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Vice President of Billing
4 months ago
**Description**
**Clarest Health is looking for a Vice President of Billing in the Midwest Area**
**This position is remote with up to 20% travel.**
**Those living in the Midwest or Mid-Atlantic regions of the United States are encouraged to apply.**
**Who we are**:
Clarest Health was established by bringing together the best brands and solutions in the medication management landscape. This integration has resulted in a comprehensive solution, drawing from 73 years of collective experience, to provide innovative and holistic pharmacy care solutions.
**What you will do**:
- Provide strategic and operational oversight of billing operations for customers and third-party payers.
- Supervise all billing departments, including intake, third-party reimbursements, billing, and the Clinical Services Center.
- Cultivate and maintain positive business relationships with healthcare executives to support company initiatives.
- Lead short
- and long-term strategic practices to enhance sales and gross profit margin.
- Ensure operational excellence to facilitate timely and accurate delivery of pharmaceuticals.
- Monitor contracts and regulatory changes to ensure compliance and adequate reimbursement.
- Collaborate cross-functionally with sales, client success, and pharmacy locations to deliver best-in-class customer service.
- Establish and foster collaborative relationships with third-party payers.
- Research, analyze, and resolve reimbursement items to ensure accuracy and proper payments.
- Utilize KPIs and metrics to drive process efficiencies and optimize performance.
- Lead reimbursement aspects of key strategic growth initiatives and prospective acquisitions.
- Harness technology to drive process efficiencies and enhance customer service.
- Manage the billing operations budget and oversee resource utilization.
- Provide coaching and mentorship to team members to foster a culture of continuous improvement.
**What you will bring**:
- Residents of the Midwest or Mid-Atlantic Regions of the United States preferred.
- Bachelor's Degree required; Pharmacist licensure (RPh or PharmD) with significant financial or payer experience highly preferred.
- 8-10 years of leadership experience in a similar role within the healthcare industry, with a minimum of 5 years in management.
- Proven track record in third-party billing and/or healthcare experience.
- Understanding of long-term care, mail order, retail or home care industries
- Framework experience preferred.
- Willingness to travel up to 20% of the time.
**Join our team and be part of a compassionate and innovative organization dedicated to serving seniors and improving their quality of life.
