Director, Business Services (Medicaid Operations)

Location: Remote, United States; 10–20% travel required

Company

hirify.global provides cloud-based revenue management, commercialization, compliance, data, analytics, and AI solutions for pharmaceutical and medical technology companies.

What you will do

• Own Medicaid business services delivery processes and client-facing outputs, ensuring quality, accuracy, contractual compliance, and SLA adherence.
• Review and approve Medicaid rebate deliverables, customer contract setup, and data management in hirify.global systems.
• Serve as a Medicaid processing and contracting subject matter expert, interpreting regulatory changes and defining required process and system updates.
• Lead, coach, and develop a high-performing Medicaid operations team through goals, feedback, development planning, and performance management.
• Manage strategic client relationships, act as the senior escalation point, and resolve processing, reconciliation, data, and payment inquiries.
• Partner with pricing, GTN, and product teams to improve systems and adopt AI and automation in business processes.

Requirements

• Bachelor’s degree in accounting, finance, business, or a related field.
• 10+ years of pharmaceutical industry experience with Medicaid agreements, including team leadership and client relationship management.
• Subject matter expertise in Medicaid rebates and experience with Medicaid rebate systems.
• Proven ability to lead change, improve processes, manage competing assignments, and operate in mandated-deadline environments.
• Strong analytical skills, attention to detail, understanding of complex data structures, and ability to manage large volumes of data.
• Demonstrated use of generative AI tools such as ChatGPT, Copilot, Claude, or Gemini; advanced Microsoft Office skills, especially Excel, PowerPoint, and Word.

Culture & Benefits

• Remote workplace within the United States.
• Globally connected collaboration across regions, functions, and time zones.
• Focus on accountability, inclusion, continuous improvement, client service, and professional development.
• Equal opportunity employment and consideration of legally protected characteristics.