Senior Manager, Managed Care Rebate Integrity – Controls

Fresenius Kabi USA

. Provide strategic oversight of pharmacy and medical rebate validation to protect revenue, ensure contractual compliance, and strengthen Gross-to-Net integrity.

Posted 5/7/2026full-timeRemote • Illinois • 🇺🇸 United StatesSenior💰 $140,000 - $165,000 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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

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 & Tools

data validationdispute strategyaccrual accuracyvendor performanceanalyticsautomationfinancial leakage reductionrevenue integrityrebate validationcontract operationalization

Soft Skills

leadershipstrategic oversightcommunicationgovernancesubject matter expertise