Overview:
The Manager, Medicaid Operations provides leadership, oversight, and strategic direction for Medicaid Managed Services engagements, serving as the primary point of accountability for delivery, quality, regulatory compliance, and client relationships across complex state-specific Medicaid programs. The role oversees daily operations and global teams, partners with clients to manage deliverables, resolve issues, support program growth, and ensure delivery excellence. In a fast-paced, deadline-driven environment, this position plays a critical role in sustaining and growing IQVIA's Medicaid Managed Services business through revenue protection, client retention, operational scalability, and the successful onboarding of new Medicaid engagements.
Responsibilities:
Client Leadership & Delivery Oversight
- Serve as a client-facing leader for Medicaid engagements, acting as a trusted advisor and escalation point
- Ensure delivery of accurate, timely Medicaid outcomes in alignment with contractual commitments and regulatory requirements
- Lead governance meetings, status reviews, and issue resolution discussions with clients and internal stakeholders
Operations & Team Management
- Oversee Medicaid operational workflows, including work performed by global teams
- Manage resource planning, timelines, and prioritization across Medicaid deliverables and initiatives
- Maintain delivery quality standards and ensure adherence to internal controls, SOC1 requirements, and documented processes
Strategic Planning & Process Improvement
- Identify operational risks, efficiency opportunities, and process improvements across Medicaid programs
- Define, document, and enhance business processes to support scale, quality, and consistency
- Partner with leadership to support the integration and optimization of delivery models
People Leadership & Development
- Build, mentor, and retain a high-performing team through coaching, performance management, and career development
- Foster accountability, collaboration, and clear communication across distributed teams
Growth & Revenue Support
- Support onboarding of new Medicaid clients and expansion of existing engagements
- Participate in proposal development, effort estimation, and solution design for Medicaid opportunities
- Ensure delivery stability to protect existing revenue and enable future growth
Qualifications:
- Bachelor’s degree required
- 5+ years of experience in Medicaid operations or managed services
- 3+ years of people leadership experience
- Demonstrated experience managing complex client engagements and cross-functional teams
- Strong knowledge of U.S. Medicaid programs and state-specific operational requirements
- Proven leadership, problem-solving, and decision-making skills
- Excellent written and verbal communication skills with the ability to engage senior client stakeholders
- Strong project management, planning, and organizational capabilities
- Advanced proficiency in Microsoft Excel, PowerPoint, and Word
- Experience overseeing global delivery models preferred
- Prior involvement in proposal development or client onboarding preferred
- Familiarity with rebate, claim, or payer-related healthcare processes preferred
Travel Requirements:
- Willingness to travel up to 20%, as needed for client meetings or internal planning sessions
Please Note: In order to be eligible for this remote role, you must reside within the country where the position is posted.
The potential base pay range for this role, when annualized, is $86,600.00 - $216,600.00. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
