Contract Director Rx

About the role

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.

Responsibilities

• 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.
• Pairs 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.
• Supports issue resolution related to rebate discrepancies, contract interpretation, audit requests, and manufacturer inquiries.
• Affords assistance in evaluating medical drug policies, reimbursement structures, and market dynamics to support strategic contracting decisions.

Requirements

• Requires a BA/BS degree in a related field and minimum of 8 years contract negotiation and sales experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, & Experiences

• 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.

Benefits

For candidates working in person or virtually in the below location(s), the salary range for this specific position is $160,540.00 to $240,810.00. Location: California. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).