Rebate Management Pharmacist - Remote

UnitedHealth Group•San Diego, CA

1d•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 Rebate Management Pharmacist is responsible for supporting the execution, optimization, and expansion of Optum Health’s national medical benefit rebate portfolio while contributing to broader pharmacy value and affordability initiatives across medical and pharmacy benefits. This role partners closely with internal stakeholders across Finance, Health Care Economics (HCE), Legal, Actuarial, Clinical, Supply Chain, and Operations teams, as well as external pharmaceutical partners, to ensure effective rebate operations, data driven decision making, and scalable, compliant processes. The Rebate Management Pharmacist serves as a subject matter expert on medical rebate offerings and net cost considerations, supports cross functional initiatives to drive pharmacy value, and leads through influence in a highly matrixed environment. Given the dynamic nature of the healthcare and pharmaceutical landscape, this role requires a high degree of adaptability. Responsibilities may evolve based on changing business needs, regulatory requirements, strategic priorities, and organizational decisions. The Rebate Management Pharmacist is expected to be flexible and responsive, taking on additional or modified responsibilities as needed to support Optum Health’s objectives. While this role does not currently have direct reports, there is potential for the role to evolve into a people leadership role as the portfolio and team scale. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy (BS Pharm)
Current, unrestricted pharmacist license in good standing in at least one U.S. jurisdiction
Successful completion of a PGY1 pharmacy residency program and at least one year of pharmacy experience, or a minimum of three years of relevant pharmacy experience
2+ years of experience in managed care, health plan, PBM, and/or GPO environments
2+ years of experience working collaboratively in multidisciplinary teams within a matrixed organization
1+ years of experience working in a metric driven environment with demonstrated analytical rigor
Demonstrated clinical knowledge of specialty therapeutics, including infusions and injectables, with proficiency in literature evaluation and evidence based medicine
Familiarity with value based care models, including shared savings and risk arrangements
Intermediate or advanced proficiency in Microsoft Office tools, including Excel (pivot tables, XLOOKUP, INDEX/MATCH, COUNTIFS), Power BI, Outlook, and Teams
Demonstrated solid analytical and quantitative skills, including experience reconciling and analyzing medical and pharmacy claims to identify utilization trends and cost drivers

Nice To Haves

Completion of a PGY2 pharmacy residency program, fellowship, or equivalent experience
Active Board of Pharmacy Specialties (BPS) certification (e.g., BCPS, BCACP, BCGP, BCOP)
Experience with rebate design and rebate management
Experience supporting contracting strategy and negotiation processes
Experience conducting and interpreting financial analyses and economic models using medical and pharmacy claims data, clinical data, benchmarks, and market intelligence
Experience supporting Medicare Advantage, Commercial, and/or Medicaid programs
Experience in specialty infusion care delivery, including home infusion operations
Solid working knowledge of Medicare Part A, B, C, and D benefits, regulations, and compliance requirements
Demonstrated strength in program and project management, with a record of meeting or exceeding operational, quality, or cost management objectives
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Responsibilities

Support end to end operational execution of the Optum Health national medical rebate portfolio, including contracting activities, vendor attestations, claims submission preparation, reconciliation, audit support, and performance reporting
Serve as a subject matter expert on medical rebate offerings and net cost considerations to inform rebate strategy, pharmacy value initiatives, and affordability goals
Support onboarding of new markets and vendors into the medical benefit rebate portfolio, partnering with markets to standardize, optimize, and scale operational processes
Support rebate validation, dispute resolution, forecasting, and governance activities in partnership with finance, Health Care Economics (HCE), legal, and operations stakeholders
Serve as the initial point of contact for pharmaceutical company outreach to Optum Health, facilitating coordination and alignment across internal teams
Support the ideation, design, and execution of pharmacy value initiatives, programs, and decision support tools across medical and pharmacy benefits
Partner with clinical, actuarial, finance, supply chain, and HCE teams to identify opportunities for improved utilization, preferred product strategies, cost optimization, and value realization
Translate complex clinical, financial, and contractual information into actionable insights and recommendations for leadership and cross functional stakeholders
Lead through influence across matrixed teams without direct authority, aligning stakeholders around shared goals, priorities, and timelines
Contribute to long term strategy development related to medical benefit drug management, rebate optimization, and pharmacy affordability initiatives
Prepare clear, concise executive level communications, updates, analyses, and recommendations to support leadership decision making

Benefits

In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.

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