Senior Revenue Cycle Management Consultant – CarelonRx

Elevance Health

Senior Consultant in Revenue Cycle Management for CarelonRx at Elevance Health. Responsibilities include revenue cycle reporting, performance analysis, and financial insights for healthcare.

Posted 6/16/2026full-timeCincinnati • Florida, Ohio, Texas, Virginia • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact

Responsible for developing, maintaining, and interpreting revenue cycle reporting that helps leaders identify reimbursement risks, denial trends, cash acceleration opportunities, and operational performance gaps
Turns large volumes of claims, billing, payer, and operational data into actionable insight for specialty and infusion pharmacy leaders
Works with management to provide decision-support analysis, including revenue cycle performance insights across access, billing, denials, collections, reimbursement, and accounts receivable
Conducts and documents complex financial and business analyses and research in areas including revenue realization, denial and underpayment trends, payer behavior, reimbursement timing (lag), write-offs, cash collections, and related performance drivers
Builds, automates, and maintains recurring and ad hoc reports, dashboards, and scorecards; establishes reporting logic, data definitions, and metric standards to improve consistency and confidence in performance reporting
Focuses on business improvement initiatives and leads projects by tracking and monitoring key KPIs (e.g., authorization cycle time, clean claim rate, denial rate, days in A/R, net collections, underpayments, and referral-to-start conversion) and identifies root causes and financial impact
Partners with cross-functional teams (revenue cycle, operations, managed care, finance, and IT) to support decision-making and performance improvement initiatives; translates complex data into clear findings, recommendations, and leadership-ready materials
Provides guidance to less experienced financial consultants/analysts on reporting methods, metric interpretation, and analysis approach

Requirements

What you’ll need

Requires a BA/BS in accounting or finance
Minimum of 5 years budgeting, forecasting and accounting financial reporting experience; or any combination of education and experience, which would provide an equivalent background
Experience working with pharmacy, infusion, hospital, or provider-based billing data preferred
Experience with EHR, practice management, billing, or payer portal data sources preferred
Familiarity with revenue integrity, managed care, or reimbursement analytics preferred
Pharmacy revenue cycle experience highly desired
MBA, CPA, CMA, FSA, and/or CFA preferred

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs (unless covered by a collective bargaining agreement)
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

financial analysisrevenue cycle reportingdata analysisreport automationKPI trackingbudgetingforecastingaccountingperformance reportingreimbursement analytics

Soft Skills

decision supportcommunicationleadershipcollaborationproblem-solvingproject managementmentoringanalytical thinkingattention to detailbusiness improvement

Certifications

BA/BS in accountingBA/BS in financeMBACPACMAFSACFA