Director Rebate Strategy and Operations - Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Director, Rebate Strategy and Operations owns the enterprise operating model, governance, financial controls, and scalable execution strategy for manufacturer-funded medical benefit rebate programs across Optum Health. This role is accountable for end-to-end rebate value capture, including eligibility determination, rebate qualification, drug attestation, program administration, reconciliation, compliance, audit readiness, leakage mitigation, and measurable financial performance.

This leader ensures eligible manufacturer value is accurately identified, submitted, tracked, collected, reconciled, and reported, while partnering with Pharmacy, Finance, Health Care Economics, Analytics, Contracting, Industry Relations, Compliance, and Market Leadership.

Success requires strong working knowledge of medical benefit drugs, manufacturer rebate programs, reimbursement, qualification requirements, financial controls, and operational governance, with the ability to effectively lead cross-functional teams and leverage clinical, financial, analytic, and operational expertise across the organization. The Director leads a team focused on execution, eligibility governance, dispute resolution, compliance, process improvement, and scalable growth of manufacturer-funded programs.

You'll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges.

• Enterprise Rebate Strategy & Operating Model
  • Own the enterprise operating model and execution strategy for manufacturer-funded rebate programs across supported lines of business
  • Establish scalable operating models, policies, procedures, controls, and governance structures
  • Ensure timely, accurate, compliant, and financially accountable execution of rebate-related operational activities
  • Develop executive-level performance metrics and reporting to monitor program effectiveness, operational health, value realization, and rebate leakage risk
• Rebate Eligibility & Attestation Governance
  • Set strategic direction for portfolio and drug-level attestation governance, including eligibility standards, qualification methodologies, and portfolio inclusion criteria
  • Accountable for governance over manufacturer rebate eligibility requirements, program rules, and operational interpretation, ensuring consistent application across teams and programs
  • Oversee decision frameworks for product mapping, HCPCS/J-code alignment, NDC crosswalks, biosimilar relationships, and product attribution methodologies
  • Lead cross-functional alignment with HCE, Clinical, Analytics, and Contracting to ensure eligible products are identified, governed, and supported for claims submission
• Manufacturer Program Administration & Operational Readiness
  • Oversee manufacturer and vendor operational relationships, submission processes, supporting documentation, and program requirements
  • Lead implementation of new rebate opportunities, program expansions, operating model changes, and operational onboarding
  • Ensure enterprise readiness for new products, manufacturers, reimbursement models, value arrangements, and rebate entitlement requirements
• Compliance, Controls & Operational…