Senior Financial Analyst – PBM Financial Modeling & Analysis SME

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| Opportunity to Transition to

Permanent Role About the Role: We are looking for a

Senior Financial Analyst – Pharmacy SME

to lead strategic

financial modeling, forecasting, and rebate analysis

for pharmacy programs. This role works at the

“upstream” level , translating rebate and discount contracts into actionable financial insights using enrollment, utilization, and trend data. You'll partner with product, actuarial, and executive teams to drive

pharmacy financial planning, pricing strategy , and

economic impact assessments , enabling smarter decisions across the organization. Translate

rebate, discount, and fee agreements

into financial forecasts to evaluate overall contract value. Analyze

pharmacy claims data, utilization trends , and pricing shifts to inform benefit modeling and financial planning. Support

formulary decision-making

and

drug pricing strategies

through economic impact modeling. Build predictive models to assess pharmacy program performance and communicate insights to senior leadership. Maintain financial oversight of

rebate payments, PBM fees, Medicaid/Medicare Part D projections , and

drug cost containment strategies . Contribute to

enterprise forecasting and budgeting

for pharmacy benefits. Partner with actuarial, finance, and PBM strategy teams to ensure financial sustainability of pharmacy programs. Must-Have Skills: 5+ years

in healthcare finance, accounting, actuarial, or PBM financial analytics Deep expertise in

pharmacy rebates, discount modeling , and

benefit forecasting Hands-on experience with

financial modeling ,

pharmacy claims data , and

drug pricing economics Strong knowledge of

Medicare Part D ,

Medicaid pharmacy regulations , and formulary impact modeling Proficiency in

SQL ,

Excel , and financial forecasting tools Exceptional communication skills and the ability to translate complex data into executive-level insights Key Focus Areas & Keywords: PBM financial modeling (e.g.,

OptumRx, CVS Caremark, Express Scripts ) Pharmacy rebates / network discounts / contract fee forecasting Utilization trend analysis

and cost modeling Formulary economics

and benefit design input Drug cost containment

and pricing impact analysis Actuarial collaboration

and enterprise planning Pharmacy financial planning tools

and dashboards Qualifications: Bachelor’s degree

in Finance, Accounting, Economics, or related field (In lieu of a degree, 4 additional years of relevant experience may be considered) CPA or MBA

preferred Prior experience in

managed care, health insurance, or PBM finance

highly desirable Seniority level

Seniority level Mid-Senior level Employment type

Employment type Contract Job function

Job function Finance Industries IT Services and IT Consulting and Retail Pharmacies Referrals increase your chances of interviewing at Lumen Solutions Group Inc. by 2x Get notified about new Financial Analyst jobs in

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