Contract Director Rx

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. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. CarelonRx partners a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health. The Contract Director Rx is responsible for identifying, negotiating and managing pharmaceutical contracts and driving rebate revenue opportunities for medical and/or pharmacy drugs. Responsibilities Manage, develop and enhance profitable business relationships with pharmaceutical manufacturers on behalf of the company, supporting drug rebate strategies and contract performance. Identify, formulate and obtain new or enhanced medical drug contracts designed to reduce health plan spend and maximize rebate revenue opportunities on medical benefit drugs. Review and analyze complex medical drug claims to identify contracting opportunities, utilization trends, revenue leakage, and operational improvements. Partner with internal rebate operations teams to support accurate contract setup, invoicing, collections reconciliation, and allocation processes tied to medical rebate agreements. Collaborate cross-functionally with finance, analytics, pharmacy, and policy teams to ensure rebate contract terms align with operational capabilities and business objectives. Participate in discussions and negotiations with pharmaceutical manufacturers regarding rebate eligibility, contract terms and conditions, utilization management alignment, and value-based contracting opportunities. Support issue resolution related to rebate discrepancies, contract interpretation, audit requests, and manufacturer inquiries. Assist in evaluating medical drug policies, reimbursement structures, and market dynamics to support strategic contracting decisions. Qualifications Minimum of 8 years contract negotiation and sales experience, or equivalent education and experience. Strong knowledge of medical drugs, specialty pharmaceuticals, rebate contracting, and medical benefit drug reimbursement methodologies. Experience 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, contract 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. Salary $160,540.00 to $240,810.00 – Location: California. Benefits Comprehensive benefits package. Incentive and recognition programs. Equity stock purchase and 401(k) contribution (subject to eligibility). EEO 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 (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. #J-18808-Ljbffr The Elevance Health Companies, Inc.