Senior Manager, Pharmacy Network Analytics

ABOUT THE ROLE:

We are seeking an experienced Senior Manager, Pharmacy Network Analytics to join our team. The individual will be responsible for managing the rebate program for Rightway’s PBM clients, overseeing compliance with client’s rebate reporting requirements, developing and maintaining rebate forecasting models, and implementing rebate optimization strategies.

WHAT YOU’LL DO:

• 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.

WHO YOU ARE:

• 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

EXTRA CREDIT:

• 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

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

Offer amounts for both remote and in office roles are influenced by geographic location.

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.

ABOUT RIGHTWAY:

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with a satellite office in Denver. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:

1) We are human, firstOur humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.

2) We redefine what is possibleWe always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.

3) We debate then commitWe believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.

4) We cultivate gritChanging healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.

5) We seek to delightHealthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.

Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.

Originally posted on Himalayas