Contract Director Rx
- CA-WOODLAND HILLS, 21215 BURBANK BLVD, United States of America
- CT-WALLINGFORD, 108 LEIGUS RD
Contract Director Rx
Hybrid 2: 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.
How You Will Make an Impact
Primary duties may include, but are not limited to:
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.
Minimum 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.
Preferred Skills, Capabilities, & Experiences:
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.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $160,540.00 to $240,810.00.
Location: California
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.