Model N is hiring a Consultant, Medicaid for our Business Services team. The purpose of the role is to successfully support Medicaid claims processing for our life science customer base. We continually offer new services and solutions that align with our clients’ strategic priorities, compliance program needs and in support of their contract management programs. This role can be fully remote.
Job Responsibilities
- Ensure Medicaid and state program claims are processed and paid within mandated 38-day timelines.
- Conduct data entry and internet searches associated with various process streams
- Perform variance testing of invoice data and research test failures
- Perform analysis of script level data to resolve a dispute or potential dispute
- Work with client and states to file or resolve disputed rebate units
- Ensure the accuracy of results based on the analysis associated with the invoice data
- Prepare payment packages and quarterly client deliverables
- Assist in managing ongoing client relationships and interface with clients to resolve specific issues
- Support ongoing software product testing
- Continually strive to improve our business services processes and programs to enhance operational efficiency.
Qualifications
- Bachelor’s degree in Accounting, Finance, Business, or related field
- 3+ years of experience in related field
- Familiarity with pharmaceutical industry, strongly preferred
- 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
- High degree of analytical skills
- Experience working in mandated deadline environment
- Effective management of multiple client assignments
- Strong written and verbal communication skills
- High accuracy rate and attention to detail
- Proficiency with MS Excel and Word
- Ability to produce client-ready deliverables to a high-level professional clientele
- Ability to understand and deal with large amounts of data
- Ability to deliver required periodic results with a high degree of accuracy and minimal management review.
At Model N, we believe our collective success stems from the uniqueness of every individual's diverse backgrounds, experiences, and expertise; we call this the N Factor. So don’t allow uncertainty to keep you from applying to join our team. If you don’t meet the exact criteria but can demonstrate your skillset is the best for the job, we’d love to talk with you. We’re curious to know, what’s your N Factor?
About Model N
Model N enables life sciences and high tech companies to drive growth and market share, minimizing revenue leakage throughout the revenue lifecycle. With deep industry expertise and solutions purpose-built for these industries, Model N delivers comprehensive visibility, insight and control over the complexities of commercial operations and compliance. Our integrated cloud solution is proven to automate pricing, incentive and contract decisions to scale business profitably and grow revenue. Model N is trusted across more than 120 countries by the world’s leading pharmaceutical, medical technology, semiconductor, and high tech companies, including Johnson & Johnson, AstraZeneca, Stryker, Seagate Technology, Broadcom and Microchip Technology. For more information, visit www.modeln.com.
Equal Opportunity Statement
Model N values diversity at our company and is proud to be an equal opportunity employer. Model N considers qualified applicants without regard to race, ethnicity, religion, creed, national origin, age, disability, veteran status, marital status, pregnancy, sex, gender expression or identity, sexual orientation, citizenship, or any other legally protected class. Please reference https://www.eeoc.gov/employers/eeo-law-poster for more information.
For US applicants, Personal Data processed in connection with candidate evaluation and decision-making, onboarding, and continued employment at Model N will be done in accordance with the Model N HR Privacy Policy found at http://www.modeln.com/applicant-and-employee-privacy-notice/
We’re constantly growing and may have something for you later on if this is not the right opportunity for you. Check out our career site to learn more about Model N or view other jobs: https://www.modeln.com/company/careers/
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