to manage multiple customer engagements

Strong analytical and problem-solving skills, familiarity with accounting and financial metrics

Effective oral and written communication skills

Proficient in computer use and knowledgeable in Microsoft Office

#LI-DL1

Education :

Bachelor's degree in a related field preferred. 5+ years in infusion billing, reimbursement, and / or payer contracting. Experience in pharmaceutical supply chain or healthcare reimbursement. Familiarity with industry EMR, CRM and RCM software platforms (e.g., CareTend, Brightree, Epic). Previous consulting experience preferred.

Skills and Knowledge :

Understanding of medication reimbursement, patient assistance programs, and CRM system functionality

Knowledge of billing best practices in home infusion and infusion suites; infusion clinic (buy-and-bill) preferred

Open to challenges and committed to continuous improvement

Strong relationship-building skills to effectively build customer relationship

Comfortable with ambiguity; able to act independently and seek guidance as needed

Well-organized with the ability to manage multiple customer engagements

Strong analytical and problem-solving skills, familiarity with accounting and financial metrics

Effective oral and written communication skills

Proficient in computer use and knowledgeable in Microsoft Office

#LI-DL1

What Cencora offers

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https : / / www.virtualfairhub.com / cencora

Full time

Salary Range

$124,000 - 190,850

• This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado / California / Washington / New York / Hawaii / Vermont / Minnesota / Massachusetts / Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.

Equal Employment Opportunity

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.

The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.

Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned

Affiliated Companies :

Affiliated Companies : Centaur Services