Pharmacy Rebate Program Director

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 Pharmacy Rebate Program Director is responsible for leading end-to-end operational execution, reporting, auditing, and financial oversight of medical drug rebate programs, including invoicing, collections, and allocation of rebate dollars. This director plays a critical part in ensuring contract alignment, maximizing rebate revenue, and partnering cross-functionally with finance and external pharmaceutical manufacturers to resolve discrepancies and identify new revenue opportunities.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Ensures rebate and discount contract terms are accurately translated into system configurations, validating completeness and alignment with contractual requirements prior to invoicing.

• Manages quarterly rebate invoicing processes, including validating data loads, executing invoice generation, and ensuring accuracy across large, complex datasets.

• Manages rebate collections and reconciliation activities, ensuring payments received are accurate, properly allocated to claim-level detail, and aligned with contract expectations.

• Investigates and resolves discrepancies by partnering directly with pharmaceutical manufacturers and internal stakeholders to drive timely resolution and optimize collection rates.

• Performs detailed financial and claims-level data analysis to identify revenue leakage, variance drivers, and new rebate or contracting opportunities.

• Functions as a key liaison across rebate operations, finance, and other corporate teams to support reporting, data feeds, and audit readiness.

• Supports internal and external audit activities by providing documentation, data validation, and subject matter expertise on rebate operations and processes.

Minimum Requirements:

Requires a BA/BS in Business Administration, Finance, or related field and a minimum of 5 years of experience in the rebate field and Pharmacy Benefit Manager (PBM); or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, & Experiences:

• Direct experience supporting medical drug rebate programs (buy-and-bill / medical benefit), including operations, contracting, invoicing, collections, and reconciliation processes is preferred.

• Strong analytical expertise with demonstrated ability to analyze large, complex claims datasets, perform variance analysis, and identify revenue opportunities is preferred.

• Experience working with pharmaceutical manufacturers to resolve rebate discrepancies and ensure contract alignment and collections accuracy is highly preferred.

• Intermediate to advanced proficiency in Excel and/or data tools (e.g., Access) for large-scale data manipulation and reporting is preferred.

• Background in health plans, PBM, or pharmaceutical manufacturers with understanding of rebate contract structures and eligibility considerations (e.g., exclusions such as 340B) is preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $127,880.00 to $191,820.00.

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.