IQVIA

Finance Manager

IQVIA

full-time

Posted on:

Location Type: Remote

Location: Remote • Florida, Pennsylvania • 🇺🇸 United States

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Salary

💰 $68,800 - $172,100 per year

Job Level

Mid-LevelSenior

About the role

  • 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.
  • 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

  • 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.
Benefits
  • Health insurance
  • Flexible work arrangements
  • Professional development opportunities

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
financial analysisbudgetingforecastingclaims reconciliationdata analysisthird-party claims adjudicationreconciliation dashboardsEHR systemspharmacy billing softwarevariance analysis
Soft skills
time managementindependent workteam collaborationcommunicationproject managementpresentation skillsproblem-solvingleadershipanalytical thinkinginterpersonal skills
Certifications
Bachelor's Degree in FinanceBachelor's Degree in Accounting
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