Remote opportunity at
Model NSr. Manager, Revenue Management Services (Medicaid Operations)
Model N is currently seeking a Sr. Manager for Revenue Management Services to oversee its Medicaid operations team. In this position, the professional will act as…
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About This Role
Model N is currently seeking a Sr. Manager for Revenue Management Services to oversee its Medicaid operations team. In this position, the professional will act as the primary subject matter expert regarding Medicaid contracts and processing, collaborating with clients, product divisions, and internal pricing groups to ensure accurate and compliant rebate management. Model N assists life sciences businesses in navigating complicated revenue challenges and accelerating the delivery of innovations to…
Job Description
Model N is currently seeking a Sr. Manager for Revenue Management Services to oversee its Medicaid operations team. In this position, the professional will act as the primary subject matter expert regarding Medicaid contracts and processing, collaborating with clients, product divisions, and internal pricing groups to ensure accurate and compliant rebate management. Model N assists life sciences businesses in navigating complicated revenue challenges and accelerating the delivery of innovations to market. This role involves directing department procedures, approving deliverables to meet strict government regulations and SLAs, overseeing customer contract configurations, and serving as the primary escalation contact for payment and reconciliation inquiries. Additionally, the individual will mentor and develop team members, analyze claims details to drive rebate savings, and partner with product groups to implement system enhancements and automation tools. Travel of 10-20% is required for the position. This opportunity suits professionals with extensive pharmaceutical industry experience who excel at cross-functional problem-solving, compliance management, and client relationship handling.
Responsibilities
- Establish and direct standard operating procedures and business workflows to maintain departmental compliance.
- Oversee the review and approval of Medicaid rebate deliverables to satisfy government regulations and service level agreements.
- Manage customer contract setups and data administration within Model N systems.
- Act as the primary escalation point for client inquiries regarding processing statuses, reconciliations, data variances, and payments.
- Lead, mentor, and cultivate a high-performing Medicaid operations staff through performance objectives and constructive feedback.
- Validate claims-level specifics and collaborate with state agencies to resolve disputes and drive rebate savings.
- Coordinate with product divisions on system upgrades, AI integration, and automation initiatives.
Requirements
- Approximately 10 to 12 years of relevant professional background.
- At least 10 years of experience within the pharmaceutical sector handling Medicaid agreements.
- Demonstrated people leadership capabilities with a history of building and coaching teams.
- Subject matter expertise in Medicaid rebates and familiarity with rebate systems.
- Ability to satisfy strict deadlines while handling multiple client accounts and competing tasks.
- Capacity to interpret and apply complex government compliance regulations daily.
- Strong analytical skills, technical proficiency in handling large data sets, and high precision in deliverables.
- Practical background using generative AI tools like ChatGPT, Copilot, Claude, or Gemini.
- Strong verbal and written communication abilities paired with collaborative skills.
- Availability to travel 10% to 20% of the time.
Qualifications
- Background utilizing Model N or alternative industry-standard rebate platforms.
- Experience spearheading change management, process optimization, or operational transformation.
- Direct involvement in resolving claims-level discrepancies and disputes with state regulators.
- Familiarity with life sciences SaaS environments or private equity-backed organizations.
- Demonstrated interest in applying artificial intelligence, automation, or modern technologies to enhance outcomes.
Core Skills
Benefits
- Unlimited paid time off for salaried personnel
- Comprehensive medical, dental, and vision health coverage
- Health Savings and Flexible Spending Accounts
- 401(k) plan featuring a company match
- Volunteer Time Off to support community causes
- Life and pet insurance options
- Employee Assistance and Mental Health programs
- Charitable contribution opportunities
- Professional coaching and career development resources
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the salary range for this position?
The posting lists an estimated base salary range of $110,000 to $150,000 per year, though another section references a range of $150,000 to $195,000. Compensation depends on factors such as relevant experience, education, certifications, and location.
Is this a remote role?
Yes, the posting specifies that the employment is remote within the US.
How much travel is required for this role?
The position requires 10-20% travel.
What is the employment type?
This is a full-time position.
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