Contract Director Rx

• Manages, develops and enhances profitable business relationships with pharmaceutical manufacturers on behalf of the company, supporting drug rebate strategies and contract performance.
  
• Identifies, formulates and obtains new or enhanced medical drug contracts designed to reduce health plan spend and maximize rebate revenue opportunities on medical benefit drugs.
  
• Reviews and analyzes complex medical drug claims to identify contracting opportunities, utilization trends, revenue leakage, and operational improvements.
  
• Partners with internal rebate operations teams to support accurate contract setup, invoicing, collections reconciliation, and allocation processes tied to medical rebate agreements.
  
• Collaborates cross-functionally with finance, analytics, pharmacy, and policy teams to ensure rebate contract terms align with operational capabilities and business objectives.
  
• Participates in discussions and negotiations with pharmaceutical manufacturers regarding rebate eligibility, contract terms and conditions, utilization management alignment, and value-based contracting opportunities.
  
• Supports issue resolution related to rebate discrepancies, contract interpretation, audit requests, and manufacturer inquiries.
  
• Assists in evaluating medical drug policies, reimbursement structures, and market dynamics to support strategic contracting decisions.
  

• Strong knowledge of medical drugs, specialty pharmaceuticals, rebate contracting, and medical benefit drug reimbursement methodologies is preferred.
  
• Experience working within a PBM, health plan, or pharmaceutical manufacturer environment with direct exposure to pharmaceutical rebate negotiations and manufacturer relationships is preferred.
  
• Advanced analytical and financial skills with experience utilizing large medical and pharmacy claims datasets to identify rebate opportunities, utilization trends, and revenue optimization strategies is preferred.
  
• Experience supporting rebate operations including contract negotiation, contract interpretation, invoicing, collections reconciliation, audit support, and issue resolution activities is preferred.
  
• Intermediate to advanced proficiency in Microsoft Excel and data analysis tools, with strong communication and cross-functional collaboration skills is preferred.
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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. Unless 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.

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 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 View email address on aplitrak.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act