"We strive to help improve outcomes and create a healthier, more sustainable world for people everywhere.
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Reimagine clinical development by intelligently connecting data, technology, and analytics to optimize your trials. The result? Faster decision making and reduced risk so you can deliver life-changing therapies faster.
Research & Development Overview
Generate and disseminate evidence that answers crucial clinical, regulatory and commercial questions, enabling you to drive smarter decisions and meet your stakeholder needs with confidence.
REAL WORLD EVIDENCE OVERVIEW
Elevate commercial models with precision and speed using AI-driven analytics and technology that illuminate hidden insights in data.
COMMERCIALIZATION OVERVIEW
Orchestrate your success across the complete compliance lifecycle with best-in-class services and solutions for safety, regulatory, quality and medical information.
COMPLIANCE OVERVIEW
When your destination is a healthier world, making intelligent connections between data, technology, and services is your roadmap.
TECHNOLOGIES OVERVIEWExplore our library of insights, thought leadership, and the latest topics & trends in healthcare.
DISCOVER INSIGHTSAn in-depth exploration of the global healthcare ecosystem with timely research, insightful analysis, and scientific expertise.
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By making intelligent connections between your needs, our capabilities, and the healthcare ecosystem, we can help you be more agile, accelerate results, and improve patient outcomes.
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Building on a rich history of developing AI for healthcare, IQVIA AI connects the right data, technology, and expertise to address the unique needs of healthcare. It's what we call Healthcare-grade AI.
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Your new expert analyst is here. Be at the forefront of data-driven decision-making with a new generative AI tool that enables you to interact with our products and solutions like never before. Get results you can trust, faster.
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The IQVIA Human Data Science Cloud is our unique capability designed to enable healthcare-grade analytics, tools, and data management solutions to deliver fit-for-purpose global data at scale.
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The IQVIA Innovation Hub connects start-ups with the extensive IQVIA network of assets, resources, clients, and partners. Together, we can help lead the future of healthcare with the extensive IQVIA network of assets, resources, clients, and partners.
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IQVIA Decentralized Trials deliver purpose-built clinical services and technologies that engage the right patients wherever they are. Our hybrid and fully virtual solutions have been used more than any others.
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Empowering patients to personalize their healthcare and connecting them to caregivers has the potential to change the care delivery paradigm.
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"At IQVIA your potential has no limits. We thrive on bold ideas and fearless innovation. Join us in reimagining what’s possible.
VIEW ROLESEnhancing healthcare financial integrity through meticulous claims management and audit solutions. Our expertise supports accuracy, compliance, and efficiency, helping providers navigate complex billing processes with confidence.
As healthcare organizations aim to improve service quality, efficiency, and financial integrity, accurate medical case management and claims are critical. Addressing discrepancies, compliance gaps, and inefficiencies helps payers and providers stay financially sound and compliant. A robust medical audit and claims management strategy enhances transparency, reduces errors, and improves reimbursement outcomes.
IQVIA’s Medical audit and claims management empowers healthcare payers and providers to streamline claims, reduce financial risk, and optimize reimbursement. Our solutions enable real-time claims validation, detect errors and fraud, and ensure compliance—helping organizations to manage complex billing with confidence.
We offer a comprehensive framework covering tailored audit strategies, tech-enabled claims processing, continuous evaluation, and insightful reporting.
Medical audits can feel like a costly necessity, essential for compliance and quality, yet often resource-intensive and complex. Concerns around audit expenses, operational disruption, and unclear return on investment can make it difficult to justify investment, even when financial oversight is critical.
We help address these challenges with tailored, integrated solutions that improve outcomes and reduce costs. Using advanced analytics to support prior authorization, case management, concurrent and retrospective reviews, and discharge planning—ensures both quality of care and cost control.
Our audit team includes over 60 multi-specialty, board-certified physicians, registered nurses, certified case managers, and healthcare management experts, many with direct insurance industry experience.
Claims processing can be costly, complex, and prone to delays—especially when relying on retrospective “pay and chase” models. Health plans often struggle with administrative burden, payment errors, and strained provider relationships.
We help overcome these challenges with on-site claims administration powered by our proprietary system. Automated checks and balances ensure accurate, compliant payments from the start—reducing risk and improving efficiency.
Over 90% of claims are received via EDI and auto-adjudicated based on your benefit plan. Our expert examiners review claims in real time to catch errors and address client-specific needs.
Healthcare organizations often face challenges aligning strategy with execution, balancing innovation, cost-efficiency, and regulatory demands across complex systems. Public and private sector leaders need tailored guidance to navigate these pressures and deliver measurable impact.
We provide expert consulting across strategic planning, financial modelling, and implementation oversight. Our services include cost-benefit analysis, feasibility studies, and redesign of strategic goals to ensure long-term viability and performance.
We also support Public-Private Partnership initiatives, project management, and grant proposal development for national and EU funding, helping organizations unlock new opportunities and scale with confidence.
