Manager, Claims Billing (VBC)

Location: Houston, TX (Galleria Area), United States; hybrid schedule with 3 days in the office and 2 remote. Candidates must reside in the same country where the job is located.

Salary: $73,400–$183,600 annualized base pay.

Company

IQVIA provides clinical research services, commercial insights, and healthcare intelligence for the life sciences and healthcare industries; Cedar Gate Technologies is an IQVIA business delivering value-based care technology and services.

What you will do

• Lead professional billing operations covering claim submission, payment posting, denials, appeals, and accounts receivable follow-up.
• Manage, coach, hire, onboard, and develop billing staff.
• Partner with collections, coding, credentialing, operations, finance, and client service teams to improve revenue cycle performance.
• Analyze reimbursement trends, payer performance, denials, KPIs, and accounts receivable data.
• Oversee underpayment reviews, payment variance analysis, corrective action plans, and process improvements.
• Support value-based care and bundled payment initiatives while presenting operational and financial recommendations to leadership and clients.

Requirements

• 5+ years of professional medical billing, revenue cycle management, or healthcare reimbursement experience, including at least 2 years leading related teams.
• Expertise across the professional billing lifecycle, including claims, payment posting, denial management, appeals, accounts receivable, and reimbursement optimization.
• Knowledge of Medicare, Medicaid, commercial, and managed care reimbursement methodologies, payer requirements, CMS regulations, and contractual obligations.
• Experience with billing data, reimbursement trends, KPIs, payer performance, and accounts receivable metrics.
• Proficiency with practice management systems, revenue cycle platforms, EHRs, Microsoft Excel, and reporting tools.
• Must reside in the United States, the same country where the job is located, and work onsite three days per week in Houston.

Nice to have

• Bachelor's degree in healthcare administration, business administration, finance, accounting, or a related field.
• Cardiovascular billing experience or experience in physician practices, MSOs, specialty medical groups, ambulatory care, value-based care, or population health.
• Professional certification such as CPC, CPB, CRCP, or equivalent.
• Knowledge of CPT, ICD-10, and HCPCS coding concepts and payer contract reimbursement analysis.

Culture & Benefits

• Collaborative and innovative work environment.
• Ongoing training and professional development.
• Comprehensive health and welfare benefits.
• Hybrid work arrangement with two remote days per week.
• Opportunities to contribute to high-impact healthcare and value-based care initiatives.