EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results.
We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients. Leveraging our newly launched, AI-powered pharmacy care platform, Clinically™ EmpiRx Health’s pharmacists and client experience teams provide the highest quality pharmacy care to our clients and their members. This enables benefits plan sponsors to keep their members healthy, happy, and productive, while substantially reducing prescription drug spending, which has been on an explosive growth trajectory in recent years.
EmpiRx Health is experiencing a period of accelerated growth and platform expansion. The Head of Rebates is responsible for leading the end-to-end strategy, negotiation, and analytical optimization of all manufacturer rebate programs across the PBM’s national portfolio. This executive leader combines strategic acumen with analytical rigor to maximize rebate value, enhance forecasting accuracy, and drive data‑driven decision‑making across the organization while balancing our clinical model.
This role oversees rebate contracting, analytics, and reporting, ensuring that rebate performance supports client competitiveness, formulary strategy, and financial objectives. The ideal candidate is a strategic thinker with deep PBM experience and an exceptional ability to translate complex data into actionable business insights.
Key Responsibilities
Strategic and Analytical Leadership
- Develop and execute a comprehensive, analytics-driven rebate strategy that aligns with corporate financial goals and client value propositions.
- Leverage advanced analytics and predictive modeling to optimize rebate yield and inform formulary and pricing decisions.
- Build and lead a high‑performing analytics team within Manufacturer Relations focused on forecasting, trend analysis, and performance measurement.
- Use data insights to identify emerging rebate opportunities, specialty drug cost drivers, and contracting risks.
- Serve as a key thought leader on rebate economics, guiding cross‑functional and executive decision‑making.
Rebate Contracting and Optimization
- Partner with analytics, finance, and clinical teams to quantify the financial impact of contract terms, tiers, and utilization patterns.
- Ensure alignment between rebate strategy, formulary positioning, and clinical value assessment.
- Monitor contract performance using robust analytical dashboards and provide actionable insights to improve contract terms and rebate outcomes.
Forecasting and Financial Management
- Oversee accruals, and reconciliation processes to ensure data integrity and compliance.
- Collaborate with finance and pricing teams to integrate rebate projections into enterprise‑level financial planning.
- Utilize scenario modeling to assess the impact of pipeline drugs, manufacturer price changes, and utilization shifts on rebate revenue.
Reporting and Performance Insights
- Partner with clinical, formulary, and product strategy teams to align rebate analytics with clinical outcomes and formulary design.
- Develop executive‑level reporting and dashboards tracking rebate performance, specialty rebate yield, and client‑level impacts.
- Present key insights to senior leadership, finance committees, and board stakeholders.
- Translate complex analytical findings into clear business recommendations and strategic actions.
Required Qualifications & Experience
- Bachelor’s degree in business, economics, data science, pharmacy, finance, or related field required.
- 10+ years of experience in PBM, pharmaceutical manufacturer relations, or healthcare analytics with progressive leadership responsibility.
- At least 5 years of rebate analytics.
- Proven track record in rebate negotiation, analytics, and contract lifecycle management.
- Excellent attention to details and strong aptitude for mathematics and data analysis.
- Strong knowledge of PBM operations, drug pricing, and formulary management.
- Excellent negotiation, analytical, and financial modeling skills.
- Proficiency in rebate systems, contract management tools, and data analytics platforms.
- Strong written and verbal skills, and ability to present to senior executives.
- Ability to multi‑task and meet deadlines; adapt and be flexible in a complex changing environment.
- Expert in MS Excel.
- Knowledge and proficiency in Tableau, Domo, or similar reporting tools.
Preferred Qualifications
- Master’s or other advanced degree preferred.
Benefits and Perks
- Comprehensive medical, prescription, vision, dental, life, and disability insurance, with coverage for domestic partnerships.
- A 401(k) program to secure your financial future.
- Parental leave for childbirth and adoption.
- Additional perks include flexible PTO, hybrid and remote work arrangements, online wellness resources and counseling access, and bi‑weekly "take a break" sessions.
EmpiRx Health is an Equal Opportunity Employer
At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're on a mission to build a team as diverse as the world we serve, where everyone is welcome and celebrated. We're not just breaking down barriers; we're actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.