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Full-Time

Principal Consultant

Medicaid

Confirmed live in the last 24 hours

Model N

Model N

1,001-5,000 employees

Cloud-based revenue management solutions provider

Consulting
Enterprise Software
Quantitative Finance

Compensation Overview

$96.4k - $144.6kAnnually

+ Bonus + Commission + Employee Stock Purchase Plan

Senior, Expert

Remote in USA

Category
Management Consulting
Consulting
Required Skills
Management
Data Structures & Algorithms
Requirements
  • Bachelor’s degree in Accounting, Finance, Business, or related field
  • 6+ years of experience working in the pharmaceutical industry working with Medicaid agreements is required.
  • Experience working in mandated deadline environment; effective management of multiple client assignments; ability to prioritize.
  • Ability to continually build detailed subject matter expertise in Government Contracting Compliance
  • Must be able to comprehend and/or learn complex government compliance requirements and retain, build upon, and apply this knowledge daily
  • Excellent oral and written skills
  • High accuracy rate and attention to detail along with high degree of analytical skills; ability to produce client-ready deliverables to a high-level executive/professional client base.
  • Experience with Microsoft Office and strong Excel skills
  • Able to manage multiple and competing tasks across functional areas is essential.
  • Technical ability to understand underlying data structures and deal with large amounts of data.
  • Experience achieving and maintaining compliance with all applicable regulatory, legal, and operational rules and procedures and activities are met with 'best' industry practices.
  • Ability to deliver required periodic results with a high degree of accuracy and minimal management review.
Responsibilities
  • Manage ongoing client relationships (interface w/clients to resolve specific issues)
  • Responsible for review and approval of 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 client.
  • Oversee the analysis and review of monthly and quarterly deliverables to ensure reports are submitted in accordance with contract terms.
  • Ability to 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 providing insights and information as required.
  • Comply with all SOC controls and internal processes and procedures.
  • Support ongoing software product testing.
  • Expected to continually build detailed subject matter expertise and thought leadership in Medicaid processing and contracting and share this knowledge with direct reports and peer groups.
  • Continually strive to improve our business services processes and programs to enhance operational efficiency.

Model N provides cloud-based revenue management solutions specifically designed for the high-tech and life sciences industries. Their platform assists clients in maximizing revenue throughout the commercialization process, which includes improving the quote-to-cash process and enhancing relationships with channel partners. The solutions offered, such as Revenue Cloud for Pharma, Medtech, and High Tech, address the unique pricing, compliance, and revenue management challenges faced by these sectors. Clients subscribe to Model N's software-as-a-service (SaaS) model, allowing them to access a suite of tools and receive ongoing support. This approach not only generates a consistent revenue stream for Model N but also delivers significant savings for clients, averaging $68 million per $1 billion of revenue. The company's goal is to help clients bring life-changing products to market more efficiently while navigating regulatory changes.

Company Stage

IPO

Total Funding

$362M

Headquarters

San Mateo, California

Founded

1999

Growth & Insights
Headcount

6 month growth

0%

1 year growth

6%

2 year growth

11%
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Simplify's Take

What believers are saying

  • The acquisition by Vista Equity Partners for $1.25 billion indicates strong market confidence and potential for growth.
  • Model N's solutions generate significant savings for clients, averaging $68 million per $1 billion of revenue, highlighting their value proposition.
  • Continuous innovation, such as the new rebate enhancement for Medicare Part D, demonstrates Model N's commitment to addressing evolving market needs.

What critics are saying

  • The acquisition by Vista Equity Partners may lead to strategic shifts that could impact company culture and operations.
  • Complex regulatory environments in the pharmaceutical and medtech sectors require constant updates, posing a risk if Model N fails to keep pace.

What makes Model N unique

  • Model N specializes in revenue management solutions tailored specifically for high-tech and life sciences industries, unlike broader SaaS competitors.
  • Their industry-specific solutions like Revenue Cloud for Pharma and Medtech address unique compliance and pricing challenges, setting them apart from generic revenue management platforms.
  • Model N's focus on regulatory compliance, such as the new Medicare Part D inflation rebate enhancement, ensures clients stay ahead of evolving laws, a critical advantage in the pharmaceutical sector.