Sr. Manager, Revenue Management Services (Medicaid Operations)

Sr. Manager, Revenue Management Services

Remote (US) | Full-Time

Build What Matters at Model N

At Model N, we help life sciences companies solve complex revenue challenges so they can operate smarter and bring important innovations to market faster. We are looking for people who like practical problem solving, cross-functional work, and seeing the impact of what they build.

If you are energized by leading a team that turns complex Medicaid rebate requirements into accurate, on-time results for our clients, this could be a great fit.

About the Role

We are looking for a Sr. Manager, Revenue Mgmt Services to join our Revenue Management Services team. In this role, you will lead our Medicaid operations team and serve as the go-to subject matter expert on Medicaid processing and contracting. You will work closely with clients, product teams, and GP Pricing and GTN colleagues to help Model N deliver accurate, compliant rebate management at scale. You will drive best in class processes, efficiencies and ensure client retention and partnership.

This role matters because Medicaid rebates carry real financial and compliance weight for our clients. The accuracy and timeliness of this work affects their savings and their standing with state agencies.

Key Responsibilities

• Set and lead department standard operating procedures and business processes, ensuring department compliance

• Direct the review and approval of Medicaid rebate deliverables so clients receive 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, keeping client data right from the start.

• Serve as the escalation point for client questions on processing status, reconciliations, data discrepancies, and payments, and keep clients informed.

• Lead and develop a high-performing Medicaid operations team, building capability 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 and AI and automation, and lead the change management that puts new capabilities into daily work.

What Success Looks Like

First 90 days:

• Build a clear picture of the Medicaid operations team, its client portfolio, and current service levels.

• Learn the Model N rebate systems and the compliance requirements behind each deliverable.

• Establish working relationships with key clients and with GP Pricing and GTN partners.

• Identify the most important process or quality gaps and agree on a first improvement plan.

First 6–12 months:

• Deliver client work on time and accurately, with consistent SLA performance.

• Launch at least one process or automation improvement that measurably reduces rework or cycle time.

• Grow team members through regular feedback and clear development plans.

• Be the Medicaid expert that clients and internal partners rely on.

How You Will Grow and Make an Impact

At Model N, our competency model helps us talk about growth, impact, and how work gets done.

• People Leadership – You actively develop your Medicaid operations team and build capability for future leaders.

• Problem-Solving Leadership – You resolve complex claims and contract issues that span multiple groups, and scale the practices that work.

• Thought Leadership – You connect regulatory and client insights across teams and influence priorities with a forward-looking view of Medicaid rebates.

• Entrepreneurial Leadership – You lead change in how Medicaid work gets done and turn improvement ideas into results.

• Operational Leadership – You optimize team operations and improve rebate delivery performance at scale.

• AI Leadership – You bring AI into team workflows and scale the uses that improve accuracy and speed.

We do not expect every person to be perfect in every area. We look for strong fundamentals, curiosity, ownership, and the ability to keep growing.

Qualifications

Required: