Contract Director Rx

Elevance Health•Wallingford, CA

7d•Hybrid

About The Position

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. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs 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. This director partners closely with pharmaceutical manufacturers, and internally (finance, analytics, operations) to support contract strategy, rebate eligibility, invoicing accuracy, collections oversight, and identification of new revenue-generating opportunities.

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.

Nice To Haves

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.

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.
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.