At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting TitleManager Rebate Contract Management - RemoteJob DescriptionThe Manager of Rebate Contract Management oversees contracting, rate generation, reporting, and deliverables for State Medicaid supplemental rebate programs. This role collaborates with internal departments and external partners, including State Medicaid Programs and pharmaceutical manufacturers, to ensure strategic objectives and contractual obligations are met. This role is also responsible for resolving contract disputes and ensuring timely completion of monthly and quarterly deliverables.
Responsibilities
• Partner with internal teams (e.g., Rebate Operations, Account Management, Product Development, Preferred Drug List leadership and analytics) to respond to changing or emerging system initiatives and client implementations; actively participate in Request For Proposal (RFP) re-bid processes; perform research and analysis to identify and solve for operational business needs and enhancements
• Manage the generation and execution of supplemental rebate agreements between Pharmaceutical Manufacturers, State Medicaid Programs and/or the company; Work with internal teams (e.g., Rebate Operations, Rebate IT, Preferred Drug List), as needed, for timely completion of contract/ product review cycles
• Implement and oversee team's compliance with audit procedures, including participating in internal and external audits; develop and implement Standard Operating Procedures (SOPs) for each State process to support audit process
• Provide oversight and direction for contract tracking, execution, rate generation, reporting, and deliverable processes using and modifying data queries and enhancing functionality of information systems
• Develop and maintain professional working relationships with internal departments, State Medicaid Programs, and Pharmaceutical Manufacturers; may work with manufacturers on contract-related issues
• Measure individual team member performance, balance workloads, and develop hiring plans to meet work needs; Helps to design and participate in programs to foster an environment of employee growth and opportunity
• Accountable for team conduct and productivity and administer performance management to team members; identify on-going staff training and development opportunities to support continuous improvement and exceptional customer service
• Other duties as assigned
Minimum Qualifications
- Bachelor's degree in Finance or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma from an accredited school or equivalent GED required
- 6 years work experience in Medicaid, Compliance, or Contract Administration Management or related industry experience
- 2 years of leadership/people management experience
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
- Ability to lead and manage others in a team environment
- Basic technical proficiency and understanding of relational databases (Oracle, SQL Server and MS Access) and large data structures
- Proficient in MS Word and Excel
- Excellent verbal and written communication skills and ability to multi-task
- Ability to establish relationships with new clients and pharmaceutical manufacturers as well as nurture relationships with existing clients/manufacturers
- Understanding and application of contractual terms to teams operations
Preferred Qualifications
- Experience interacting with customers
- Experience with rebate contracting and/or audits
- Project management and implementation experience
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
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What We Do
Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years. In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US. In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products: • NetResults™ • Specialty Drug Management • Best in Care™ • GuidedHealth® • Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations • Prime Analytics™ • CareCentered Contracting™Controlled Substance Management Program Join us! Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career. At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact. Follow Prime on LinkedIn to learn more.
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