Senior Manager, Managed Care Rebate Integrity – Controls

🕒 May 6

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $140k - $165k / year

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Fresenius Kabi USA

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💊 Pharmaceuticals

🧬 Biotechnology

🤝 B2B

Pharmaceuticals • Biotechnology • B2B

Fresenius Kabi USA is a healthcare company that develops, manufactures, and supplies essential medicines and medical technologies for hospitals, blood centers, and healthcare providers across the United States. The company’s offerings include injectable pharmaceuticals, biopharmaceuticals, parenteral nutrition products, infusion and apheresis systems, blood collection and processing equipment, and data management solutions to support clinical and blood center operations. Fresenius Kabi USA focuses on improving access, affordability, and safety of therapies while supporting community engagement and supply chain resilience.

📋 Description

• Provide strategic oversight of pharmacy and medical rebate validation to protect revenue, ensure contractual compliance, and strengthen Gross-to-Net integrity. • Lead enterprise governance over data validation, dispute strategy, accrual accuracy, and vendor performance. • Drive analytics, automation, and systemic corrective actions to reduce financial leakage, improve recovery outcomes, and ensure audit-ready compliance across payer rebate programs. • Set enterprise validation strategy and own end-to-end rebate revenue integrity across pharmacy and medical benefit claims. • Establish and oversee data integrity governance for rebate submissions. • Lead contract operationalization and policy translation in partnership with Contracting/Legal. • Maintain strong understanding of PBM/MBM formulary structures, coverage criteria, benefit design changes. • Serve as subject matter expert on PBM/MBM formulary structures and benefits design changes. • Sponsor, Design & Lead payer rebate audit program.

🎯 Requirements

• Bachelor’s degree in finance, Business, Analytics, Pharmacy Administration, Accounting, or related field. • 8+ years in pharma/biotech rebates, managed care operations, GTN, or contract/revenue integrity, with 2–4 years people leadership. • Strong understanding of PBM & MBM rebate programs, NCPDP data formats, formulary structures, and rebate contract terms. • Hands-on experience with rebate validation and disputes for PBM and medical benefit (e.g., J-code claims, buy-and-bill). • Experience working with or managing external vendors (e.g., IQVIA, Model N). • Strong analytical abilities and experience with large datasets (Excel, Power BI, Snowflake preferred).

🏖️ Benefits

• medical, dental and vision coverage • life insurance • disability • 401K with company contribution • wellness program