About the role
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.