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Job Overview:

Provides financial analysis support and insight to **pharmacy rebates from manufacturers** . Provides control, coordination, reconciliation and management of financial data flow for strategic planning **,** variance analysis, management reporting, budgeting, forecasting, and support of ad-hoc analysis to meet operational requirements.

Essential Functions and Responsibilities:

+ Analyzes monthly budget and revenue results to identify key growth drivers and trends.

+ Leads the monthly management forecast process for **pharmacy rebate manufacturers.**

+ Recommends and implements system solutions for the budget and forecast processes.

+ Presents budget and forecast analysis and presentations for senior management.

+ Responsible for **claims reconciliations and claims processing** .

+ Identify and manage **payment data related to claims, rebill, and manage overrides.**

+ Audit readiness and fraud detection—including clawbacks, reversals, and EFT traceability

+ Responsible for cycle close out reconciliation and month end bank reconciliation.

+ Daily banking overview, validating and posting receipts.

+ **Liaison with pharmacies, PBMs, and health plans** to resolve payment discrepancies.

+ Educate providers on billing processes and assistance programs.

+ Supports and maintains an ongoing process of system and procedure reevaluation.

+ Monitors and reports on areas of operational risk and/or opportunity.

+ May guide support data analysts and commercial owners in reconciliation.

+ Research and report on ad hoc information requests.

Requirements & Qualifications:

+ **This role is US based, fully remote, and works in eastern or central time zone hours.**

+ To be eligible for this position, you must reside in the same country where the job is located.

+ Bachelor's Degree Or equivalent in Finance/Accounting Required.

+ 5+ years of progressively responsible experience in business analysis, accounting and finance required.

+ **Healthcare Industry experience Required.**

+ Experience with **pharmacy billing software, MS Excel, and EHR systems** preferred.

+ **Experience with third-party claims adjudication and reconciliation tools such as Opus, and Central Pay preferred.**

+ **Technical & Regulatory Knowledge including understanding of PBM systems and Medicaid/Medicare billing, familiarity with NCPDP standards, and knowledge of HIPAA compliance and PCI standards for handling sensitive patient and payment data.**

+ Experience with reconciliation dashboards and data dictionaries.

+ Excellent time management skills and ability to work independently or with a team.

+ Proven record of results working with senior management.

+ Strong project management skills and the ability to translate business issues into financial requirements.

+ Technical proficiency with financial application software is essential.

+ High level of integrity and self-confidence with excellent communication skills.

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

The potential base pay range for this role, when annualized, is $68,800.00 - $172,100.00. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide.

To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.

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