Senior Analyst, Health System Pharmacy Financial Performance

Job not on LinkedIn

🔥 2 minutes ago

🏈 Alabama, Arizona, +25 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote ⚜️ Louisiana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $85.1k - $104.4k / year

⏰ Full Time

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Lead financial analyses and performance review materials for monthly and periodic health system pharmacy business reviews • Analyze actual financial and operational performance against budgets, forecasts, and benchmarks; explain variances and inform corrective action • Identify drivers affecting prescription volume, revenue, reimbursement, drug acquisition cost, COGS, gross margin, operating expenses, and net operating income • Identify emerging financial risks and opportunities and recommend actions to pharmacy and finance leadership • Perform drug-, payer-, clinic-, market-, disease-state-, claim-, and therapy-level analyses • Analyze pharmacy reimbursement and negative margin claims to improve margin performance and reduce avoidable losses • Evaluate purchasing, inventory, replenishment, inflation, price, volume, and therapy-mix impacts • Quantify financial impacts of operational changes, contracting decisions, payer access, limited-distribution drug access, referral capture, network integrity, 340B activity, rebate performance, and revenue integrity initiatives • Develop financial forecasts, budget models, scenario analyses, variance bridges, ROI models, and planning assumptions • Translate financial modeling and scenario analysis into alternatives, risks, and recommendations for strategic decisions • Prepare concise, executive-ready analyses and data stories explaining performance, financial impact, expected continuation of drivers, and required actions • Provide financial guidance to Finance, Pharmacy Operations, Account Management, Analytics, Contracting, 340B, and health system stakeholders • 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 • Validate and reconcile analyses against source systems, financial statements, and supporting data • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree in Finance, Accounting, Economics, Business Administration, Healthcare Administration, Analytics, Information Systems, Mathematics, 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 Microsoft Excel experience, 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 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 • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees

🏖️ Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% with no vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750 • STAR Bonus opportunity up to 7.5% at-risk maximum