Senior Client Services Representative - Healthcare Ops

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.

Position Summary

As a Senior Client Services Representative - Healthcare Operations at Cedar Gate Technologies, an IQVIA business, you’ll be at the heart of our exciting growth journey in Bundle Solutions! You’ll create innovative workflows, document essential processes, and turn bundle definitions into powerful system configurations. This hands-on role is perfect for someone eager to dive into healthcare claims workflow analysis while collaborating with software development, implementation, IT, and claims operations teams. Working together, this team ensures a smooth client onboarding experience for all by meticulous testing plans, leading vibrant discussions with new bundle clients, and fostering creativity and teamwork among stakeholders. With your strong analytical and design skills, you’ll tackle various value-based care requirements, and the management team will look to you for visionary insights on workflow direction and project implementation. Each of your projects will present unique challenges and exciting opportunities for growth over several weeks to months. Get ready to make a difference in the healthcare industry.

Roles & Responsibilities

• Inspire the Value-Based Care Operations team by serving as a business leader and process expert, ensuring the successful design, documentation, and configuration of new bundles and their associated claims workflows.
• Translate process updates and refine strategies to guarantee a smooth transition to claims administration.
• Create use cases for all testing phases related to new value-based clients.
• Execute regression testing and user acceptance testing, working with claims staff
• Lead new initiatives for operating new value-based arrangements by collaborating with Product and Development teams throughout the software development life cycle.
• Enhance and create claims-related tools to empower operational staff, ensuring efficient and effective usage in their daily tasks.

Job Location

United States – Remote

Work Arrangement

U.S. residents only; work must be performed within the United States.

Experience / Qualifications

• At least 4 years of analysis experience working for a healthcare company is required, with some experience in healthcare claims highly preferred
• 2 or more years of experience with healthcare data transfers required
• 2 years of experience as a business analyst or in similar project-based delivery work is required
• Strong mathematics and reasoning skills to solve complex problems effectively.
• Communicate with clarity and confidence, tailoring your message to connect with any audience.
• Engage in professional discussions to convey information with impact and influence.
• Analyze the strengths and weaknesses of diverse solutions, making informed and decisive choices.
• Bachelor’s degree in a related field or equivalent work experience.
• Capitation or Value-Based Care experience is preferred
• Prior experience using Cedar Gate Technologies software, especially EZ-CAP 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.

The potential base pay range for this role is 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.