[Hiring] Director Rebate Strategy and Operations @UnitedHealth Group

Role Description

The Director, Rebate Strategy and Operations owns the enterprise operating model, governance, financial controls, and scalable execution strategy for manufacturer-funded medical benefit rebate programs across Optum Health. This role is accountable for end-to-end rebate value capture, including:

• Eligibility determination
• Rebate qualification
• Drug attestation
• Program administration
• Reconciliation
• Compliance
• Audit readiness
• Leakage mitigation
• Measurable financial performance

This leader ensures eligible manufacturer value is accurately identified, submitted, tracked, collected, reconciled, and reported, while partnering with various departments. Success requires strong working knowledge of:

• Medical benefit drugs
• Manufacturer rebate programs
• Reimbursement
• Qualification requirements
• Financial controls
• Operational governance

The Director leads a team focused on execution, eligibility governance, dispute resolution, compliance, process improvement, and scalable growth of manufacturer-funded programs.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Qualifications

• 8+ years of experience in pharmaceutical rebates, manufacturer programs, health plan or PBM operations, specialty pharmacy, medical benefit drug operations, healthcare finance, or related healthcare value functions
• 5+ years of people leadership experience, including leading teams responsible for complex operations, governance, controls, financial performance, or transformation initiatives
• Experience owning operating models, governance structures, controls, and execution processes across complex, cross-functional programs
• Experience leading programs with measurable financial accountability, including value capture, forecasting support, reconciliation, issue resolution, risk mitigation, and performance management
• Experience leading teams through operational change, process standardization, scalable growth, and sustained performance improvement
• Demonstrated ability to influence senior leaders, communicate operational and financial risk, develop business cases, and drive enterprise alignment
• Demonstrated ability to lead through ambiguity, resolve enterprise issues, and align Finance, Analytics, Clinical, Contracting, Compliance, Operations, and other stakeholders

Requirements

• PharmD or pharmacist licensure (preferred)
• Experience with portfolio qualification, drug attestation, rebate eligibility determination, manufacturer audit support, and dispute resolution (preferred)
• Experience interpreting manufacturer contract language and translating requirements into operational processes (preferred)
• Experience with HCPCS coding, J-codes, NDC crosswalks, product mapping, and utilization-based rebate methodologies (preferred)
• Experience supporting Medicare Advantage, Medicaid, Commercial, and value-based care populations (preferred)
• Experience with workflow optimization, automation, rebate value leakage analysis, forecasting, accrual support, or financial performance measurement (preferred)
• Working knowledge of medical benefit drugs, specialty pharmaceuticals, infused therapies, biosimilars, and manufacturer-sponsored programs (preferred)

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (subject to eligibility requirements)

Company Description

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.