Sr. Manager, Client Rebate Operations

Navitus Health Solutions, LLC•,

2d•$96,481 - $118,382•Remote

About The Position

Navitus Health Solutions is seeking a Senior Manager, Client Rebate Operations to join our team! Reporting to Director of Rebate Operations, the Senior Manager, Client Rebate Operations is responsible for all operational aspects of Navitus’ rebate program including but not limited to –reporting, client operations, rebate optimization, sales support, pricing/guarantees, point of sale rebates and vendor management.

Requirements

A minimum of 4-year degree OR Equivalent work experience in related work environment
Minimum of 2 years in a PBM or equivalent setting
Proven experience in designing an operation, building processes – scaling and automation
Proven track record of process improvement/system enhancements
Proven track record of collaboration with multiple stakeholders – internal and external
A very participative leadership record
Proven track record of keeping employees highly motivated and engaged
Experience in working with Senior Leadership within an organization
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Nice To Haves

CPhT certificate preferred
Experience with tools/systems around automation of processes is highly preferred

Responsibilities

Prospective Reporting – This includes forecasting/projecting rates based on existing data, making assumptions and documenting such assumptions/caveats in calculating forecasted rates using existing data. Creating a potential bid grid based on known data components, again making and documenting assumptions. Constantly comparing actuals vs. forecasted to finetune assumptions. Forecasting guarantees based on rates, utilization and other factors like inflation
Retrospective Reporting – Ensure all client reports are generated timely and accurately. Analyzing the data to ensure clients are receiving maximum rebates. If there are gaps, identify the reasons for those gaps and work with GPO to correct those
Rebate Optimization – Analyze client formulary against best formulary placement with pharma/GPO to then supply the data/information that would be needed by our contractors to have meaningful conversations with pharma/GPO and our clients in order to maximize client rebates while still maintaining our lowest net cost philosophy
Ensure that RFPs are responded to in a timely and accurate manner
Work closely with analysts, leadership and other internal stakeholders like sales and finance to ensure rebate guarantees are proposed to clients
Tracking performance of vendors against guarantees, tracking the dispute resolution process and creating dashboards that capture current state in a comprehensive manner
A process exists to conduct the required task/function. If not build a process around the requirement, scale the process and think of ways to automate the process using existing systems/tools or seeking tools in the marketplace that would enable automation
For each of the processes that are required to ensure we deliver the lowest net cost to our clients, the Director shall ensure there is good documentation around Workflows, Policies and Procedures, Detailed Work Instructions
Build appropriate metrics for the department. This includes operational metrics like activity metrics, outcome-oriented metrics etc
Other duties as assigned