Medicaid Model N Powered By N Techno-Functional SME

Role: Medicaid Model N Powered By N Techno-Functional SME
Experience: 10+ Years
Location: Offshore

Key Responsibilities

• Serve as the Subject Matter Expert (SME) for Model N Medicaid Rebates solutions.
  
• Lead requirements gathering workshops with business stakeholders to understand Medicaid claim processing, dispute management, pricing, data and compliance requirements.
  
• Configure and support Model N Medicaid modules, including:
  
• Medicaid Rebate Processing
  
• Programs and Data Migration
  
• Dispute Resolution
  
• Medicaid Master and Claim Data and reporting
  
• Analyze and translate business requirements into functional and technical specifications.
  
• Collaborate with business users, architects, developers, testers, and Model N product teams throughout project lifecycles.
  
• Support data migration, integrations.
  
• Conduct solution design reviews and provide recommendations aligned with pharmaceutical industry best practices.
  
• Support SIT, UAT, deployment activities, and post-production hypercare.
  
• Troubleshoot production issues and coordinate resolution with cross-functional teams.
  
• Ensure compliance with Medicaid regulations and government pricing requirements.
  

Required Skills

• Strong experience in Model N Revenue Management for Life Sciences (Medicaid).
  
• Experience with Model N configuration, workflows, and business rules.
  
• Strong SQL and data analysis skills.
  
• Experience working with integrations involving SAP, CRM, ERP, Data Warehouse, or other enterprise systems.
  
• Ability to analyze complex data and troubleshoot transactional issues.
  
• Experience preparing functional specifications, user stories, and solution design documents.