Manager, Claims Billing (VBC)

About Cedar Gate Technologies

Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you’ll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.

Hybrid (3 days in office, 2 remote)    

Experience / Qualifications

• →5+ years of experience in professional medical billing, revenue cycle management, or healthcare reimbursement, including at least 2 years of experience leading billing, collections, accounts receivable, or revenue cycle teams.
• →Demonstrated expertise managing the full professional billing lifecycle, including claim submission, payment posting, denial management, appeals, accounts receivable follow-up, and reimbursement optimization.
• →Strong understanding of Medicare, Medicaid, commercial, and managed care reimbursement methodologies, payer requirements, and revenue cycle best practices.
• →Experience analyzing billing data, reimbursement trends, KPIs, payer performance, and accounts receivable metrics to drive operational improvements and financial results.
• →Proficiency with practice management systems, revenue cycle platforms, electronic health records (EHRs), Microsoft Excel, and reporting tools.
• →Proven leadership, coaching, problem-solving, and organizational skills, with the ability to manage multiple priorities in a fast-paced healthcare environment.
• →Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field preferred; equivalent combination of education and experience will be considered.
• →Cardiovascular billing experience strongly preferred. Experience in a physician practice, MSO, specialty medical group, ambulatory care setting, value-based care environment, or population health program is preferred.
• →Preference for those with professional certification such as CPC, CPB, CRCP, or equivalent.
• →Knowledge of CPT, ICD-10, and HCPCS coding concepts, payer contract reimbursement analysis, and underpayment identification is preferred.
• →To be eligible for this position, you must reside in the same country where the job is located.

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.