Senior Accountant - Pharmacy (REMOTE)

Overview

This role involves managing financial transactions, reconciliations, and regulatory compliance activities related to the Medicare Part D prescription drug program (pharmacy accounting). The Senior Accountant - Pharmacy will collaborate with internal departments, external vendors, auditors, and regulatory stakeholders to provide accurate financial information, support operational decision-making, and drive process improvements. The position also supports financial reporting and variance analysis to meet the organization's financial objectives and strategic initiatives.

Responsibilities

• Maintain accounting records and reconciliations with proper supporting documentation in accordance with company policies and GAAP.
• Prepare and record general ledger journal entries following the chart of accounts.
• Review, reconcile, and submit assigned accounts for managerial review and approval in a timely manner.
• Reconcile and track pharmacy claims data against Pharmacy Benefit Manager (PBM) invoices to resolve billing variances.
• Support month-end close activities for the Medicare Part D pharmacy business unit, including journal entries for pharmacy claims, manufacturer rebates, Direct and Indirect Remuneration (DIR) fees, manufacturer discount programs, plan-to-plan payments, and Part D settlement estimates with CMS.
• Conduct monthly and quarterly Medicare Part D pharmacy account reconciliations, review account activities, research and resolve discrepancies, and ensure documentation and follow-up items are accurate and timely.
• Reconcile Medicare Part D pharmacy risk-sharing arrangements by analyzing monthly CMS reports against internal financial records.
• Prepare and submit required Medicare Part D pharmacy reports to CMS on time, ensuring compliance with financial reporting requirements.
• Assist with supporting schedules for quarterly and annual regulatory financial filings.
• Support interim and year-end external audits and regulatory financial condition examinations, including preparation and review of schedules and supporting documentation.
• Stay current with Medicare Part D program changes and update accounting systems and processes accordingly.
• Assist in reviewing and developing accounting policies and procedures, identifying control and process inefficiencies, and proposing improvements.
• Collaborate with Pharmacy, Actuary, IT, Data & Analytics, and Operations departments to resolve issues, validate system changes, and improve financial workflows.
• Participate in special projects and ad hoc analyses, including automation and process improvement efforts.
• Support organizational vision and goals.
• Perform other duties as assigned.

Requirements

• Bachelor's Degree in Accounting, Finance, or a related field.
• Minimum of 4 years of experience in Accounting, Finance, or a related field.
• At least 2 years of experience in Medicare Part D, PBM, or managed care accounting.
• CPA designation is highly preferred.
• Working knowledge of Oracle Financials or similar accounting ERP systems.
• Ability to analyze large, complex financial datasets and identify variances or discrepancies.
• Strong analytical skills to interpret complex financial and operational data.
• Proficiency in reconciliation methods, variance investigation, and root-cause analysis.
• Solid understanding of financial statements, general ledger structure, and accounting ERP systems.
• Working knowledge of Medicare Part D rules, reporting requirements, and CMS payment methodologies.
• Ability to write and interpret SQL and Access queries for data extraction and transformation.
• Advanced Excel skills, including pivot tables, formulas, and power queries.
• Proficiency with Microsoft Word, PowerPoint, Access, Outlook, and Teams.
• Excellent written and verbal communication skills.
• Ability to work independently and collaboratively across departments.
• Ability to multitask and adapt to changing tasks and timelines.
• Experience working in a fast-paced, deadline-driven environment.

Compensation & Benefits

• Base salary range: $92,400 to $133,671 per year
• Internal title: Accountant Sr Pharmacy
• Work mode: Mostly remote
• Annual employee bonus program
• Robust wellness program
• Generous paid time off (PTO)
• Eleven paid holidays per year, plus one floating holiday and one birthday holiday
• 401(k) retirement savings plan with employer match and contribution
• Employee recognition program
• Tuition reimbursement

Location

This position is mostly remote, serving multiple states including Arizona, California, Nevada, New Mexico, Texas, and Washington.

Additional Information

The organization is an Equal Employment Opportunity and Affirmative Action employer. Employment consideration is provided without regard to race, color, national origin, religion, age, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, disability, protected veteran status, or any other status protected by law. A background check is required.

Employees with access to compensation information must maintain confidentiality in accordance with legal requirements.