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Contract Director Rx

$160.54k - $240.81k

Elevance Health

Contract Director Rx Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity while providing flexibility to support productivity and work‑life balance. Alternate locations may be considered if candidates reside within a commuting distance from an office. Contract Director Rx is responsible for identifying, negotiating and managing pharmaceutical contracts and driving rebate revenue opportunities for medical and/or pharmacy drugs. This Director partners closely with pharmaceutical manufacturers and internal teams (finance, analytics, operations) to support contract strategy, rebate eligibility, invoicing accuracy, collections oversight, and identification of new revenue‑generating opportunities. How You Will Make an Impact Manages, develops and enhances profitable business relationships with pharmaceutical manufacturers, 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. Minimum Requirements Requires a BA/BS degree in a related field and a minimum of 8 years of contract negotiation and sales experience, or an equivalent combination of education and experience. Preferred Skills, Capabilities, & Experiences Strong knowledge of medical drugs, specialty pharmaceuticals, rebate contracting, and medical benefit drug reimbursement methodologies. Experience working within a PBM, health plan, or pharmaceutical manufacturer environment with direct exposure to pharmaceutical rebate negotiations and manufacturer relationships. Advanced analytical and financial skills with experience utilizing large medical and pharmacy claims datasets to identify rebate opportunities, utilization trends, and revenue optimization strategies. Experience supporting rebate operations, including contract negotiation, interpretation, invoicing, collections reconciliation, audit support, and issue resolution activities. Intermediate to advanced proficiency in Microsoft Excel and data analysis tools, with strong communication and cross‑functional collaboration skills. Location: California Salary Range: $160,540.00 to $240,810.00 Equal Employment Opportunity Statement: 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, 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 click.appcast.io 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. #J-18808-Ljbffr Elevance Health

Vacancy posted 2 days ago
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