Director, Finance and Business Intelligence

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AffirmedRx, a Public Benefit Corporation

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11 - 50 employees

⚕️ Healthcare Insurance

Healthcare Insurance

AffirmedRx is a Public Benefit Corporation dedicated to transforming the pharmacy benefit management (PBM) industry. Focused on transparency, patient-centric care, and innovative solutions, AffirmedRx aims to overcome the complexities and opacity that traditionally plague the PBM sector. By empowering individuals and organizations, the company provides clarity and unwavering support in navigating pharmacy benefits. AffirmedRx stands for integrity and partnership, striving to offer a healthier and more informed pharmacy benefits experience while boldly tackling the rising costs of healthcare and pharmaceuticals.

📋 Description

• Track, manage, and report on performance and cost guarantees, with a focus on Net PMPM and operational performance • Monitor pharmacy cost drivers and identify trends impacting overall spend and margin • Partner with stakeholders to implement cost containment and performance improvement strategies • Ensure alignment of financial outcomes with organizational goals and contractual commitments • Analyze network pricing, pharmacy claims data, and customer-level performance trends • Provide actionable insights to support data-driven decision-making across the organization • Establish and oversee end-to-end rebate processes, including forecasting, tracking, and reporting • Ensure accurate reconciliation of rebate accruals with pharmacy claims data • Manage customer payments and maintain strong internal controls to ensure compliance and accuracy • Support pricing and underwriting teams with real-time financial and operational insights • Develop and maintain advanced analytics to drive efficiency and value creation initiatives • Collaborate with operations, IT, and clinical teams to optimize resource allocation • Provide strategic financial guidance to enhance PBM performance and support long-term growth initiatives

🎯 Requirements

• Bachelor’s Degree in Finance, Accounting, Business Administration or related field • 10+ years of experience in finance, analytics, or pricing/underwriting roles within Pharmacy Benefit Management or related industry • Expertise in claims analytics, rebate modeling, and formulary management • Strong understanding of pharmacy network economics, PBM contracting, and regulatory compliance • Advanced proficiency with analytical tools and platforms (e.g., SQL, SAS, Tableau) for claims and rebate data analysis • Proven track record of delivering actionable insights and supporting high-impact initiatives in PBM environments • Comfortable operating in a fast paced, growth environment without defined processes • Proven ability to translate complex data into clear business recommendations and executive-level communications

🏖️ Benefits

• Competitive compensation, including health, dental, vision and other benefits • To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes • To work in a culture where people thrive because when OUR team thrives, OUR business thrives