Sr. Analyst, Health System Pharmacy Financial Performance

Navitus Health Solutions, LLC•,

13d•$85,064 - $104,373•Remote

About The Position

Lumicera Health Services is seeking a senior individual contributor to provide financial analysis and insights supporting specialty pharmacy and health system pharmacy performance. The role works with Finance, Pharmacy Operations, Contracting, Analytics, Account Management, 340B, and health system partners to evaluate financial, reimbursement, claims, purchasing, inventory, payer, drug, and operational data. The position advances pharmacy revenue integrity, organizational growth, and profitability by delivering actionable insights to 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.

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.
At least 5 years of relevant experience with a bachelor's degree, or at least 3 years with a master's degree, in financial analysis, healthcare finance, pharmacy finance, revenue integrity, financial planning and analysis, business analytics, or a related field.
Experience interpreting financial statements and performing budget-to-actual, forecast, variance, margin, rate, volume, and mix analyses.
Experience developing financial models, forecasts, scenario analyses, and executive-level financial reporting.
Advanced Microsoft Excel experience for financial analysis, including PivotTables, lookups, complex formulas, data validation, reconciliation, and financial modeling.
Experience communicating complex financial findings and recommendations to operational and executive audiences.

Nice To Haves

Master's degree in Business, Finance, Accounting, Healthcare Administration, Analytics, or a related field.
Experience with pharmacy, specialty pharmacy, health system pharmacy, pharmacy benefit management, healthcare reimbursement, or pharmacy claims.
Experience analyzing drug-level reimbursement, payer performance, pharmacy purchasing, inventory economics, COGS, or negative-margin claims.
Experience with business intelligence tools such as QlikView, Qlik Sense, Power BI, Tableau, SAS, or other reporting and visualization platforms.
Experience with SQL, Python, R, or other data analysis tools.

Responsibilities

Lead preparation of financial analyses and performance review materials for monthly and periodic health system pharmacy business reviews, identifying key drivers, risks, opportunities, and recommended actions.
Analyze actual financial and operational performance against budgets, forecasts, and other benchmarks to explain variances and inform corrective action.
Identify and explain factors affecting prescription volume, revenue, reimbursement, drug acquisition cost, COGS, gross margin, operating expenses, and net operating income.
Identify emerging financial risks and opportunities, recommend actions to pharmacy and finance leadership, and 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 opportunities to improve margin performance and reduce avoidable losses.
Evaluate purchasing, inventory, replenishment, inflation, price, volume, and therapy-mix impacts on pharmacy financial performance and recommend improvements.
Quantify the financial impact of operational changes, contracting decisions, payer access, limited-distribution drug access, referral capture, network integrity, 340B activity, rebate performance, and other revenue integrity initiatives.
Develop financial forecasts, budget models, scenario analyses, variance bridges, return-on-investment models, and planning assumptions for budgeting, recurring forecasts, strategic planning, and long-range planning.
Translate advanced financial modeling and scenario analysis into clear alternatives, risks, and recommendations to influence strategic decisions.
Prepare concise, executive-ready analyses and data stories explaining what occurred, why, 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.
Validate and reconcile 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.
Participate in, adhere to, and support compliance program objectives.
Interact cooperatively and respectfully with other employees.