Rebate Clinical Program Manager

MedImpact Healthcare Systems, Inc.

. Optimize the clinical quality and cost-effectiveness of drug rebate programs .

Posted 10/23/2026full-timeSan Diego • California • United StatesMid-LevelSenior💰 $108,515 - $196,412 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in optimizing clinical quality and cost-effectiveness of drug rebate programs, utilizing analytical tools for medical drug utilization, and providing clinical consultative services aligned with CMS processes. Proficient in managing provider audits, analyzing claims, and promoting performance improvement opportunities through data-driven insights.

Highest-signal resume keywords

PharmDRegistered PharmacistAnalytical SkillsHealth Informatics ExperienceDrug Cost Management Programs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Quality OptimizationMedical Drug Utilization ManagementData AnalysisClaim AnalysisUnit-of-Measure ConversionsFinancial ReportingRebate ProcessingProvider EducationPerformance ImprovementStatistical Analysis

Soft Skills

Problem SolvingEffective CommunicationStakeholder CollaborationFlexibilityCustomer Support

Tools & Technologies

Microsoft Office SuiteRelational DatabasesAnalytical ToolsOnline Rebate Systems

Certifications & Qualifications

Registered Pharmacist

Industry Keywords

Drug Rebate ProgramsCMS Dispute Resolution340B Strategic InitiativesMedical BillingHCPCS/NDC Analysis

About the role

Key responsibilities & impact

Optimize the clinical quality and cost-effectiveness of drug rebate programs
Manage medical drug utilization using analytical tools
Work within an account team structure to achieve account and company financial goals
Identify and promote performance improvement opportunities using data, performance indicators, experience, and judgment
Provide client recommendations, including HCPCS/NDC analysis, online rebate system edits and restrictions, and accurate medical billing recommendations
Provide clinical consultative services aligned with CMS dispute resolution processes
Use analytical tools and clinical resources to improve rebate-program data integrity
Perform provider audits and provider education regarding medical claim billing and rebate processing
Analyze claims for incorrect or aberrant quantities billed for rebate invoicing
Develop, maintain, and recommend clinically appropriate unit-of-measure conversions for NDC billing to CMS rebate units
Produce reports and provide financial and drug-utilization data to assist states with financial solvency, drug purchasing policies, and rebate allocation
Ensure timely and accurate claim-data reviews with appropriate intervention recommendations
Support 340B strategic initiatives
Provide adequate support to internal clients and coordinate regularly with employees, colleagues, clients, and vendors
Facilitate effective decisions through stakeholder collaboration

Requirements

What you’ll need

PharmD and 3+ years’ experience or equivalent combination of education and experience
1 year of SME in respective areas
Registered Pharmacist
Knowledge of Microsoft Office Suite
Working knowledge of relational databases
Analytical skills with Health Informatics experience (preferred)
Experience in promoting drug cost management programs (preferred)
Ability to solve practical problems and deal with a variety of concrete variables
Ability to apply common sense understanding to carry out instructions
Ability to apply fractions, percentages, ratios, proportions, probability, statistical inference, geometry, and trigonometry
Ability to read, analyze, and interpret business periodicals, professional journals, technical procedures, and governmental regulations
Ability to write routine reports and correspondence
Ability to speak effectively before groups of customers or employees
Ability to sit, stand, walk, use hands, reach, and occasionally lift/move up to 25 pounds
Adequate close vision, color vision, and depth perception
Flexibility to work beyond traditional hours, including nights, weekends, or holidays as required
Domestic travel of up to 10% of the time
This position is not eligible for Sponsorship

Benefits

Comp & perks

Medical / Dental / Vision / Wellness Programs
Paid Time Off / Company Paid Holidays
Incentive Compensation
401K with Company match
Life and Disability Insurance
Tuition Reimbursement
Employee Referral Bonus