Principal Consultant, Medicaid

Department: Business Services Employment Type: [Not Specified] Location Type: Fully Remote Salary: [Not Specified - Compensation varies based on experience, education, location, training, and skills. Eligible for bonus program or commission payments.]

Position Overview

Model N is seeking a Principal Consultant, Medicaid, to join our Business Services team. This role is crucial for supporting Medicaid processing and serving as a subject matter expert for other operation team members. The Principal Consultant will provide advice and guidance on Medicaid rebate management programs, aligning with client strategic priorities and compliance needs.

Responsibilities

• Manage ongoing client relationships, interfacing with clients to resolve specific issues.
• Review and approve the setup and maintenance of customer contracts and data management within Model N systems.
• Ensure Medicaid rebates are processed and paid according to government and contractual requirements.
• Lead, review, and approve Medicaid rebate deliverables to clients.
• Oversee the analysis and review of monthly and quarterly deliverables to ensure reports are submitted in accordance with contract terms.
• Handle complex and/or varying types of pharmaceutical rebates.
• Respond to customer and client inquiries regarding processing status, reconciliation questions, data discrepancies, and payment status.
• Lead, manage, mentor, and develop Medicaid rebate Analysts.
• Collaborate with GP Pricing and GTN teams, participating in cross-functional meetings and providing insights and information as required.
• Comply with all SOC controls and internal processes and procedures.
• Support ongoing software product testing.
• Continuously build detailed subject matter expertise and thought leadership in Medicaid processing and contracting, sharing knowledge with direct reports and peer groups.
• Strive to improve business services processes and programs to enhance operational efficiency.

Qualifications

• Bachelor’s degree in Accounting, Finance, Business, or a related field.
• 6+ years of experience working in the pharmaceutical industry with Medicaid agreements.
• Experience working in a mandated deadline environment, effectively managing multiple client assignments and prioritizing tasks.
• Ability to continually build detailed subject matter expertise in Government Contracting Compliance.
• Ability to comprehend and learn complex government compliance requirements and apply this knowledge daily.
• Excellent oral and written communication skills.
• High accuracy rate and attention to detail, with strong analytical skills.
• Ability to produce client-ready deliverables for a high-level executive/professional client base.
• Proficiency with Microsoft Office, including strong Excel skills.
• Essential ability to manage multiple and competing tasks across functional areas.
• Technical ability to understand underlying data structures and handle large amounts of data.
• Experience achieving and maintaining compliance with all applicable regulatory, legal, and operational rules and procedures, adhering to industry best practices.
• Ability to deliver required periodic results with a high degree of accuracy and minimal management review.

Company Information

At Model N, we offer fair, equitable, and competitive salary ranges for all positions. Our employees have the opportunity to become Model N shareholders through our employee stock purchase plan.