Senior Manager, Revenue Management Services – Medicaid Operations

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🔥 1 minute ago

🇺🇸 United States – Remote

💵 $150k - $195k / year

⏰ Full Time

🟠 Senior

💹 Revenue Operations

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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 the Medicaid Operations function within Revenue Management Services • Serve as Medicaid leader and subject matter expert • Own and develop best-in-class service delivery processes and outputs • Drive efficiency, process improvement, operational excellence, and change • Review and approve Medicaid rebate deliverables for quality, accuracy, compliance, and SLA adherence • Review and approve customer contract setup and maintenance and data management in Model N systems • Comply with SOC controls and internal processes • Set Medicaid processing and contracting best practices and provide thought leadership • Assess regulatory changes and drive required process and system changes • Educate internal and external stakeholders on regulatory impacts • Drive rebate savings through claims-level detail validations and partner with states to resolve disputes • Lead, coach, and develop a high-performing Medicaid operations team • Build team capability through goals, feedback, development planning, and performance management • Create an inclusive, globally connected team environment • Lead the team through changing client needs, regulations, technologies, and priorities • Own and grow strategic client relationships and serve as senior escalation point • Respond to client inquiries about processing status, reconciliations, data discrepancies, and payments • Collaborate with GP Pricing and GTN teams • Partner with product teams on system enhancements, AI, automation, requirements, testing, and change management

🎯 Requirements

• Bachelor’s degree in accounting, Finance, Business, or related field • 10+ years of experience working in the pharmaceutical industry with Medicaid agreements, including experience leading teams and managing client relationships • Proven people leadership experience • Demonstrated ability to lead through change and drive process improvement and operational transformation • Experience working with Medicaid rebate systems • Recognized subject matter expertise in Medicaid rebates • Experience working in mandated deadline environments and managing multiple client assignments • Ability to comprehend, retain, build upon, and apply complex government compliance requirements • High accuracy, attention to detail, and analytical skills • Ability to manage multiple and competing tasks across functional areas • Technical ability to understand underlying data structures and deal with large amounts of data • Experience achieving and maintaining regulatory, legal, and operational compliance • Ability to deliver periodic results accurately with minimal management review • Demonstrated experience using generative AI tools such as ChatGPT, Copilot, Claude, or Gemini • Advanced proficiency in Microsoft Office, especially Excel, PowerPoint, and Word • Willingness to travel 10–20%

🏖️ Benefits

• Unlimited PTO for salaried employees • Comprehensive medical, dental, and vision coverage • Health Savings & Flexible Spending Accounts • 401(k) with company match • Volunteer Time Off (VTO) • Life and pet insurance • Employee Assistance & Mental Health Programs • Charitable giving opportunities • Professional coaching and career development

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