IQVIA is a recognized global leader in healthcare analytics and services. The Business Process Analyst will evaluate and validate data, analyze contracts, and build effective business relationships with clients while managing multiple accounts and processes.
Responsibilities:
- Evaluates data by searching for trends and understanding the financial terms of the contracts
- Analyze contracts and other documents, perform quality assurance checks on data, and communicate effectively both orally and in writing with a customer
- Research and resolve Chargeback claims
- Ensure accurate and appropriate responses to disputes
- Validate appropriate data from internal and third-party systems and ensure appropriate course of action is being pursued
- Track job completion and manage deadlines
- Provides support to team members
- Assists with training projects
Requirements:
- Bachelor Degree in finance, business, statistics, math or related area or equivalent work experience required (1-2 years)
- Possess strong computer capabilities including word processing, spreadsheet and database entry. (Word, Excel, SQL)
- Possess strong inter-personal communication skills, both verbal and written
- Possess strong analytical, organizational and problem solving skills
- Participates productively as a member of team and completes tasks beyond general support level
- Identifies, prioritizes and resolves issues independently, and escalates more complex questions or issues appropriately
- Ability to manage tasks and assignments without detailed direction
- Complies with contract requirements, business unit rules and related and legal regulations
- Chargeback Adjudication
- Membership and Eligibility determinations
- Prescription Rebate Processing
- Pharmacy Benefit Management
- Managed Health Care
- Medicaid Drug Rebate Program