Financial Modeling & Analysis SME - Pharmacy Benefit Management

FINANCIAL MODELING & ANALYSIS SME (PHARMACY, FINANCE, ACTUARIAL)
PHARMACY BENEFIT MANAGEMENT
CONTRACT TO HIRE
100% REMOTE - MUST BE LOCATED IN ONE OF THE FOLLOWING STATES - MD, DC, VA, WV, DE, PA, NC, NY, NJ, TX, FL
HOURLY RATE: $70/HR. W2

ALTA IT Services has a contract-to-hire opening for a Financial Modeling and Analysis expert with Pharmacy Benefit Management (PBM) expertise. This role provides critical support for financial modeling and forecasting related to pharmacy programs for a leading healthcare payer in the Baltimore, Maryland area.

The PBM Financial Modeling and Analyst role will oversee various financial functions such as budgeting, auditing, forecasting, and analysis. Provide 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). The role will interface regularly with project managers, account managers, and business area directors. Supports large and/or complex projects.

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.

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 presents results.
• 25% Responds to manager, director, and executive inquiries, handles special requests, and 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.

REQUIRED SKILLS

• Education Level: Bachelor's Degree, Accounting, Finance, related field, or technical training
• 5 years of experience in finance, accounting, or an analytical role within the finance sector or quantitative analysis.
• instead of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
• Advanced knowledge of economic and accounting principles and practices, the financial markets, banking, and the analysis and reporting of financial data.
• Proficient with financial analysis software (i.e., Delphi Technology, Oracle E-Business Suite Financials, Longview).
• Proficient with database entry and query software.
• Excellent communication skills, both written and verbal.

PREFERRED QUALIFICATIONS

• CPA or MBA strongly preferred. Healthcare insurance industry experience is strongly preferred.

Please send an updated resume to Melissa McNally via for consideration.

System One, and its subsidiaries including Joul, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we also offer eligible employees health and welfare benefits coverage options, including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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Ref: #855-IT Baltimore

System One, and its subsidiaries including Joul, ALTA IT Services, TeamPeople, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.