Director, Medicaid Rebate Operations and Implementations

Gainwell Technologies LLC; Arizona; Remote; USD 137,000 - 196,000; Full time

Benefits offered by this job

Flexible vacation policy

401(k) matching

Job summary

Gainwell Technologies is seeking a Director, Medicaid Rebate Operations and Implementations to provide executive leadership for end-to-end rebate solutions, including client implementations and ongoing operations.

You will lead about 100 professionals across implementation, operations, and analytics, applying deep rebate system knowledge and financial acumen to optimize performance and inform clients on regulatory and market factors.

Qualifications

• Ten or more years of experience in Medicaid drug rebate.
• Bachelor's degree in business, finance, health care administration, information systems, or related field; Master's preferred.
• Experience in supervisory or management capacity, including leading large teams.
• Proven experience leading client implementations and managing complex, multi-phase projects from kickoff through go-live and steady-state operations.
• Strong technical experience with rebate and claims systems, data structures, reporting and analytics tools, and process automation; ability to partner effectively with IT and engineering teams.
• Strong financial acumen, including experience analyzing rebate performance, accounts receivable, and forecasting, and presenting financial results to executive audiences.
• Working knowledge of Medicaid and pharmacy programs and regulations that affect rebate, such as CMS requirements, state plan amendments, supplemental rebates, 340B, third party liability, and unit rebate amount calculations.
• Demonstrated success managing client relationships at the executive level, including contract performance, service level management, and issue escalation.
• Exceptional written and verbal communication skills, with the ability to explain technical and financial concepts clearly to both technical and non-technical audiences.
• Track record of developing leaders, managing change, and driving measurable operational improvements.

Responsibilities

• Provide strategic and day-to-day leadership for implementation and operations teams; sets goals and performance standards, develops managers and supervisors, and builds a culture of accountability, quality, and continuous improvement.
• Oversee the full implementation lifecycle for new clients and program changes, including requirements gathering, system configuration, data conversion, testing, go-live, and transition to operations; ensures projects are delivered on time, within budget, and to contract requirements.
• Direct rebate operations, invoicing, collections, dispute resolution, and reconciliation, to maximize timely and accurate rebate recovery and meet contractual service levels.
• Provide technical leadership for rebate platforms, data feeds, and system enhancements; partners with IT, product, and data teams to prioritize requirements, drive automation, and strengthen data integrity, controls, and audit readiness.
• Serves as a trusted advisor to client executives by analyzing and communicating rebate performance, including invoiced and collected amounts, accounts receivable and aging, dispute trends, and forecasts; translates complex financial data into clear insights and recommended actions.
• Monitors and advises clients on outlying programs and policy changes that affect rebate, such as federal and state program requirements, supplemental rebate agreements, third party liability, 340B, and CMS initiatives, and assesses their operational and financial impact.
• Develops and manages operating budgets, staffing models, and resource plans; defines and tracks key performance metrics and service level agreements, and reports results to senior leadership and clients through dashboards and quarterly business reviews.
• Builds and maintains strategic relationships with state agency leaders, client account teams
• Leads escalations and represents the organization in client meetings, audits, and RFP responses.
• Identifies and leads process improvement, standardization, and automation initiatives that increase efficiency, scalability, and accuracy across implementation and operations.
• Ensures compliance with contractual, regulatory, and security requirements, and collaborates with compliance, legal, finance, and cross-functional leaders to manage risk and ensure coordination across teams.

Skills

Leadership

Strategic planning

Financial analysis

Client management

Rebate systems

Data analytics

Communication

Project management

Budgeting

Education

Bachelor's degree in business, finance, health care administration, information systems

Master's degree preferred

Tools

Rebate platforms

SQL / data analytics

BI dashboards

CRM systems

Job description

Select how often (in days) to receive an alert:

Director, Medicaid Rebate Operations and Implementations

Location: Any city, AZ, US, 99999

Work Mode: Virtual (Exception only)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

Provides executive leadership for the end-to-end delivery of drug rebate solutions, including new client implementations and ongoing rebate operations. Leads an organization of approximately 100 professionals across implementation, technical support, operations, and analytics. Combines technical depth in rebate systems and data with strong financial acumen to consult clients on their rebate performance and on the federal and state programs, policy changes, and market factors that influence rebate outcomes.

Your role in our mission

• Provides strategic and day-to-day leadership for implementation and operations teams; sets goals and performance standards, develops managers and supervisors, and builds a culture of accountability, quality, and continuous improvement.
• Oversees the full implementation lifecycle for new clients and program changes, including requirements gathering, system configuration, data conversion, testing, go-live, and transition to operations; ensures projects are delivered on time, within budget, and to contract requirements.
• Directs rebate operations, invoicing, collections, dispute resolution, and reconciliation, to maximize timely and accurate rebate recovery and meet contractual service levels.
• Provides technical leadership for rebate platforms, data feeds, and system enhancements; partners with IT, product, and data teams to prioritize requirements, drive automation, and strengthen data integrity, controls, and audit readiness.
• Serves as a trusted advisor to client executives by analyzing and communicating rebate performance, including invoiced and collected amounts, accounts receivable and aging, dispute trends, and forecasts; translates complex financial data into clear insights and recommended actions.
• Monitors and advises clients on outlying programs and policy changes that affect rebate, such as federal and state program requirements, supplemental rebate agreements, third party liability, 340B, and CMS initiatives, and assesses their operational and financial impact.
• Develops and manages operating budgets, staffing models, and resource plans; defines and tracks key performance metrics and service level agreements, and reports results to senior leadership and clients through dashboards and quarterly business reviews.
• Builds and maintains strategic relationships with state agency leaders, client account teams
• Leads escalations and represents the organization in client meetings, audits, and RFP responses.
• Identifies and leads process improvement, standardization, and automation initiatives that increase efficiency, scalability, and accuracy across implementation and operations.
• Ensures compliance with contractual, regulatory, and security requirements, and collaborates with compliance, legal, finance, and cross-functional leaders to manage risk and ensure coordination across teams.

What we're looking for

• Ten or more years of experience in Medicaid drug rebate
• Bachelor's degree in business, finance, health care administration, information systems, or a related field, or equivalent combination of education and experience; Master's degree preferred
• Experience in a supervisory or management capacity, including leading large teams
• Proven experience leading client implementations and managing complex, multi-phase projects from kickoff through go-live and steady-state operations
• Strong technical experience with rebate and claims systems, data structures, reporting and analytics tools, and process automation; ability to partner effectively with IT and engineering teams
• Strong financial acumen, including experience analyzing rebate performance, accounts receivable, and forecasting, and presenting financial results to executive audiences
• Working knowledge of Medicaid and pharmacy programs and regulations that affect rebate, such as CMS requirements, state plan amendments, supplemental rebates, 340B, third party liability, and unit rebate amount calculations
• Demonstrated success managing client relationships at the executive level, including contract performance, service level management, and issue escalation
• Exceptional written and verbal communication skills, with the ability to explain technical and financial concepts clearly to both technical and non-technical audiences
• Track record of developing leaders, managing change, and driving measurable operational improvements

What you should expect in this role

• This is a leadership role that can be performed remotely, with occasional travel (estimated up to 10%) for client meetings, implementation milestones, and team or leadership events.
• Expect a fast-paced environment with periods of heightened activity around quarterly invoicing and reconciliation cycles, and client reporting deadlines.

The deadline to submit applications for this posting is November 30, 2026.

The pay range for this position is$137,100.00-$195,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.