Director, Business Services – Medicaid Operations

🕒 June 11

🇺🇸 United States – Remote

💵 $150k - $195k / year

⏰ Full Time

🔴 Lead

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Model N

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2000

🏥 Healthcare

🏭 Manufacturing

💼 Consulting

Healthcare • Manufacturing • Consulting

Model N is a leading provider of revenue optimization and compliance solutions for the pharmaceutical, medical device, high-tech, manufacturing, and semiconductor industries across more than 120 countries. The company offers digital reinvention through industry-specific solutions, enabling customers to maximize their revenue by transforming sales, marketing, channel, finance, and legal processes. Model N's products include platforms for managing provider and payer processes, global pricing, and channel data, as well as intelligence cloud services to ensure compliance and operational excellence. Their services empower companies to streamline operations, scale strategically, and mitigate risks to fuel growth and innovation. Major clients include Pfizer, AstraZeneca, Sanofi, Abbott, AMD, and others, who use Model N’s technology to optimize and automate revenue processes while remaining compliant with global regulatory standards.

📋 Description

• Lead a critical area of our Business Services organization as Director, Business Services for Medicaid Operations. • Shape how we deliver exceptional service and advance operational excellence. • Build strong partnerships with clients and internal teams. • Develop high-performing talent and drive innovation. • Own and develop best-in-class delivery processes and outputs. • Act as a driver of efficiency and change across the group. • Review and approve Medicaid rebate deliverables to clients. • Lead, coach, and develop a high-performing Medicaid operations team. • Own and grow strategic client relationships. • Collaborate with cross-functional teams for system enhancements.

🎯 Requirements

• Bachelor’s degree in accounting, Finance, Business, or related field • 10+ years of experience working in the pharmaceutical industry with Medicaid agreements • Proven people leadership experience • Demonstrated ability to lead through change • Experience working with Medicaid rebate systems • High accuracy rate and attention to detail • Technical ability to understand underlying data structures • Experience achieving and maintaining compliance • Advanced proficiency in Microsoft Office • 10-20% of travel required

🏖️ Benefits

• Unlimited PTO for salaried employees – because flexibility fuels success • Comprehensive medical, dental, and vision coverage • Health Savings & Flexible Spending Accounts • 401(k) with company match to invest in your future • Volunteer Time Off (VTO) to give back to causes you care about • Life and pet insurance for peace of mind • Employee Assistance & Mental Health Programs • Charitable giving opportunities • Professional coaching and career development • …and much more.