Client Services Representative, Managed Care

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 youll 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 worlds most dynamic companies.

Position Summary

Join Cedar Gate Technologies an IQVIA business as a Managed Care Services Representative! Were looking for a dynamic new employee to help shape and manage our provider payer and facility this role youll develop negotiate implement monitor and optimize managed care agreements that support our growth and quality of care. Youll stay on top of industry trends communicate contract changes across the organization and analyze performance data to ensure agreements deliver the expected results.

As a Managed Care Services Representative youll also collaborate closely with internal teams clients payers and providers building strong relationships and preparing presentations with the chance to lead or co-present on key initiatives.

Roles & Responsibilities

• Serve as a primary liaison between internal teams providers and payers to resolve managed care issues support provider communications and research claims.
• Support clients providers and payers by ensuring timely effective inquiry resolution.
• Build and maintain strong relationships with providers payers and internal stakeholders to support seamless operations.
• Collaborate with team members to manage and support Center of Excellence programs including member education helpline operations enrollment and reporting.
• Research managed care trends and benchmarks and provide analysis and recommendations.
• Prepare data insights and summaries to support negotiations with payers employers and providers; present findings to senior leadership.
• Assist with the review of payer and provider agreements and support negotiation strategy development.
• Prepare and present quarterly payer account summaries to departmental leadership.
• Collaborate with department leadership to prepare accurate and compliant documentation for Committee and Board meetings.
• Partner crossfunctionally to ensure accurate contract provider and workflow information and to support client onboarding.
• Track contract status including expirations amendments and notice requirements and proactively communicate required actions.
• Maintain accurate contract and provider data and documentation across systems monitor payer policy updates and coordinate execution of agreements with provider offices.

Job Location

Houston TX

Work Arrangement

Hybrid (3 days in office 2 days remote)

Experience / Qualifications

• BS/BA in healthcare administration business finance or related field; relevant work experience may be considered
• 3 or more years of experience in healthcare contracting or business operations is required including reporting managed care contracting and patient account resolution with a provider or payer.
• Working knowledge of CPT HCPCS and ICD-10 coding is highly preferred
• Advanced skills with PowerPoint and Excel with knowledge of pivot tables Power Queries and complex formulas
• Experience with claims payment resolution
• Superior written and verbal communication skills
• Ability to work well under pressure by efficiently prioritizing and managing multiple tasks to meet performance expectations and deadlines
• Strong critical thinking and analytical skills preferably with experience analyzing and interpreting reports for financial trends in the provider contracting arena
• Exceptional customer service skills with a professional businesslike image to clients visitors internal staff and the public
• Prefer experience with healthcare systems or platforms such as symplr practice management systems SSQ or other reporting tools
• Experience working in a Cardiology setting Cardiology terminology and coding is highly 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

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. 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.