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Tier-1 employer, metro location and mid-level experience increase competition despite niche Medicaid specialization.
Role requires specialized Medicaid rebate and Model N knowledge, reducing cross-industry transferability.
Explicit 2–5 years and industry-specific Medicaid, compliance, and SOX requirements make filters moderately strict.
Support day-to-day execution of U.S. Medicaid rebate operations including invoice tracking, claim processing, dispute documentation, payment package preparation, and reconciliation.
Perform first-pass invoice validation and CLD support, identifying risks and escalating complex issues to management.
Maintain accurate documentation, support audit readiness, and identify process improvement opportunities using various systems like Model N, SAP, and Validata.
Bachelor's or Master's degree in Finance, Accounting, Commerce, Business Administration, Economics, Life Sciences, Pharmacy, or related discipline.
2–5 years of experience in pharmaceutical/healthcare operations, managed markets, Medicaid rebates, finance operations, revenue management, claims operations, analytics, or related controlled business operations.
Strong Excel, documentation, reporting, analytical skills with ability to comply with SOPs in a controlled environment.
Work Experience Required: 2–5 years in relevant pharmaceutical or healthcare operations domains.
Detail-oriented professional experienced in Medicaid rebate or managed markets operations with strong documentation and process execution capabilities.
Familiarity with Medicaid rebate processes, payer rebates, claims validation, and pharmaceutical revenue management preferred.
Proficient with specialized tools (Model N/PbN, Validata, SAP) and capable of supporting compliance, audit readiness, and continuous operational improvements.