Sr. Analyst, Health System Pharmacy Financial Performance

Overview

This role serves as a senior individual contributor responsible for financial analysis and insights supporting specialty pharmacy and health system pharmacy performance. The analyst partners with Finance, Pharmacy Operations, Contracting, Analytics, Account Management, 340B, and health system partners to evaluate complex financial, reimbursement, claims, purchasing, inventory, payer, drug, and operational data.

The position advances pharmacy revenue integrity, organizational growth, and profitability by delivering actionable insights that improve reimbursement and margin performance, identify financial risks and opportunities, inform strategic decisions, and support health system pharmacy initiatives. The analyst independently determines analytical approaches, develops recommendations, and provides leaders with clear financial narratives and decision-ready materials.

Responsibilities

• Lead preparation of financial analyses and performance review materials used in monthly and periodic health system pharmacy business reviews; identify key drivers, risks, opportunities, and recommended actions for business leaders.
• Analyze actual financial and operational performance against budgets, forecasts, and other benchmarks to explain variances and inform corrective action.
• Identify and explain drivers affecting prescription volume, revenue, reimbursement, drug acquisition cost, cost of goods sold (COGS), gross margin, operating expenses, and net operating income.
• Independently identify emerging financial risks and opportunities and recommend actions to pharmacy and finance leadership; escalate significant risks, data limitations, or control concerns when appropriate.
• Determine analytical approaches and perform drug-, payer-, clinic-, market-, disease-state-, claim-, and therapy-level analyses to explain performance and investigate complex financial issues.
• Analyze pharmacy reimbursement and negative margin claims to identify actionable opportunities that improve margin performance and reduce avoidable losses.
• Evaluate purchasing, inventory, replenishment, inflation, price, volume, and therapy-mix impacts on pharmacy financial performance and recommend opportunities to improve results.
• Quantify the financial impact of operational changes, contracting decisions, payer access, limited-distribution drug access, referral capture, network integrity, 340B activity, rebate performance (MFP, GPO, etc.), and other revenue integrity initiatives.
• Develop financial forecasts, budget models, scenario analyses, variance bridges, return-on-investment models, and planning assumptions supporting annual budgeting, recurring forecasts, strategic planning, and long-range planning.
• Influence strategic decisions by translating advanced financial modeling and scenario analysis into clear alternatives, risks, and recommendations.
• Prepare concise, executive-ready analyses and data stories describing what occurred, why it occurred, the financial impact, whether drivers are expected to continue, and what actions or decisions are required.
• Provide financial guidance to Finance, Pharmacy Operations, Account Management, Analytics, Contracting, 340B, and health system stakeholders; gather context, validate conclusions, and align recommendations with business needs.
• Use Microsoft Excel, QlikView, Qlik Sense, Power BI, SQL, and other analytical tools to develop models, metrics, visualizations, dashboards, recurring reports, and ad hoc analyses.
• Own validation and reconciliation of financial and operational analyses to applicable source systems, financial statements, and supporting data to improve reporting accuracy and decision confidence.
• Perform other duties as assigned.

Qualifications

• Bachelor’s degree in Finance, Accounting, Economics, Business Administration, Healthcare Administration, Analytics, Information Systems, Mathematics, or Statistics, or a related field, or equivalent work experience (required).
• Master’s degree in Business, Finance, Accounting, Healthcare Administration, Analytics, or a related field (preferred).
• 5+ years of experience with a bachelor’s degree OR 3+ years of experience with a master’s degree in financial analysis, healthcare finance, pharmacy finance, revenue integrity, financial planning and analysis, business analytics, or a related field (required).
• Experience interpreting financial statements and performing budget-to-actual, forecast, variance, margin, rate, volume, and mix analysis (required).
• Experience developing financial models, forecasts, scenario analyses, and executive-level financial reporting (required).
• Advanced experience using Microsoft Excel for financial analysis, including PivotTables, lookups, complex formulas, data validation, reconciliation, and financial modeling (required).
• Experience communicating complex financial findings and recommendations to operational and executive audiences (required).
• Experience with pharmacy, specialty pharmacy, health system pharmacy, pharmacy benefit management, healthcare reimbursement, or pharmacy claims (strongly preferred).
• Experience analyzing drug-level reimbursement, payer performance, pharmacy purchasing, inventory economics, COGS, or negative margin claims (preferred).
• Experience with business intelligence tools such as QlikView, Qlik Sense, Power BI, Tableau, SAS, or other reporting and visualization platforms (preferred).
• Experience with SQL, Python, R, or other data analysis tools (preferred).
• Ability to consistently interact cooperatively and respectfully with other employees.
• Participate in, adhere to, and support compliance program objectives.

Compensation & Benefits

• Pay range: USD $85,064.00 - USD $104,373.00 /Yr.
• STAR Bonus % (At Risk Maximum): 7.50% (Salaried Non-Management except pharmacists)
• Health, dental, and vision insurance (top of the industry benefits)
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401(k) company match of up to 5% (no vesting requirement)
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750

Work Schedule

• M-F 8am to 5pm

Location

• Remote (US)
• Remote work is available only to residents of: Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin

Equal Employment Opportunity

Equal employment opportunity is provided to all applicants and employees, in compliance with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. Consideration for employment is provided without regard to race, color, religion, sex, national origin, or handicap.