Director, Managed Care Rebate Operations jobs in United States
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Bristol Myers Squibb · 6 hours ago

Director, Managed Care Rebate Operations

Bristol Myers Squibb is a leading biopharmaceutical company dedicated to transforming patients' lives through science. The Director of Managed Care Rebate Operations is responsible for strategic leadership in rebate processing and compliance, overseeing a team that manages financial reporting and government pricing calculations for Managed Care. This role involves collaboration with various functions to ensure accurate data stewardship and operational excellence.

BiotechnologyHealth CareMedicalPharmaceuticalPrecision Medicine
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H1B Sponsor Likelynote

Responsibilities

Lead and develop a team responsible for systems and processes that collect, process, monitor and use Managed Care data for financial, business or government pricing calculation purposes including but not limited to: rebate payments, GTN, projections, budgets, AMP, ASP, BP estimate, BP true-up, BP modeling of contingent/portfolio agreements, legal requests, SOX compliance, deal analytics, contract performance analytics and ad hoc data analytics
Partner with other BMS functions to assist them in understanding all potential implications of various rebate deal structures
Develop and maintain processes to estimate implications of contingent and portfolio rebate deal structures to inform business, financial and government pricing calculation
Review and approve the monthly and quarterly Managed Care processes that support government pricing calculations including collaboration with legal colleagues to monitor the latest government contracting and reporting requirements, and ensure Managed Care government pricing calculation implications are identified and considered
Serve as lead and provide guidance to the team to operationalize the BMS 340B strategy for Managed Care Rebate Operations and understand broader 340B landscape
Lead team and work collaboratively with other internal and external partners on PBM conflict/dispute resolution
Provide oversight for various aspects of external vendor contract negotiations, service level performance, system enhancements, system controls, and issue resolution
Ensure maintenance of appropriate departmental SOPs and work with internal and external auditors and team to ensure SOX compliance of rebate processing and appropriate categorization of Managed Care data for financial forecasting and government pricing calculations
Provide oversight for team and coordinate with Treasury for Manufacturer Discount Program (formerly Coverage Gap Discount Program) administration and payment responsibilities
Champion process improvement initiatives as required
Lead the team in the implementation and testing of Managed Care rebate systems (REACT$ and vendor interfaces)
Lead and assist with special projects as required (IRA, Legal requests, dispute resolutions, etc.)
Drive digital transformation by identifying opportunities to automate pricing processes and implement scalable digital tools
Champion process innovation by evaluating current pricing practices and recommending digital enhancements to improve efficiency and accuracy

Qualification

Managed Care experienceGovernment pricing knowledgeSAP proficiencyGTN systems expertiseAnalytical skillsProcess automationLeadership experienceInterpersonal skillsCommunication skillsAttention to detailCritical thinkingTeam collaboration

Required

Bachelor's degree in an analytical, financial, or business-related program or the equivalent
A minimum of 10 years of experience in the pharmaceutical/healthcare industry related to Managed Care
Experience with governmental pricing, bundled sales arrangements, financial processes, SAP and GTN systems and methodologies is required
Strong technical/functional skills and an ability to motivate, develop, and lead others as a player/coach
Possess strong interpersonal, communication and consensus building skills
Proven history of leadership and experience with direct responsibility for supervising others
Strong analytical skills and ability to think strategically about the impact of various contracting approaches and government regulations
Firm understanding of the healthcare marketplace with a strong business acumen, including a solid understanding of the way various channels and customer types make money and create value
Demonstrated ability to drive execution of key initiatives and meet all deadlines
Proven ability to prioritize and work effectively in a fast-paced, dynamic environment
Demonstrate critical thinking and business acumen to data reporting and compliance
History of highly ethical and compliant behavior
Proven ability to coach and network across a broad matrix organization to form strong, productive partnerships
Must have strong attention to detail and reviewing skills for information prepared both by the team and/or submitted to the team with strict attention to controls and consistency with established processes
Works comfortably within a matrix team environment providing oversight and guidance
Proficiency with SOX controls, spreadsheet analysis, database management, and data delivery are required
Strong written and oral communication skills and the ability to communicate effectively with all levels of the organization
Demonstrated experience leveraging and/or implementing, AI-driven insights and digital tools to enhance customer engagement strategies, optimize HCP/patient experience, and drive data-informed commercial decision-making

Preferred

Experience with process automation technologies (e.g., RPA, workflow automation tools, or scripting) is highly desirable

Benefits

Health Coverage: Medical, pharmacy, dental, and vision care.
Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).
Financial Well-being and Protection: 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support.
Paid Time Off
Eligibility Disclosure: The summer hours program is for United States (U.S.) office-based employees due to the unique nature of their work.

Company

Bristol Myers Squibb

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At Bristol Myers Squibb, we work every day to transform patients’ lives through science.

H1B Sponsorship

Bristol Myers Squibb has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (213)
2024 (278)
2023 (231)
2022 (180)
2021 (181)
2020 (169)

Funding

Current Stage
Public Company
Total Funding
$29.32B
Key Investors
Venrock
2025-11-05Post Ipo Debt· $5.74B
2024-02-14Post Ipo Debt· $13B
2023-10-30Post Ipo Debt· $4.5B

Leadership Team

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Charles Bancroft
CFO
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Cristian Massacesi
Executive Vice President, Chief Medical Officer and Head of Development
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Company data provided by crunchbase