Infusion Revenue Cycle Consultant jobs in United States
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Cencora · 3 weeks ago

Infusion Revenue Cycle Consultant

Cencora is committed to creating healthier futures and is seeking an Infusion Revenue Cycle Consultant to drive innovation in the infusion reimbursement market. This role involves optimizing revenue performance for health system customers and shaping the product portfolio while managing customer engagements and enhancing deliverables.

Emergency MedicineEnterprise SoftwareHealth CareMedicalPharmaceutical

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%

Qualification

Infusion billingPayer contractingCRM softwareMedication reimbursementAnalytical skillsMicrosoft OfficeRelationship-buildingProblem-solvingCommunication skills

Required

Bachelor's degree in a related field
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)
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)
Open to challenges and committed to continuous improvement
Strong relationship-building skills to effectively build customer relationships
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

Preferred

Previous consulting experience

Benefits

Medical, dental, and vision care
Backup dependent care
Adoption assistance
Infertility coverage
Family building support
Behavioral health solutions
Paid parental leave
Paid caregiver leave
Training programs
Professional development resources
Mentorship programs
Employee resource groups
Volunteer activities

Company

Cencora is a global healthcare company that advances the development and delivery of pharmaceuticals and healthcare products.

Funding

Current Stage
Public Company
Total Funding
$4.83B
2024-12-02Post Ipo Debt· $1.8B
2024-02-05Post Ipo Debt· $500M
2022-11-07Post Ipo Secondary· $500M

Leadership Team

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Robert Mauch
President and Chief Executive Officer
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Mike Baca
Senior Director, AI Platforms & Solutions
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Company data provided by crunchbase