Sr. Manager, Revenue Management Services (Medicaid Operations)

Model N

6d•$150,000 - $195,000•Remote

About The Position

Model N is seeking a Sr. Manager, Revenue Management Services to lead its Medicaid operations team and serve as a subject matter expert on Medicaid processing and contracting. The role works closely with clients, product teams, and GP Pricing and GTN colleagues to deliver accurate, compliant rebate management at scale. It is responsible for driving best-in-class processes and efficiencies while supporting client retention and partnerships. The position oversees Medicaid rebate deliverables and operations, where accuracy and timeliness affect clients’ savings and standing with state agencies. The manager leads and develops the team, handles client escalations, improves processes, and partners on system enhancements, AI, and automation. The role is remote in the United States and requires 10–20% travel.

Requirements

Typically 10–12 years of relevant experience, including 10+ years in the pharmaceutical industry working with Medicaid agreements, with experience leading teams and managing client relationships.
Proven people leadership, including the ability to build, coach, and develop high-performing teams.
Recognized subject matter expertise in Medicaid rebates, including experience with Medicaid rebate systems and the ability to set and champion best practices.
Experience meeting mandated deadlines while managing multiple client assignments and competing priorities.
Ability to learn and apply complex government compliance requirements.
Strong analytical skills, technical ability to work with large data sets, and high accuracy; ability to produce client-ready deliverables for executive audiences.
Demonstrated experience using generative AI tools such as ChatGPT, Copilot, Claude, or Gemini to improve productivity, decision-making, or problem solving in a professional or personal context.
Strong communication and collaboration skills.
Willingness and ability to travel 10–20%.

Nice To Haves

Experience leveraging Model N or other industry-standard rebate systems.
Experience leading change, process improvement, or operational transformation.
Experience resolving claims-level discrepancies and disputes with state agencies.
Experience in life sciences SaaS or PE-backed companies.
Interest in leveraging AI, automation, or modern technologies to improve outcomes.

Responsibilities

Set and lead department standard operating procedures and business processes, ensuring department compliance.
Direct the review and approval of Medicaid rebate deliverables to ensure accurate, compliant results that meet government requirements and SLAs.
Own the review and approval of customer contract setup and data management in Model N systems.
Serve as the escalation point for client questions about processing status, reconciliations, data discrepancies, and payments, keeping clients informed.
Lead and develop a high-performing Medicaid operations team through clear goals, regular feedback, and development plans.
Drive rebate savings by validating claims-level detail and partnering with states to resolve disputes.
Partner with product teams on system enhancements, AI, and automation, and lead change management to incorporate new capabilities into daily work.
Build an understanding of the Medicaid operations team, client portfolio, and service levels; learn rebate systems and compliance requirements; establish relationships with clients and internal partners; and identify process or quality gaps.
Deliver client work accurately and on time, maintain consistent SLA performance, and launch process or automation improvements that reduce rework or cycle time.
Develop team members and serve as a trusted Medicaid expert for clients and internal partners.