Role Description
Lumicera Health Services is seeking a Sr. Analyst, Health System Pharmacy Financial Performance to join our team! The Sr. Analyst serves as a senior individual contributor responsible for financial analysis and insights supporting specialty pharmacy and health system pharmacy performance. The role works closely with various departments to evaluate complex financial, reimbursement, claims, purchasing, inventory, payer, drug, and operational data.
The role advances pharmacy revenue integrity, organizational growth, and profitability by delivering actionable insights that 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.
Responsibilities
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Lead the preparation of financial analyses and performance review materials used in monthly and periodic health system pharmacy business reviews.
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Analyze actual financial and operational performance against budgets, forecasts, and other appropriate benchmarks.
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Identify and explain drivers affecting prescription volume, revenue, reimbursement, drug acquisition cost, cost of goods sold (COGS), gross margin, operating expenses, and net operating income.
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Independently identify emerging financial risks and opportunities and recommend actions to pharmacy and finance leadership.
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Determine analytical approaches and perform various analyses to explain performance and investigate complex financial issues.
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Analyze pharmacy reimbursement and negative margin claims to identify actionable opportunities.
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Evaluate purchasing, inventory, replenishment, inflation, price, volume, and therapy-mix impacts on pharmacy financial performance.
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Quantify the financial impact of operational changes, contracting decisions, payer access, and other revenue integrity initiatives.
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Develop financial forecasts, budget models, scenario analyses, variance bridges, and return-on-investment models.
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Influence strategic decisions by translating advanced financial modeling into clear alternatives, risks, and recommendations.
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Prepare concise, executive-ready analyses and data stories.
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Provide financial guidance to various stakeholders and align recommendations with business needs.
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Use analytical tools to develop models, metrics, visualizations, dashboards, and reports.
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Own validation and reconciliation of financial and operational analyses to improve reporting accuracy.
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Other duties as assigned.
Qualifications
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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.
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Master's degree in Business, Finance, Accounting, Healthcare Administration, Analytics, or a related field, preferred.
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5+ years of experience with a bachelorβs degree or 3+ years of experience with a masterβs degree in financial analysis, healthcare finance, pharmacy finance, revenue integrity, financial planning and analysis, business analytics, or a related field, required.
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Experience interpreting financial statements and performing budget-to-actual, forecast, variance, margin, rate, volume, and mix analysis, required.
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Experience developing financial models, forecasts, scenario analyses, and executive-level financial reporting, required.
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Advanced experience using Microsoft Excel for financial analysis, required.
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Experience communicating complex financial findings and recommendations to operational and executive audiences, required.
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Experience with pharmacy, specialty pharmacy, health system pharmacy, pharmacy benefit management, healthcare reimbursement, or pharmacy claims, strongly preferred.
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Experience analyzing drug-level reimbursement, payer performance, pharmacy purchasing, inventory economics, or negative margin claims, preferred.
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Experience with business intelligence tools such as QlikView, Qlik Sense, Power BI, Tableau, SAS, or other reporting and visualization platforms, preferred.
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Experience with SQL, Python, R, or other data analysis tools, preferred.
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Participate in, adhere to, and support compliance program objectives.
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The ability to consistently interact cooperatively and respectfully with other employees.
Benefits
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Top of the industry benefits for Health, Dental, and Vision insurance.
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20 days paid time off.
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4 weeks paid parental leave.
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9 paid holidays.
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401K company match of up to 5% - No vesting requirement.
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Adoption Assistance Program.
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Flexible Spending Account.
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Educational Assistance Plan and Professional Membership assistance.
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Referral Bonus Program β up to $750!