Description:
The Senior Advisor will lead/facilitate internal and external-facing meetings, lead multi-functional projects, perform financial and operational analyses, report out findings to key stakeholders, deliver on process improvements, make financial reserve recommendations to Accounting, and resolve operations issues within Accredo and with payors. During discussions with a payor, if the reason identified for collections challenges is directly linked to Accredo process, it is the responsibility of the Financial Analysis Sr. Advisor to collaborate internally and drive solutions that will reduce payer-denied claims and mitigate bad debt.
Responsibilities:
- Build and develop client-facing relationships that are key to identifying and resolving complex issues that are impacting collections and/or contributing to bad debt.
- Understanding/identifying internal operational processes that may lead to bad debt, identify appropriate opportunity for improvement and increase profitability at both the drug and payor level.
- Identification of Accounts Receivables at risk of non-payment, and basic understanding of financial payor reserves and bad debt impacts (ie. improper authorizations, incorrect benefit billed, incorrect payor).
- Preparation, review, and presentation of bi-weekly and monthly payor risk analysis with internal partners, including Account Management, RCM, Finance and Accounting.
- Support reporting needs associated with accounts receivables for quarterly business reviews with the payor and account team.
- Coordinate settlements between Accredo and payors as needed which includes owning the spreadsheets with the payors, owning communications of reserve, working with the Account Management team on legal considerations, coordinating the posting of the payment, and submitting the adjustments for Boston Work Station (RPA) processing.
Qualifications:
- High School or GED required, Bachelors degree preferred
- Strong Financial Acumen required
- Knowledge of pharmacy operations, Accredo processes and Accredo business model required.
- End to end/cross-functional process improvement orientation
- Ability to extract, analyze, synthesize and report on large quantities of data
- Self-motivated and goal-oriented
- Adept at working in a fast paced work environment and is adaptable to the changing needs of the business
- Advanced problem-solving and analytical skills
- Ability to make informed decisions independently with imperfect information
- Ability to manage multiple priorities, drive results, execute and deliver timely
- Financial focus on decreasing and mitigating bad debt and managing payer accounts receivable
- Excellent verbal and written communication and presentation skills
- Detail oriented with strong organization skills
- Ability to collaborate across multiple stakeholders and work streams to resolve root causes issues impacting receivables.
- Strong project management skills to achieve cross-functional results
- Basic understanding of Accredo contracts and ability to make recommendations to improve cash flow.
- Working knowledge of Accredo’s RxHome application, MS products (excel/PowerPoint, Word, Visio & OneNote) and Tableau. Alteryx knowledge preferred.
- Willingness to travel 10-20%