Job Description Summary: Associate Director Finance Operations

Directs financial planning and accounting practices including budgeting, costing, financial analysis, and long-range forecasting for pharmacy rebates from manufacturers. Partners with the business, providing subject matter expertise and direction for the business/function on financial and accounting issues.

Essential Functions and Responsibilities:

• Responsible for pharmacy prescription claims processing, translating strategy into proactive plans to enable successful achievement of business results.
• Manage, mentor, develop, and lead finance staff.
• Strategic decision-making support and awareness in change management in healthcare setting.
• Client Relationship Management both with direct clients and payees.
• Identify and manage payment data related to claims, rebill, and manage overrides.
• Audit readiness and fraud detection—including claw backs, reversals, and EFT traceability.
• Develops specific business metrics that support timely and actionable information flow for daily operational and long-term strategic planning purposes.
• Directs all aspects of planning and estimation processes related to annual budgeting and strategic plans as well as monthly forecasts.
• May develop pricing strategies, policies and analysis.
• Provides monthly financial reporting to constituencies.
• Ensures achievement of business financial targets by monitoring spending, providing insight, and early warning.
• Liaison with pharmacies, PBMs, and health plans to resolve payment discrepancies.
• Educate providers on billing processes and assistance programs.
• Identifies and monitors areas of risk and/or opportunity and their financial impact on the business.
• Reviews and analyzes new business initiatives and investments to ensure that they conform with local and IQVIA strategic vision and achieve or exceed minimum return on investment requirements.
• Ensures that the recording, measurement and reporting of all financial transactions adhere to generally accepted accounting principles (GAAP), internal IQVIA corporate policies and procedures, government regulations and local business requirements.

Requirements and Qualifications:

• This role is U.S. based, fully remote, and works 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 required - in Finance, Accounting or Financial Management, Required. Graduate degree or equivalent preferred.
• 7+ years of progressively responsible experience in business analysis, accounting and finance from the healthcare industry, required.
• Technical proficiency with financial application software is essential. Understanding of PBM systems and Medicaid/Medicare billing.
• Familiarity with NCPDP standards.
• Knowledge of HIPAA compliance and PCI standards for handling sensitive patient and payment data.
• Claims Reconciliation skills including experience with third-party claims adjudication and reconciliation tools such as Opus, and Central Pay preferred.
• Experience with reconciliation dashboards and data dictionaries.
• Technology Proficiency including use of pharmacy billing software, MS Excel, and EHR systems preferred.
• Knowledge of US GAAP and financial systems required.
• Excellent oral and written communication skills as well as strong leadership and focus with high level of integrity and self-confidence.
• Proven record of results working with senior management.
• Strong project management skills and the ability to translate business issues into financial requirements.

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 $80,400.00 - $223,900.00. 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.