Role
Overview

We are looking for a highly experienced
Senior Techno-Functional Subject Matter Expert (SME) with 12+ years of
experience in Medicaid systems, Medicaid claims processing and regulatory
compliance. Model N
Flex/ PbyN experience
remains highly desirable along with SQL, PL/SQL and Cognos expertise.

This position plays a critical role in bridging
business needs and technology, driving product implementations, integrations,
and process transformations using platforms such as Model N , Revitas and
modern cloud-based solutions.

Key Responsibilities

1.
Business Analysis & Strategic Solutioning

• 
  Lead end-to-end
  requirement
  gathering and stakeholder workshops
  across Commercial contracting and
  revenue management.
• 
  Translate business needs into:
• 
  Functional Requirements
  specification(FRS)
• 
  Technical Design specification
  (TDS)
• 
  Perform
  gap analysis
  and
  recommend optimized solutions aligned with business goals
• 
  Partner with leadership to
  align
  strategic initiatives with IT transformation roadmap

2. SME –
Pricing, Market Access & Revenue Management

• 
  Act as Techno-functional SME
  for:
• 
  Medicaid Rebates &
  Medicaid Claim Level detail (CLD) (primary)
• 
  Government Pricing (secondary)

3. Product
Implementation & Integration

• 
  Drive implementation and
  configuration of:
• 
  Model N Flex (primary)
• 
  ModelN PbYN
• 
  Lead integration design across:
• 
  ERP systems
• 
  Data warehouses
• 
  Upstream/downstream pricing
  systems
• 
  Ensure scalable, cloud-enabled
  architecture for
  Medicaid rebate solutions

4. Data
Analysis & Business Insights

• 
  Perform
  data analysis and
  validation
  using SQL / PL-SQL / Informatica
• 
  Conduct
  financial impact
  assessments
  for pricing and contracting changes
• 
  Identify trends, risks, and
  revenue
  leakage opportunities
• 
  Support data-driven
  decision-making with actionable insights

5. Testing,
Validation & Deployment

• 
  Lead
  System Integration
  Testing (SIT) and User Acceptance Testing (UAT)

6. Stakeholder
Collaboration & Leadership

• 
  Act as a
  bridge between
  business stakeholders and IT teams
• 
  Collaborate with
  cross-functional teams:
• 
  Market Access
• 
  Finance
• 
  Compliance
• 
  IT / Engineering
• 
  Facilitate workshops to define
  business
  use cases and future-state processes

7. Innovation
& Transformation

• 
  Drive adoption of
  emerging
  technologies
  such as:
• 
  Cloud-based platforms

• 
  Identify opportunities for:
• 
  Operational efficiency
• 
  Cost optimization
• 
  Process automation

Required
Skills & Experience

âœ
Domain Expertise

• 
  Deep expertise in:
• 
  Medicaid rebates and CLD
• 
  Government Pricing and
  Compliance
• 
  Pricing & Market Access
• 
  Strong understanding of
  pharmaceutical
  commercial and regulatory landscapes

âœ
Technical Skills

• 
  Hands-on experience with:
• 
  Model N (mandatory)
• 
  Revitas
• 
  Strong data skills:
• 
  SQL / PL-SQL
• 
  Informatica / ETL tools
• 
  UNIX
• 
  Experience working with
  Cloud
  platforms (AWS/Azure)

âœ
Functional Capabilities

• 
  Requirement gathering and
  stakeholder management
• 
  Gap analysis and solution
  design
• 
  System configuration and
  implementation
• 
  Testing (SIT, UAT) and
  validation
• 
  Strong documentation and
  process modeling skills

Why Join Us?

You will join a mission-critical team where
your work directly impacts profit margins and ensures compliance in a rapidly
evolving regulatory environment. You'll have the autonomy to drive innovation
and the tools to make a measurable difference in protecting the organization’s
revenue integrity.