Pharmacy Rebate Program Director

Description

A proud member of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

The Pharmaceutical Contract Strategies team is looking to hire a Pharmacy Rebate Program Director . This high-performing individual contributor will work to establish and facilitate medical rebate operations for a newly contracted client. This position will be responsible for the successful setup, launch, and ongoing execution of medical rebate operations, including setting up completed medical rebate contract details into the rebate system, ensuring claims files are received and processed for all clients, adjudicating claims details against contract parameters, and establishing timely and accurate related reporting.

This position can work in a hybrid way from any Elevance Health corporate office.

Responsible for reporting, auditing, and monitoring the pharmacy rebate/discount programs. How you will make an impact:

• Ensures claims files received and processed in a timely manner

• Ensures contracted rates and conditions discounts are set up appropriately

• Sets up reconciliation processes

• Understands rebate calculations and variances in support of all rebate analysis

• Functions as a liaison between the rebate unit and other internal and external teams

Requires a BA/BS in Business Administration, Finance, or related field and a minimum of 5 years of experience in the rebate field and Pharmacy Benefit Manager (PBM); or any combination of education and experience, which would provide an equivalent background.

Highly preferred skills and experiences:

• Knowledge of medical drug details, medical claims processing, and medical benefit drug supply chain.

• Experience with similar invoicing and collections processes.

• Experience with Pharma drug contracts, manufacturer rebates, and the analytics and operations related to these rebates.

• Experience inside the pharmaceutical supply chain, Pharmacy Benefit Management (PBM) business, or a Health Plan

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $102,800 to $184,040

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.