[Hiring] Senior Manager, Client Rebate Operations @Navitus Health Solutions, LLC

Role Description

Navitus Health Solutions is seeking a Senior Manager, Client Rebate Operations to join our team! Reporting to the Director of Rebate Operations, the Senior Manager, Client Rebate Operations is responsible for all operational aspects of Navitus’ rebate program including but not limited to:

• Prospective Reporting:
  • Forecasting/projecting rates based on existing data.
  • Documenting assumptions/caveats in calculating forecasted rates.
  • Creating a potential bid grid based on known data components.
  • Comparing actuals vs. forecasted to finetune assumptions.
  • Forecasting guarantees based on rates, utilization, and inflation.
• Retrospective Reporting:
  • Ensure timely and accurate generation of client reports.
  • Analyze data to ensure clients receive maximum rebates.
  • Identify gaps and work with GPO to correct them.
• Rebate Optimization:
  • Analyze client formulary against best formulary placement with pharma/GPO.
  • Supply data/information for meaningful conversations with pharma/GPO and clients.
• Ensure timely and accurate responses to RFPs.
• Work closely with analysts, leadership, and internal stakeholders to propose rebate guarantees.
• Track vendor performance against guarantees and manage the dispute resolution process.
• Build processes around requirements and seek automation tools.
• Ensure good documentation around Workflows, Policies and Procedures, and Detailed Work Instructions.
• Build appropriate metrics for the department, including operational and outcome-oriented metrics.
• Other duties as assigned.

Qualifications

• A minimum of 4-year degree OR equivalent work experience in a related work environment.
• CPhT certificate preferred.
• Minimum of 2 years in a PBM or equivalent setting.
• Proven experience in designing an operation, building processes, scaling, and automation.
• Proven track record of process improvement/system enhancements.
• Experience with tools/systems around automation of processes is highly preferred.
• Proven track record of collaboration with multiple stakeholders – internal and external.
• A very participative leadership record.
• Proven track record of keeping employees highly motivated and engaged.
• Experience in working with Senior Leadership within an organization.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance.
• 20 days paid time off.
• 4 weeks paid parental leave.
• 9 paid holidays.
• 401K company match of up to 5% - No vesting requirement.
• Adoption Assistance Program.
• Flexible Spending Account.
• Educational Assistance Plan and Professional Membership assistance.
• Referral Bonus Program – up to $750!

Company Description

ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.