Senior Manager, Pharmacy Network Analytics

Summary

Join Rightway as a Senior Manager, Pharmacy Network Analytics and manage the rebate program for PBM clients. You will oversee compliance with client rebate reporting requirements, develop and maintain rebate forecasting models, and implement optimization strategies. Responsibilities include processing and reporting client payments, analyzing data to identify trends, developing strategies to optimize client rebates, and ensuring regulatory compliance. You will collaborate with internal stakeholders and external partners, provide regular reporting, and maintain relationships with external rebate affiliates. The ideal candidate possesses a Bachelor’s degree in a related field and 4-5+ years of experience in PBM rebate management. Strong analytical and problem-solving skills, excellent communication, and proficiency in Microsoft Office Suite and database management systems are essential.

Requirements

• Bachelor’s degree in a related field (e.g., business, pharmacy, or healthcare administration)
• 4-5+ years of experience in PBM rebate management or a related field
• Proven track record of success in managing rebate programs and claims reporting
• Strong analytical and problem-solving skills, with ability to interpret complex data and develop effective solutions
• Excellent communication and interpersonal skills, with ability to build strong relationships with internal stakeholders and external partners
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and database management systems including SQL, Python or other related system

Responsibilities

• Manage the rebate program for Rightway’s PBM clients, including processing and reporting client payments, reconciliations and tracking rebate forecasted performance
• Analyze and interpret data to identify trends and areas for improvement in the rebate program or year-end rebate forecast performance, using data analytics tools and techniques as needed
• Develop and implement strategies to optimize client rebate opportunities
• Ensure compliance with regulatory reporting requirements, such as federal and state laws governing rebates
• Reviewing and analyzing rebate data to ensure accuracy and compliance amongst Rightway stakeholders and vendors
• Collaborate with internal stakeholders, including sales, marketing, and operations teams, to ensure alignment and effective communication regarding rebate performance, operations, and reconciliations
• Provide regular reporting and analysis of rebate performance to senior management and clients on a routine basis
• Develop and maintain relationships with external rebate affiliates, vendors, other key stakeholders
• Other duties as assigned

Preferred Qualifications

• Master’s degree in a related field (e.g., business, pharmacy, or healthcare administration)
• 7+ years of experience in PBM rebate management or a related field
• Experience working with pharmaceutical manufacturers and other key stakeholders
• Familiarity with regulatory requirements governing rebates

Benefits

BASE SALARY: $125,000 - $145,000