Senior Manager, Revenue Management Services – Medicaid Operations

Model N

. Lead the Medicaid Operations function within Revenue Management Services .

Posted 11/4/2026full-timeRemote • United StatesSenior💰 $150,000 - $195,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicaid Operations and rebate systems, with a strong focus on process improvement, operational excellence, and compliance. Proven leadership in managing high-performing teams and strategic client relationships within the pharmaceutical industry.

Highest-signal resume keywords

Medicaid Operations LeadershipMedicaid Rebate ExpertiseProcess ImprovementRegulatory ComplianceGenerative AI Tools Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medicaid Agreements ManagementData ManagementOperational TransformationAnalytical SkillsAttention to DetailTechnical Data UnderstandingRegulatory Compliance MaintenanceClient Relationship ManagementContract Setup and MaintenanceProcess and System Change Management

Soft Skills

People LeadershipChange ManagementTeam DevelopmentCollaborationCommunication

Tools & Technologies

Model N SystemsMicrosoft ExcelMicrosoft PowerPointMicrosoft WordGenerative AI Tools

Industry Keywords

Pharmaceutical IndustryMedicaid Rebate SystemsSOC ControlsOperational ExcellenceClient Inquiries Management

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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