Principal Consultant, Medicaid

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.

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Qualifications

• 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.