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Manager Medical Rebate Pricing - Telecommute

UnitedHealth Group
Irvine, California, US
Closing date
Jan 15, 2022

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Consultancy/Private Sector
Conservation science
Salary Type
Employment Type
Full time
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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

As Manager, Medical Rebate Pricing, you will provide strategic formulary and rebate analytic support in client RFP opportunities. In this capacity, you will partner with Underwriting, Sales, Client Account Management, and various cross-functional partners to price competitive rebates and achieve new client growth. This role requires knowledge of PBM business and rebates, strong cross functional collaboration, and the ability to drive, articulate, and effectively communication rebate and formulary strategies in a client RFP.

Primary Responsibilities:
  • Assess and forecast Medical Drug Rebates for proposed client formulary
  • Perform critical role in the analysis of client formularies and medical policies to determine client eligibility of rebates with respect to manufacturer contracts
  • Build and estimate rebate guarantee models to assist in the economic analysis of market conditions
  • Identify and provide recommendations to ensure rebates are market competitive to achieve new client growth and margin retention
  • Problem solve creatively utilizing rebate knowledge to formulate rebate strategies that will offer market leading rates
  • Identify alternative pricing options and plan design changes based on economic analyses and trends
  • Review and complete rebate financial and formulary requirements of RFP questions for Proposal Team
  • Gather, summarize, and analyze detailed data. Strong aptitude for technical skills is required
  • Assess the risk of pricing guarantees offered
  • Create best practices to maximize efficiency and process workflow for projects with compressed timelines
  • Evaluate client performance and compare forecasts with actuals
  • Audit forecasting tools for accuracy and troubleshoot variances in modeling

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
  • Bachelor's degree in Business, Math, Finance, or equivalent work experience
  • 3+ years of financial analysis, financial modeling, or underwriting skills
  • Experience in reading pharmacy or medical contracts
  • Advanced MS Excel and database querying skills
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:
  • Experience in medical claims
  • Financial consulting or auditing experience
  • PBM and rebate expertise in medical rebates
  • PBM Underwriting
  • Excellent communication skills, both orally and in writing
  • Advanced organization, multi-tasking, and follow up skills

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Job keywords: Manager Medical Rebate Pricing, Medical Rebate, PBM, underwriting, financial modeling, analytics, Rebate billing, Irvine, CA, California,
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