Director, Medicaid Rebate Operations and Implementations

Gainwell Technologies LLC•Any city, OH

1d•$137,100 - $195,800•Remote

About The Position

The Director, Medicaid Rebate Operations and Implementations provides executive leadership for end-to-end delivery of drug rebate solutions, including new client implementations and ongoing rebate operations. The role leads an organization of approximately 100 professionals across implementation, technical support, operations, and analytics. It combines technical expertise in rebate systems and data with financial acumen to advise clients on rebate performance and on federal and state programs, policy changes, and market factors that influence rebate outcomes. The Director provides strategic and day-to-day leadership for implementation and operations teams; oversees client implementation lifecycles and rebate operations; and directs technical, financial, client relationship, budget, staffing, and performance management activities. The position advises client executives, leads escalations, and represents the organization in client meetings, audits, and RFP responses. It also drives process improvement, standardization, and automation while ensuring compliance with contractual, regulatory, and security requirements. This leadership role can be performed remotely, with occasional travel estimated at up to 10% for client meetings, implementation milestones, and team or leadership events. The work environment is fast-paced, with periods of heightened activity around quarterly invoicing and reconciliation cycles and client reporting deadlines.

Requirements

Ten or more years of experience in Medicaid drug rebate.
Bachelor's degree in business, finance, health care administration, information systems, or a related field, or an equivalent combination of education and experience.
Experience in a supervisory or management capacity, including leading large teams.
Proven experience leading client implementations and managing complex, multi-phase projects from kickoff through go-live and steady-state operations.
Strong technical experience with rebate and claims systems, data structures, reporting and analytics tools, and process automation; ability to partner effectively with IT and engineering teams.
Strong financial acumen, including experience analyzing rebate performance, accounts receivable, and forecasting, and presenting financial results to executive audiences.
Working knowledge of Medicaid and pharmacy programs and regulations affecting rebates, such as CMS requirements, state plan amendments, supplemental rebates, 340B, third party liability, and unit rebate amount calculations.
Demonstrated success managing executive-level client relationships, including contract performance, service level management, and issue escalation.
Exceptional written and verbal communication skills, including the ability to explain technical and financial concepts to technical and non-technical audiences.
Track record of developing leaders, managing change, and driving measurable operational improvements.

Nice To Haves

Master's degree.

Responsibilities

Provide strategic and day-to-day leadership for implementation and operations teams; set goals and performance standards, develop managers and supervisors, and foster accountability, quality, and continuous improvement.
Oversee the full implementation lifecycle for new clients and program changes, including requirements gathering, system configuration, data conversion, testing, go-live, and transition to operations; ensure delivery on time, within budget, and to contract requirements.
Direct rebate operations, invoicing, collections, dispute resolution, and reconciliation to maximize timely and accurate rebate recovery and meet contractual service levels.
Provide technical leadership for rebate platforms, data feeds, and system enhancements; partner with IT, product, and data teams to prioritize requirements, drive automation, and strengthen data integrity, controls, and audit readiness.
Advise client executives by analyzing and communicating rebate performance, invoiced and collected amounts, accounts receivable and aging, dispute trends, and forecasts; translate financial data into insights and recommended actions.
Monitor and advise clients on federal and state program and policy changes affecting rebates, including supplemental rebate agreements, third party liability, 340B, and CMS initiatives, and assess operational and financial impacts.
Develop and manage operating budgets, staffing models, and resource plans; define and track performance metrics and service level agreements; report results through dashboards and quarterly business reviews.
Build and maintain strategic relationships with state agency leaders and client account teams.
Lead escalations and represent the organization in client meetings, audits, and RFP responses.
Identify and lead process improvement, standardization, and automation initiatives to increase efficiency, scalability, and accuracy.
Ensure compliance with contractual, regulatory, and security requirements; collaborate with compliance, legal, finance, and cross-functional leaders to manage risk and coordination.