IQVIA

Manager, RHEMA

IQVIA • $95K — $239K *
Washington, DC 20011In-Person
Healthcare
5 - 7 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a relevant field such as Health Information Management or Public Health.
  • 5-10 years of inpatient/outpatient coding and reimbursement experience.
  • Advanced knowledge of relevant coding systems like CPT, HCPCS, ICD-10-PCS, and ICD-10-CM.
  • AAPC or AHIMA certification (e.g., CPC, CCS) is required.
  • Strong analytical, communication, and project management skills.
  • Proficient in Microsoft Office applications.

Responsibilities

  • Serve as a subject matter expert in reimbursement systems and clinical documentation.
  • Lead coding analyses in both inpatient and outpatient settings using relevant coding methodologies.
  • Conduct medical record reviews and coding audits to assess accuracy and compliance risks.
  • Develop comprehensive strategies for reimbursement and market access based on coding insights.
  • Manage all aspects of client engagements including planning, budgeting, and quality control.
  • Prepare detailed reports and present strategic recommendations to stakeholders.
  • Mentor junior team members and contribute to business development activities.

Benefits

  • Flexible work environment with remote options.
  • Opportunities for professional development and mentorship.
  • Exposure to diverse medical technology clients and innovative projects.
  • Potential for bonuses and incentive plans.
Full Job Description
Position Overview

MCRA is seeking a Manager, Reimbursement, Health Economics & Market Access (RHEMA) to join its consulting team. The ideal candidate combines expertise in healthcare reimbursement, coding, medical record review, and reimbursement consulting to support medical technology clients. This role leads coding analyses, reimbursement assessments, client engagements, and strategic market access initiatives while providing project leadership and mentoring junior staff.

Responsibilities and Duties
  • Serve as a subject matter expert in reimbursement systems, coding methodologies, and clinical documentation.
  • Lead inpatient facility and/or outpatient professional coding analyses using CPT, HCPCS, ICD-10-PCS, and ICD-10-CM.
  • Conduct surgical coding audits and medical record reviews to evaluate coding accuracy, reimbursement implications, and compliance risks.
  • Develop reimbursement, payment, coverage, and market access strategies based on coding and clinical findings.
  • Manage client engagements, including project planning, timelines, budgets, quality, and deliverables.
  • Prepare reports, presentations, coding analyses, and strategic recommendations.
  • Present findings to physicians, providers, hospitals, and client stakeholders.
  • Support payer and provider research and evidence-generation initiatives.
  • Lead project teams and mentor junior consultants.
  • Support business development, proposals, and thought leadership initiatives.
  • Maintain expertise in reimbursement policy, coding guidance, and therapeutic-area trends.


Required Qualifications
  • Bachelor's degree in Health Information Management, Nursing, Life Sciences, Public Health, Health Administration, Business, or related field.
  • Typically 5-10 years of inpatient facility and/or outpatient professional coding experience plus reimbursement, consulting, market access, provider strategy, or revenue cycle experience.
  • Advanced knowledge of CPT, HCPCS, ICD-10-PCS, ICD-10-CM, medical record review, and surgical coding audits.
  • Current AAPC or AHIMA certification (e.g., CPC, CCS, CCS-P, RHIA, RHIT).
  • Strong analytical, communication, presentation, project management, and client management skills.
  • Proficiency with Microsoft Office applications.


Preferred Qualifications
  • Advanced degree in a related field.
  • Additional specialty coding credentials.
  • Experience translating coding analyses into reimbursement and market access strategies.
  • Experience presenting to physicians and provider organizations.


Work Environment

Professional office or remote work environment with occasional travel for client meetings, conferences, and internal meetings.

NOTE: This job description is not intended to be all-inclusive. Employees may perform other related duties to meet the ongoing needs of the organization.

The potential base pay range for this role, when annualized, is $95,700.00 - $239,200.00. 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.

About IQVIA

Innovex offers superior and creative advice to corporations. In addition, they raised venture capital for our own affiliate companies, in addition to having assisted clients in fund-raising efforts, new venture outreaches, and financing. Their engineers and technical staff offer varied backgrounds in manufacturing, high tech, product design, quality control, safety, biomechanics, and robotics.

IQVIA Careers

Join the vibrant team at IQVIA, a leading global provider of advanced analytics, technology solutions, and clinical research services to the healthcare industry. IQVIA is recognized for its commitment to innovation, leadership in healthcare, and a culture that celebrates diversity and inclusion.

Work You’ll Do

At IQVIA, we offer job opportunities that empower you to leverage your skills and drive healthcare forward. Become part of a team that thrives on innovation and the pursuit of operational excellence, helping to improve patient outcomes across the globe.

Transform Your Career

IQVIA is the place where you can transform the world of healthcare while advancing your career. With a variety of positions available, from research and development to business analytics, IQVIA is at the forefront of the industry. Our leadership is committed to fostering a culture of growth and professional development, making IQVIA a prime environment for both seasoned professionals and those seeking an internship to kickstart their career.

Innovative Work Environment

Join over 50,000 dedicated professionals in a dynamic environment where technology meets healthcare. At IQVIA, innovation isn’t just a buzzword; it's the backbone of how we solve complex challenges. With cutting-edge resources and a collaborative global team, your work at IQVIA directly contributes to advancements in life sciences.

Career Development and Benefits

IQVIA believes in nurturing its team members not just as employees but as individuals seeking to grow their careers. We support this with unmatched benefits, diversity training, and opportunities for leadership development. Our commitment to your career growth is matched by our dedication to providing a supportive and inclusive workplace.

Explore Job Opportunities

Whether you’re looking for a full-time position, part-time work, or a graduate internship, IQVIA offers a range of employment options to match your career ambitions. Our hiring process is designed to be transparent and engaging, helping you to understand where your skills can best be utilized within the company.

Networking and Professional Development

At IQVIA, networking and professional development are part of our DNA. Engage with industry leaders, participate in global conferences, and take advantage of our in-house training programs designed to enhance your skills and advance your career.

Stay Connected

Join Our Team Search open positions that match your skills and interests. We look for passionate, curious, creative, and solution-driven team players. Explore the diverse job opportunities at IQVIA and find where you can make an impact.

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Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding career opportunities that await at IQVIA. Embark on a journey of growth, innovation, and leadership at IQVIA. Shape your future in an environment that values diversity and fosters professional development. Join IQVIA today and transform healthcare through the power of information and technology.
Learn more about IQVIA
Size
82,000 employees
Market Cap
$37.5 billion
Industry
Pharmaceuticals & Biotech
Net Income
$279 million
Founded
2016
5 Year Trend
+15.3%
Revenue
$11.3 billion
NASDAQ
IQV
* Ladders Estimates

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