Director, Business Services (Medicaid Operations)

Ovii's Interpretation of the Role

Director of Business Services leading Medicaid operations for a pharmaceutical‑focused SaaS company. Owns end‑to‑end rebate delivery, drives regulatory compliance, and builds high‑performing teams while managing strategic client relationships. Fully remote, full‑time position.

Role Snapshot

• Director‑level leadership
• Medicaid rebate operations
• Client relationship ownership
• Regulatory compliance stewardship
• Team building & coaching
• Process efficiency & transformation

Must-Have Requirements

• Medicaid rebate expertise
• People leadership & team development
• Regulatory compliance knowledge
• Data analysis & large‑data handling
• Microsoft Office (Excel, PowerPoint, Word)
• Generative AI tool utilization
• Pharmaceutical industry
• Medicaid agreements
• Team leadership
• Client relationship management
• Bachelor’s degree in Accounting, Finance, Business, or related field

Work Setup

• Location: Remote, United States
• Work mode: REMOTE
• Remote scope: COUNTRY_RESTRICTED
• Remote countries: United States
• Travel: 10-20% travel required
• Employment type: Full-Time

Eligibility Gates

• Visa sponsorship: no

Not Specified in JD

• Visa sponsorship
• Security clearance

What You'll Likely Work On

• Design and own best‑in‑class delivery processes for Medicaid rebate services.
• Review, approve, and ensure quality of Medicaid rebate deliverables and client contracts.
• Lead a high‑performing Medicaid operations team, fostering accountability and continuous improvement.
• Serve as the subject‑matter expert on Medicaid regulations, translating changes into actionable system updates.
• Drive rebate savings by validating claims‑level details and partnering with state agencies.
• Manage strategic client relationships and act as senior escalation point for service issues.
• Collaborate cross‑functionally with pricing, GTN, and product teams to embed AI‑driven automation.
• Ensure compliance with SOC controls, government, and contractual requirements.

Good Fit If You Have

• Proven track record leading teams in a regulated pharmaceutical environment.
• Strong analytical mindset with high‑accuracy deliverables.
• Comfortable navigating complex regulatory changes and educating stakeholders.