Sr Director Rebate Invoicing and Audit

Company: Blue Cross Blue Shield Association
Location: Providence
Posted on: May 30, 2025

Job Description:

The hiring range for this role is: $150,000.00 - $200,000.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs - ones that are injected or infused by a health care professional in a clinical setting - for nearly 100 million Americans.

The Senior Director, Rebate Invoicing & Audit is a strategic leadership role responsible for leading the end-to-end invoicing and medical rebate operations team, including oversight of client inquiries, and delivering exceptional value to clients. In addition, this role will partner with Financial Operations and IT leadership on delivery of Synergies' key initiatives, driving innovation, translating strategic plans into meaningful implementation strategies and project plans while providing insight from a participant perspective. The role will be responsible for driving appropriate oversight for our clients, operating structure, and governance to achieve excellence in business outcomes. In addition, this Senior Director role will be accountable for shaping the long-term vision of client invoicing processes, working collaboratively with senior leaders, cross-functional teams, and key external stakeholders to optimize client experiences, identify interdependencies, and ensure cross-initiative solutions are in alignment.

• Manage all aspects of the invoicing client relationships and medical rebate operations, including ensuring clients are supported for invoicing issues, working with internal team members, and Invoicers to obtain answers
  • Monitor and analyze key performance metrics around client satisfaction and invoicing client operations processes, including providing insights and recommendations on vendor and client trends, risks and opportunities
    • Support the in-depth daily work requirements and processes of medical rebates
      • Define and execute the daily and long term strategic vision for client invoicing and medical rebate operations, ensuring cross-functional alignment
        • Meet consistently with participants and their plans to address questions or concerns on invoicing in a timely manner
          • Maintain alignment, lead development and implementation of strategies to enhance interdependencies between all workstreams related to assigned initiative to support client invoicing
            • Act as a trusted advisor to the executive leadership team, creating and delivering executive level presentations articulating business objectives, progress, challenges, and successes in stated objectives on client invoicing needs, concerns, and feedback
              • Drive transition, rollout, and oversight of change management activities for client impacts
                • Identify and manage interdependencies between internal and external strategic initiatives and operational areas to achieve intended value delivery objectives; represent the organization in high-level discussions with external stakeholders, including clients, vendors and invoicing partners to strengthen relationships and optimize client experiences
                  • Work with VP of Client Relations to lead on any client communications on invoicing and work with Implementation team on client impact and communication for invoicing updates
                    • Facilitate planning with dependent projects and products including relevant stakeholders and owners to align on program roadmap and goals, budget, and schedule
                      • Build and mentor a high-performing team, fostering a culture of continuous learning, professional growth, appreciation and innovationEducationBachelor's degree in Business, Finance, Healthcare Administration, or related area of study, or equivalent combination of education and/or relevant work experienceExperienceRequired:
                        • 10 years of work experience in client relations, rebates, project management, business data analysis, or other related experience leading company- wide cross-functional work efforts
                        • Extensive experience in the healthcare or PBM industry, with a deep understanding of client relations, invoicing processes, finance, audit, and regulatory requirements
                        • Must be eligible to work in the United States without need for work visa or residency sponsorshipPreferred:
                          • Previous Client Engagement experience preferred
                          • Previous Program Management experience preferred
                          • PBM/health care experience preferredKnowledge, Skills, and Abilities
                            • Extensive client experience and resolution management experience
                            • Strong analytical, organizational, and time management skills
                            • Intermediate to advanced proficiency in data analysis
                            • Proven ability to counsel, collaborate and influence at the Executive C-suite level and senior leadership
                            • Proven ability to effectively build, lead and motivate a high performing program team without direct reporting relationships, establishing trusted relationships, promoting candor, and driving results to achieve all program objectives
                            • Strong communication skills with ability to communicate information in open and sincere manner that promotes credibility
                            • Excellent collaborator with track record of working with a multitude of different groups, personalities, and levels of people to facilitate resolution of different views
                            • Ability to work as team player, comfortable with fast paced, changing environment and ambiguityFinancial ResponsibilitiesRevenue Responsibility: YesBudget Responsibility: YesPeople Management: Yes#LI-Remote

Keywords: Blue Cross Blue Shield Association, Meriden , Sr Director Rebate Invoicing and Audit, Executive , Providence, Connecticut