Manager, Pharmacy Revenue Operations

Capital Blue Cross

. Lead end-to-end pharmacy rebate operational oversight, including receipt, validation, allocation, reconciliation, reporting, and financial settlement of manufacturer rebate payments .

Posted 11/4/2026full-timeHarrisburg • Pennsylvania • United StatesSeniorLead💰 $102,310 - $190,015 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in pharmacy rebate operations, financial management, and regulatory compliance, with a strong focus on process improvement and data integrity. Proven ability to lead teams, manage complex financial data, and collaborate cross-functionally to drive operational efficiency.

Highest-signal resume keywords

Pharmacy Benefit ManagementRebate Operations LeadershipFinancial Reporting and ReconciliationProcess Improvement and EfficiencyHealthcare Regulatory Compliance

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Financial ManagementData AnalysisAccrual MethodologiesRebate AccountingPharmaceutical EconomicsHealthcare Accounting PrinciplesProject ManagementOperational OversightRebate Data IntegrityPerformance Metrics Development

Soft Skills

Analytical SkillsProblem-SolvingCommunication SkillsPresentation SkillsOrganizational Skills

Tools & Technologies

ExcelPower BITableauFinancial SystemsHealthcare Data Sets

Industry Keywords

Pharmacy Rebate StructuresPBM Financial ArrangementsMedicare Part DCommercial Pharmacy Benefit ProgramsAudit and Compliance Frameworks

Tech Stack

Tools & technologies

Tableau

About the role

Key responsibilities & impact

Lead end-to-end pharmacy rebate operational oversight, including receipt, validation, allocation, reconciliation, reporting, and financial settlement of manufacturer rebate payments
Oversee quarterly and monthly rebate processing workflows
Ensure rebate data integrity across pharmacy, finance, and accounting systems
Monitor operational performance and develop process improvements to increase efficiency, scalability, and audit readiness
Collaborate with PBM partners to resolve rebate discrepancies, operational issues, and data quality concerns
Review rebate accounting activities, including accrual development, journal entries, financial reporting, and reconciliation
Partner with Finance and Actuarial teams to develop and validate rebate projections and accrual methodologies
Ensure accurate recording and allocation of rebate revenue across products, groups, and lines of business
Monitor rebate balances, variances, and trends and resolve financial discrepancies
Support month-end, quarter-end, and year-end financial close activities
Maintain internal controls and assist with internal and external audits
Ensure adherence to accounting standards, regulatory requirements, and organizational policies
Develop process documentation, controls, and standard operating procedures
Assess impacts of emerging pharmacy regulations and PBM transparency requirements
Lead implementation of rebate pass-through models, reporting obligations, and audit provisions associated with CAA 2026 and other mandates
Support dashboards, performance metrics, executive reporting, and data-driven analysis
Present results and recommendations to leadership
Direct, coach, and develop team members
Establish performance goals, succession planning, and workforce development strategies

Requirements

What you’ll need

Minimum 7 years of progressive experience in pharmacy benefit management, healthcare finance, accounting, or rebate operations
Minimum 3 years of leadership experience managing staff and operational processes
Experience with pharmacy manufacturer rebates, PBM financial arrangements, or healthcare revenue management
Experience working cross-functionally with Finance, Actuarial, Underwriting, and Pharmacy teams
Strong analytical and financial management capabilities
Advanced problem-solving and process improvement skills
Ability to translate complex financial data into actionable business insights
Excellent communication and presentation skills
Strong project management and organizational capabilities
Proficiency with Excel, Power BI, Tableau, financial systems, and large healthcare data sets
Strong understanding of PBM rebate structures, manufacturer contracting, and pharmaceutical economics
Knowledge of healthcare accounting principles, accrual methodologies, and financial controls
Understanding of Medicare Part D and commercial pharmacy benefit programs
Knowledge of healthcare regulatory requirements impacting pharmacy rebate administration
Familiarity with audit, compliance, and internal control frameworks
Bachelor's degree in Accounting, Finance, Actuarial Science, Business Administration, Healthcare Administration, Pharmacy Administration, or related field

Benefits

Comp & perks

Medical, Dental & Vision coverage
Retirement Plan
Paid Time Off
Holidays
Volunteer time off
Incentive Plan
Tuition Reimbursement
Training and continuing education
Flexible environment
Community volunteering opportunities