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Rebate Informatics Specialist - Irvine, CA

UnitedHealth Group

Irvine, CA
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Job Details

740708 Rebate Informatics Specialist Irvine CA

Rebate Informatics Specialist - Irvine, CA (740708)

Position Description

Here, your performance, your ideas, your unique analysis will combine with a rich assortment of contributors to understand and shape the health care system. At UnitedHealth Group, you'll work with a team that has the creativity and passion to help build new health care solutions that meet emerging market needs. You'll get the opportunity to work with an elite team that goes beyond the usual analysis, they dig deeper knowing our goal is nothing short of transforming health care. Does the challenge of utilizing your analytical abilities on vital projects towards a larger strategic mission excite you?

As a Business Analyst, you'll have the opportunity to provide data analysis to support, compile and report key information for operations and business objectives. This is a position that affords you the ability to drive processes and improvement initiatives. By gathering and documenting business requirements and utilizing your sharp analytical skills to fulfill the needs of the business and/or clients, you will have an impact on healing the health care system. Some people would call you a data geek, but at UnitedHealth Group that passion turned into information is used for decisions made by leadership. This is a challenging role that creates an opportunity to grow and develop while doing your life's best work.(sm)

The Specialist will support and validate the IRB Master Rebate Database information through summarizing pharmaceutical rebate contracts and amendments, validating contract terms and conditions, and referencing various documents and reports. The Rebate Informatics Specialist will serve as a liaison with E&I and C&S underwriters, Formulary Consulting Group, Rebate Management, and all other operational teams that oversee rebate accrual in nature. The position will also support custom formulary requests and the monthly oversight of rebate rate validations with a specific focus on Core formulary.


Primary Responsibilities:

  • Gather and document business requirements
  • Summarize and provide rebate contracts / amendments information
  • Validate contract terms and conditions
  • Ensure accuracy of Master Rebate Database updates
  • Serve as a SME to comprehend and effectively explain rebate changes to the stakeholders
  • Serve as a key resource on complex and / or critical issues of rebate conditions
  • Gather information (i.e. Formulary, Prior Authorization, Step Therapy, Tier, Market Basket, etc.) and facilitate all needed requirements to validate applicable rebate rates
  • Stay aware of formulary strategies and manage and maintain Core formulary grid as well as custom formularies as needed
  • Analyze and interpret benefit designs
  • Provide ongoing support to ensure proper implementation and adoption are applied to Master Rebate Database
  • Anticipate stakeholder needs and proactively develop solutions to meet them
  • Define desired future requirements based on input from all applicable stakeholders
  • May lead projects

Required Qualifications:

  • Undergraduate degree or equivalent work experience
  • 1 or more years of experience in brand drugs, formularies, benefit designs, and utilization control
  • Experience translating complex legal terms in a simple concise manner
  • Experience conveying information cross functionally to all levels of staff
  • 2 or more years of experience in the pharmacy benefit management (PBM) or health care industry
  • Proficient in the use of MS Office Suites (Excel)

Preferred Qualifications:

  • Rebate Billing experience
  • Pharmacy tech experience
Soft Skills:
  • Self - starter, self - motivated, and self - disciplined
  • Ability to work well with many remote team members
  • Excellent interpersonal, problem solving, and analytical skills

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)



Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.     


UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.   



Job Keywords:  rebate, PBM, pricing, Irvine, CA, California

Job Details

  • Contest Number740708
  • Job TitleRebate Informatics Specialist - Irvine, CA
  • Job FamilyBusiness Operations
  • Business SegmentOptumRx

Job Location Information

  • Irvine, CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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