Manager, RHEMA

MCRA is part of IQVIA MedTech

As a trusted CRO and advisory partner, IQVIA MedTech and MCRA deliver integrated lifecycle solutions for the medical device and diagnostics industry. Together, we support innovation from concept to commercialization through regulatory, clinical, reimbursement, market access, and quality expertise.

Position Overview

 MCRA is seeking a Manager, Reimbursement, Health Economics & Market Access (RHEMA) to join its consulting team. The ideal candidate combines expertise in healthcare reimbursement, coding, medical record review, and reimbursement consulting to support medical technology clients. This role leads coding analyses, reimbursement assessments, client engagements, and strategic market access initiatives while providing project leadership and mentoring junior staff.

Responsibilities and Duties

• Serve as a subject matter expert in reimbursement systems, coding methodologies, and clinical documentation.

• Lead inpatient facility and/or outpatient professional coding analyses using CPT, HCPCS, ICD-10-PCS, and ICD-10-CM.

• Conduct surgical coding audits and medical record reviews to evaluate coding accuracy, reimbursement implications, and compliance risks.

• Develop reimbursement, payment, coverage, and market access strategies based on coding and clinical findings.

• Manage client engagements, including project planning, timelines, budgets, quality, and deliverables.

• Prepare reports, presentations, coding analyses, and strategic recommendations.

• Present findings to physicians, providers, hospitals, and client stakeholders.

• Support payer and provider research and evidence-generation initiatives.

• Lead project teams and mentor junior consultants.

• Support business development, proposals, and thought leadership initiatives.

• Maintain expertise in reimbursement policy, coding guidance, and therapeutic-area trends.

Required Qualifications

• Bachelor's degree in Health Information Management, Nursing, Life Sciences, Public Health, Health Administration, Business, or related field.

• Typically 5–10 years of inpatient facility and/or outpatient professional coding experience plus reimbursement, consulting, market access, provider strategy, or revenue cycle experience.

• Advanced knowledge of CPT, HCPCS, ICD-10-PCS, ICD-10-CM, medical record review, and surgical coding audits.

• Current AAPC or AHIMA certification (e.g., CPC, CCS, CCS-P, RHIA, RHIT).

• Strong analytical, communication, presentation, project management, and client management skills.

• Proficiency with Microsoft Office applications.

Preferred Qualifications

• Advanced degree in a related field.

• Additional specialty coding credentials.

• Experience translating coding analyses into reimbursement and market access strategies.

• Experience presenting to physicians and provider organizations.

Work Environment

Professional office or remote work environment with occasional travel for client meetings, conferences, and internal meetings.

NOTE: This job description is not intended to be all-inclusive. Employees may perform other related duties to meet the ongoing needs of the organization.

MCRA, LLC is an equal opportunity/Affirmative Action employer and does not discriminate in its selection and employment practices.

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, when annualized, is $95,700.00 - $239,200.00. 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.