Director Rebate Strategy and Operations - Remote

UnitedHealth Group•Draper, UT

3d•$134,600 - $230,800•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Director, Rebate Strategy and Operations owns the enterprise operating model, governance, financial controls, and scalable execution strategy for manufacturer-funded medical benefit rebate programs across Optum Health. This role is accountable for end-to-end rebate value capture, including eligibility determination, rebate qualification, drug attestation, program administration, reconciliation, compliance, audit readiness, leakage mitigation, and measurable financial performance. This leader ensures eligible manufacturer value is accurately identified, submitted, tracked, collected, reconciled, and reported, while partnering with Pharmacy, Finance, Health Care Economics, Analytics, Contracting, Industry Relations, Compliance, and Market Leadership. Success requires strong working knowledge of medical benefit drugs, manufacturer rebate programs, reimbursement, qualification requirements, financial controls, and operational governance, with the ability to effectively lead cross-functional teams and leverage clinical, financial, analytic, and operational expertise across the organization. The Director leads a team focused on execution, eligibility governance, dispute resolution, compliance, process improvement, and scalable growth of manufacturer-funded programs. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

8+ years of experience in pharmaceutical rebates, manufacturer programs, health plan or PBM operations, specialty pharmacy, medical benefit drug operations, healthcare finance, or related healthcare value functions
5+ years of people leadership experience, including leading teams responsible for complex operations, governance, controls, financial performance, or transformation initiatives
Experience owning operating models, governance structures, controls, and execution processes across complex, cross-functional programs
Experience leading programs with measurable financial accountability, including value capture, forecasting support, reconciliation, issue resolution, risk mitigation, and performance management
Experience leading teams through operational change, process standardization, scalable growth, and sustained performance improvement
Demonstrated ability to influence senior leaders, communicate operational and financial risk, develop business cases, and drive enterprise alignment.
Demonstrated ability to lead through ambiguity, resolve enterprise issues, and align Finance, Analytics, Clinical, Contracting, Compliance, Operations, and other stakeholders

Nice To Haves

PharmD or pharmacist licensure.
Experience with portfolio qualification, drug attestation, rebate eligibility determination, manufacturer audit support, and dispute resolution
Experience interpreting manufacturer contract language and translating requirements into operational processes
Experience with HCPCS coding, J-codes, NDC crosswalks, product mapping, and utilization-based rebate methodologies
Experience supporting Medicare Advantage, Medicaid, Commercial, and value-based care populations
Experience with workflow optimization, automation, rebate value leakage analysis, forecasting, accrual support, or financial performance measurement
Working knowledge of medical benefit drugs, specialty pharmaceuticals, infused therapies, biosimilars, and manufacturer-sponsored programs

Responsibilities

Own the enterprise operating model and execution strategy for manufacturer-funded rebate programs across supported lines of business
Establish scalable operating models, policies, procedures, controls, and governance structures
Ensure timely, accurate, compliant, and financially accountable execution of rebate-related operational activities
Develop executive-level performance metrics and reporting to monitor program effectiveness, operational health, value realization, and rebate leakage risk
Set strategic direction for portfolio and drug-level attestation governance, including eligibility standards, qualification methodologies, and portfolio inclusion criteria
Accountable for governance over manufacturer rebate eligibility requirements, program rules, and operational interpretation, ensuring consistent application across teams and programs
Oversee decision frameworks for product mapping, HCPCS/J-code alignment, NDC crosswalks, biosimilar relationships, and product attribution methodologies
Lead cross-functional alignment with HCE, Clinical, Analytics, and Contracting to ensure eligible products are identified, governed, and supported for claims submission
Oversee manufacturer and vendor operational relationships, submission processes, supporting documentation, and program requirements
Lead implementation of new rebate opportunities, program expansions, operating model changes, and operational onboarding
Ensure enterprise readiness for new products, manufacturers, reimbursement models, value arrangements, and rebate entitlement requirements
Ensure compliance with manufacturer agreements, internal governance requirements, documentation standards, and audit expectations
Lead audit preparation, response activities, corrective action implementation, and risk mitigation
Drive continuous improvement, automation, standardization, and scalability initiatives
Establish best practices and governance routines that support long-term program growth
Own rebate tracking, payment reconciliation, discrepancy resolution, dispute escalation, and value realization processes
Partner with Finance, Accounting, and Economics teams to strengthen forecasting, accrual support, realized value reporting, and reconciliation controls
Identify and resolve operational, data, vendor, or process barriers that may impact rebate capture, collection rates, and financial performance
Drive measurable improvement in collection performance, reduce value leakage, and maintain clear accountability for financial outcomes
Lead, coach, and develop a high-performing team responsible for rebate operations, qualification governance, financial controls, and manufacturer program administration
Establish strategic priorities, performance expectations, accountability routines, succession planning, and individual development plans
Collaborate with Pharmacy, Finance, HCE, Contracting, Industry Relations, Compliance, Analytics, and Market Leadership
Influence enterprise decision-making through executive-ready insights, operational recommendations, business case development, and cross-functional alignment