Lumen Solutions Group, Inc.
Senior Financial Analyst
Lumen Solutions Group, Inc. - Reston
Work at Lumen Solutions Group, Inc.
Overview
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Overview
Now Hiring: Senior Financial Analyst - PBM Financial Modeling & Analysis SME
Location: Remote (USA)
Contract-to-Hire | Opportunity to Transition to Permanent Role
Employment Type: Full-Time
Industry: Pharmacy Benefit Management (PBM), Financial Analytics
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.
Key Responsibilities:
Location: Remote (USA)
Contract-to-Hire | Opportunity to Transition to Permanent Role
Employment Type: Full-Time
Industry: Pharmacy Benefit Management (PBM), Financial Analytics
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.
Key Responsibilities:
- 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.
- 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
- 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
- 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