Full-Time

Principal Consultant

Medicaid

Posted on 6/27/2024

Model N

Model N

1,001-5,000 employees

Cloud-based revenue management solutions provider

Enterprise Software
Healthcare

Compensation Overview

$96.4k - $144.6kAnnually

+ Bonus + Commission

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 offers cloud-based revenue management solutions tailored for the high-tech and life sciences industries, helping clients maximize revenue throughout the commercialization process. Their platform includes industry-specific tools like Revenue Cloud for Pharma and Medtech, which address complex pricing and compliance challenges. Clients subscribe to Model N's software-as-a-service (SaaS) model, ensuring continuous updates and support. The company's goal is to enable clients to efficiently bring life-changing products to market while navigating regulatory complexities.

Company Stage

IPO

Total Funding

$36M

Headquarters

San Mateo, California

Founded

1999

Growth & Insights
Headcount

6 month growth

1%

1 year growth

1%

2 year growth

1%
Simplify Jobs

Simplify's Take

What believers are saying

  • Integration of GenAI enhances efficiency in revenue management processes.
  • New Medicare Part D rebate feature aids compliance with Inflation Reduction Act.
  • Vista Equity acquisition provides resources for market expansion and product enhancement.

What critics are saying

  • Vista acquisition may disrupt operations or affect company culture.
  • GenAI integration may face adoption challenges among existing clients.
  • Inflation Reduction Act could impact clients' revenue, affecting investment in Model N.

What makes Model N unique

  • Model N specializes in revenue management for life sciences and high-tech industries.
  • Their solutions address complex pricing, compliance, and revenue challenges in targeted sectors.
  • Model N's SaaS model ensures continuous updates and support for its clients.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Flexible Work Hours

401(k) Company Match

Paid Vacation

Life Insurance

Pet Insurance

Employee Assistance Programs

Mental Health Support

Employee Stock Purchase Plan

Professional Development Budget

INACTIVE