Company

Pharma

Director,BusinessServices(MedicaidOperations)

$150–195k Ireland FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Director candidates.

The Brief

“Director, Business Services (Medicaid Operations). Skills: Medicaid Operations, Business Services, Stakeholder Management. Lead and define end-to-end Medicaid operations service delivery. Ensure high-quality outputs”

What You'll Achieve.

High-quality outputs; Client experience; Adherence to SLAs; Compliance with requirements

Industry & Context.

Pharma
Problems you'll solve

Data analysis; Root cause analysis

Eligibility Requirements

10–20% travel

What They're Looking For.

Must Have

Bachelor’s degree in Accounting, Finance, Business, or related field, 10+ years of experience in pharmaceutical industry, Deep exposure to Medicaid agreements and rebate operations, Proven leadership experience managing teams, Proven leadership experience managing client relationships, Experience in a complex, regulated environment, Medicaid rebates subject matter expertise, Medicaid contracting subject matter expertise, Claims-level validation processes subject matter expertise, Ability to lead operational transformation, Ability to drive process improvement, Ability to act as a change agent, Analytical skills with ability to work with large datasets, Ability to produce accurate, client-ready deliverables, Experience working in deadline-driven environments, Experience with multiple competing priorities, Solid understanding of compliance, Solid understanding of regulatory requirements, Solid understanding of industry best practices, Advanced proficiency in Microsoft Office, Experience using generative AI tools

Nice to Have

Generative AI tools to enhance productivity or decision-making strongly valued

What You'll Do.

Lead and define end-to-end Medicaid operations service delivery

Ensure high-quality outputs

Ensure client experience

Ensure consistent adherence to SLAs

Ensure compliance with requirements

Oversee review and approval of Medicaid rebate deliverables

Oversee review and approval of customer contracts

Oversee review and approval of data management activities

Serve as Medicaid subject matter expert

Establish best practices

Interpret regulatory changes

Ensure operational alignment

Drive operational excellence

Promote continuous improvement

Ensure compliance with SOC controls

Ensure compliance with internal policies

Ensure compliance with regulatory obligations

Ensure compliance with contractual obligations

Lead and develop a high-performing team

Foster accountability

Foster continuous professional growth

Manage strategic client relationships

Act as senior escalation point

Ensure resolution of complex inquiries

Ensure resolution of complex issues

Collaborate with cross-functional teams

Support system enhancements

Support process optimization

Support change management initiatives

Ensure successful adoption of new tools

Ensure successful adoption of new workflows

Ensure successful adoption of new operating models

How You'll Work.

Team & Collaboration

Cross-functional teams; Pricing teams; GTN teams; Product teams

Communication Scope

Stakeholder management

Process & Methodology

Change management

Full Job Description

## Accountabilities Lead and define end-to-end Medicaid operations service delivery, ensuring high-quality outputs, strong client experience, and consistent adherence to SLAs and compliance requirements. Oversee the review and approval of Medicaid rebate deliverables, customer contracts, and data management activities within internal systems. Serve as the Medicaid subject matter expert, establishing best practices, advising stakeholders, and interpreting regulatory changes to ensure operational alignment. Drive operational excellence by improving processes, increasing efficiency, and promoting automation and continuous improvement across Business Services. Ensure compliance with SOC controls, internal policies, and applicable regulatory and contractual obligations. Lead and develop a high-performing team, fostering accountability, engagement, and continuous professional growth. Manage strategic client relationships, acting as a senior escalation point and ensuring resolution of complex inquiries and issues. Collaborate with cross-functional teams (including pricing, GTN, and product) to support system enhancements, AI adoption, and process optimization. Support change management initiatives and ensure successful adoption of new tools, workflows, and operating models. Requirements: Bachelor’s degree in Accounting, Finance, Business, or a related field. 10+ years of experience in the pharmaceutical industry with deep exposure to Medicaid agreements and rebate operations. Proven leadership experience managing teams and client relationships in a complex, regulated environment. Strong subject matter expertise in Medicaid rebates, contracting, and claims-level validation processes. Demonstrated ability to lead operational transformation, drive process improvement, and act as a change agent. Strong analytical skills with the ability to work with large datasets and produce accurate, client-ready deliverables. Experience working in deadline-driven environments with multiple

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