Pharmacy Financial Modeling & SME

This role provides critical support for financial modeling and forecasting related to pharmacy programs. Responsibilities include:

- Monitor and analyze market, clinical, legislative and regulatory data and events to assess the financial impact of proposed and ongoing pharmacy programs.
- Support financial planning by modeling benefit trends, utilization patterns, and policy changes.
- Provide financial input into product design and pricing strategies to ensure cost-effectiveness and sustainability, ensuring that the organization remains financially resilient and strategically prepared.
- Develop predictive financial models and translate actuarial insights into decision-ready outputs to support leadership, finance, and enterprise planning.

Must have a solid pharmacy financial background. - Pharmacy Financial modeling and forecasting Ability to model cost trends, utilization patterns, rebates, and policy impacts.

Must have experience rebate forecasting.

Solid managed care pharmacy experience. - Pharmacy program expertise Understanding of drug pricing strategies, rebate structures, and cost containment.

Must have a solid understanding and experience with Network Discounts.

PURPOSE:
Oversees various financial functions such as budgeting, auditing, forecasting and analysis. Provides financial support to the business, including but not limited to cost accounting, revenue recognition, subcontractor financial management, At Risk coordination, forecasting and EAC development, variance analysis, invoice preparation/review and cash flow management (to include timely unbilled analysis/reconciliations). Interfaces regularly with project managers, account managers and business area directors. Supports large and/or complex projects.

ESSENTIAL FUNCTIONS:
25% Plans and produces various financial reports. Analyzes trends, calculates and verifies data. Interfaces with other areas to develop reporting specifications, methods and procedures, and prioritizes requests.

25% Develops, coordinates, analyzes and verifies data and financial reports to produce the financial Plan for all areas of the Company. Creates and manages a database for Plan reporting. Develops specifications needed to generate statistics, develops methods and procedures for calculating data and presenting results.

25% Responds to manager, director, and executive inquiries, handles special requests, researches complex accounting issues. Communicate with corporate management on accounting/financial processes and regulatory requirements. Prepare financial data for presentation to upper management.

25% Coordinates, reviews and analyzes major financial report submissions to ensure corporate compliance with applicable regulations, laws or guidelines. Gathers, compiles and interprets information collected through financial analyses in order to identify trends and provide insight for decision making.

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education Level: Bachelor's Degree

Education Details: Accounting, Finance, related field or technical training

Experience: 5 years Experience in a finance, accounting or an analytical role within finance sector or quantitative analysis

In Lieu of Education
In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Preferred Qualifications
CPA or MBA strongly preferred. Healthcare insurance industry experience strongly preferred.

Knowledge, Skills and Abilities (KSAs)
Knowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data., Advanced
Proficient with financial analysis software (i.e., Delphi Technology, Oracle E-Business Suite Financials, Longview)., Proficient
Proficient with database entry and query software., Proficient
Excellent communication skills both written and verbal., Advanced

Licenses/Certifications
Certified Public Accountant (CPA) Upon Hire Pref

Top 5 Mandatory Skills:
1. Financial modeling and forecasting Ability to model cost trends, utilization patterns, rebates, and policy impacts.
2. Analytical thinking Interpreting large data sets to generate decision-ready insights.
3. Pharmacy program expertise Understanding of drug pricing strategies, rebate structures, and cost containment.
4. Regulatory awareness Familiarity with legislative and policy changes impacting pharmacy.
5. Strategic planning support Translating data into actionable insights for leadership and enterprise planning.