Senior Director, Pharmacy Rebate Operations

Virginia, United States Minor Outlying Islands

Job Description

To administer and manage the commercial pharmacy rebate management program, working with multiple pharmaceutical manufactures and commercial health plans. Also responsible to work closely with public sector and specialty rebate drug programs to form a comprehensive drug rebate program. Responsible for commercial rebate revenue, health plan payments, reconciliations and data integrity.
  • Establishes oral rebate program ensuring sufficient pharma contracts in place to cover 90% of rebate drug spend.
  • Relationship management with drug manufacturers, building and strengthening opportunities through contract negotiations, collaboration on drug pricing, contract exclusions, and rebate rates.
  • Develops and oversees the process for receiving medical and pharmacy claims data, compiling and providing statistical information and financial reporting to pharmaceutical manufacturers and internal resources for revenue recognition and health plan payables.  
  • Ensures reconciliation of market share, utilization and data integrity issues and negotiate with external rebate partners to resolve any conflicts.
  • Supervises analysis staff in the data integrity, timely collection of data from multiple sources, compilation of reports and timely processing of the workflow, provide pricing analysis for rebate guarantee programs, provide rebate trend analysis.
  • Reviews all contracts and contract addenda for Medical,  Pharma and Health Plans.
  • Builds successful relationships with internal customers (e.g., Sales, product, account management, Corporate Accounting).
  • Creates effective rebate specific financial forecasts and annual budget figures.

General Job Information

Title

Senior Director, Pharmacy Rebate Operations

Grade

31

Job Family

Finance Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

7/1/2019

Date Requisition Created

7/1/2019

Work Experience

Pharmacy Rebate Management

Education

Bachelors: Business Administration (Required), Masters

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

  • 8+ years of experience in pharmaceuticals.
  • Experience with PBM Rebate management.
  • Must be proficient with MS Office Suite, specifically Excel and Access as well as other database applications.
  • Experience in pharmaceutical healthcare and experience with PBM rebate programs.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

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