Senior Analyst, Health System Pharmacy Financial Performance

This is a fully remote position, open to applicants in Alabama, +26 more states.

📋 Description

• Oversee financial analyses and develop performance review materials for monthly and periodic pharmacy business assessments within the health system.

• Evaluate actual financial and operational performance in relation to budgets, forecasts, and benchmarks; clarify variances and suggest corrective measures.

• Determine factors influencing prescription volume, revenue, reimbursement, drug acquisition costs, COGS, gross margin, operating expenses, and net operating income.

• Recognize emerging financial risks and opportunities, providing recommendations to pharmacy and finance leadership.

• Conduct analyses at the drug, payer, clinic, market, disease-state, claim, and therapy levels.

• Assess pharmacy reimbursement and negative margin claims to enhance margin performance and mitigate avoidable losses.

• Analyze impacts of purchasing, inventory, replenishment, inflation, pricing, volume, and therapy mix.

• Measure financial repercussions of operational modifications, contracting decisions, payer accessibility, limited-distribution drug access, referral capture, network integrity, 340B activities, rebate performance, and revenue integrity initiatives.

• Create financial forecasts, budget models, scenario analyses, variance bridges, ROI models, and planning assumptions.

• Convert financial modeling and scenario analysis into alternatives, risks, and strategic recommendations.

• Prepare succinct, executive-ready analyses and data narratives that elucidate performance, financial impact, anticipated trends of drivers, and needed actions.

• Offer financial insights to Finance, Pharmacy Operations, Account Management, Analytics, Contracting, 340B, and health system stakeholders.

• Utilize Microsoft Excel, QlikView, Qlik Sense, Power BI, SQL, and other analytical tools to construct models, metrics, visualizations, dashboards, recurring reports, and ad hoc analyses.

• Verify and reconcile analyses against source systems, financial statements, and supplementary data.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• A bachelor's degree in Finance, Accounting, Economics, Business Administration, Healthcare Administration, Analytics, Information Systems, Mathematics, Statistics, or a related field, or equivalent experience is required.

• A master's degree in Business, Finance, Accounting, Healthcare Administration, Analytics, or a related field is preferred.

• A minimum of 5 years of experience with a bachelor’s degree or 3 years with a master’s degree in financial analysis, healthcare finance, pharmacy finance, revenue integrity, financial planning and analysis, business analytics, or a related field is required.

• Proven experience in interpreting financial statements and conducting budget-to-actual, forecast, variance, margin, rate, volume, and mix analysis is required.

• Demonstrated ability to develop financial models, forecasts, scenario analyses, and executive-level financial reports is essential.

• Advanced proficiency in Microsoft Excel, including PivotTables, lookups, complex formulas, data validation, reconciliation, and financial modeling is required.

• Experience in communicating intricate financial findings and recommendations to operational and executive audiences is necessary.

• Familiarity with pharmacy, specialty pharmacy, health system pharmacy, pharmacy benefit management, healthcare reimbursement, or pharmacy claims is strongly preferred.

• Experience in analyzing drug-level reimbursement, payer performance, pharmacy purchasing, inventory economics, COGS, or negative margin claims is preferred.

• Proficiency with QlikView, Qlik Sense, Power BI, Tableau, SAS, or other reporting and visualization tools is preferred.

• Knowledge of SQL, Python, R, or other data analysis instruments is preferred.

• Commitment to participating in, adhering to, and supporting compliance program objectives.

• Ability to consistently engage cooperatively and respectfully with colleagues.

🏝️ Benefits

• Comprehensive industry-leading benefits for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K company match of up to 5% with no vesting requirement.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance Plan and support for Professional Memberships.

• Referral Bonus Program offering up to $750.

• STAR Bonus opportunity with a maximum at-risk amount of 7.5%.