Senior Consultant, Payer Rebates

Analyze, Advise, Deliver—Your Consulting Career Starts Here

Work shouldn't just be something we do; it should have a purpose. At Envision, we believe in creating life-changing outcomes through the work we do with our clients, giving back to our communities, while creating a company culture where our people thrive. We believe success starts with a workplace where everyone feels valued, supported, and empowered to grow. 

Being part of a collaborative team means there's no limit to what you can achieve. With us, you can be a part of a growing company you want to work for. 

Our Vision: To unleash the power of combined intelligence to accelerate patient access to life-changing treatments. 

Our Mission: Delivering smarter and faster solutions to create, communicate, and commercialize value for our clients. 

Our Values: Excellence, People, Growth 

The opportunity 

At Riparian, we offer innovative software, expert consulting, and outsourcing solutions to the life sciences industry. Our comprehensive solutions help manufacturers navigate the complexities of revenue management, government pricing, revenue leakage, contracting strategy, and more. With a client-focused approach, we drive transformative outcomes, ensuring regulatory success and operational efficiency.

As a Senior Consultant, you'll be responsible for providing strategic guidance and support to healthcare organizations in managing their relationships with insurance providers and optimizing reimbursement for services. You will analyze and negotiate contracts, evaluate payment models, and develop strategies to improve cost-effectiveness and quality of care. You will also provide expertise on regulatory compliance, network development, and financial analysis.

How will you make an impact at Envision Pharma Group? 

Role responsibilities 

•  Manage executed managed care contracts from system entry through to rebate validations and payment using multiple systems in a timely and compliant manner.
• Ensure accurate and timely processing of assigned accounts including system entry, rebates, validation, reporting, correspondence, and all other aspects of commercial contract administration.
• Perform detailed analysis and validation of rebate claim data in order to accurately adjudicate the managed care rebates according to the terms specified in the contracts.
• Perform formulary review on a quarterly basis to confirm formulary position of products on contract.
• Set up and maintain contracts pertaining to assigned accounts in rebate adjudication system and ensure that they properly reflect the contract terms and requirements.
• Reviews key financial, membership and utilization report to monitor trends and research any significant changes in utilization.
• Collaborates with team members across multiple departments to facilitate the exchange of information, address needs, and clarify contract requirements with internal and external customers.
• Serve as liaison between management and customers in order to resolve any disputed rebate claim data.

Do you have what we are looking for? 

Skills & expertise 

•  Bachelor's degree in Healthcare, Accounting/ Finance, Business Administration or Technology related field required. 
• Minimum 5 years of managed care consulting, healthcare finance, or payer contracting required. 
• Minimum 2 years of managed care contract negotiating with improved financial performance required.

Salary range: $93,800 - $122,000

The provided salary range reflects the potential base salary for this role in the United States, considering factors such as your professional and academic experience, training, and role responsibilities. In addition to a competitive base salary, we offer an attractive total compensation benefits package designed to reward and support our people.  

#TogetherWeDiscover  

Do you have the experience we are looking for? If so, explore your place at Envision today!