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Tier-1 brand and metro location but niche Medicaid operations reduces applicant pool.
Requires niche U.S. Medicaid rebate expertise and pharma compliance, limiting cross-industry transferability.
Explicit senior experience and specialized Medicaid, SOX, and systems requirements make hiring filters strict.
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Lead end-to-end execution of U.S. Medicaid rebate operations including invoice processing, claim validation, dispute management, payment support, reporting, and reconciliation in a regulated environment.
Manage AIN-based associates and analysts supporting Medicaid operations and ensure compliance, operational discipline, timely deliverables, and coordination with multiple cross-functional U.S. stakeholders.
Drive continuous improvement, automation, SOP development, audit readiness, financial controls, and operational scalability for Medicaid rebate processes.
Master’s degree in finance, accounting, commerce, business administration, economics, life sciences, pharmacy, or related discipline.
9–12 years of progressive experience in pharmaceutical/biotech operations, managed markets, Medicaid rebate operations, finance, pricing, contracting, analytics, or related U.S. healthcare operations.
3+ years of experience leading people or managing operational teams in controlled environments.
Experience coordinating with U.S.-based Finance, Market Access, Government Pricing, Compliance, IT, or Contract Operations stakeholders.
Experienced leader in U.S. Medicaid Drug Rebate Program operations with deep domain knowledge of rebate adjudication, CLD processing, supplemental rebates, and dispute resolution.
Strong background in financial controls, SOX compliance, audit readiness, and operational discipline within pharmaceutical or healthcare rebate contexts.
Skilled in managing cross-functional teams, driving process standardization, automation, system enhancements, and delivering executive-level reporting and analytics.