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Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Senior Analyst - Health System Pharmacy Financial Performance

Corporate Finance & FP&AConfirmed live in the last 24 hours
Full-timeRemote in USA$85.1k - $104.4k /yr

About the Job

Requirements

  • A bachelor's degree in Finance, Accounting, Economics, Business Administration, Healthcare Administration, Analytics, Information Systems, Mathematics, Statistics, or a related field, or equivalent work experience, is required.
  • At least 5 years of 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 is required.
  • Experience interpreting financial statements and performing budget-to-actual, forecast, variance, margin, rate, volume, and mix analyses is required.
  • Experience developing financial models, forecasts, scenario analyses, and executive-level financial reporting is required.
  • Advanced Microsoft Excel experience for financial analysis is required, including PivotTables, lookups, complex formulas, data validation, reconciliation, and financial modeling.
  • Experience communicating complex financial findings and recommendations to operational and executive audiences is required.
  • Participation in, adherence to, and support for compliance program objectives is required.
  • Ability to interact cooperatively and respectfully with other employees is required.

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 for business leaders.
  • Analyze actual financial and operational performance against budgets, forecasts, and benchmarks to explain variances and inform corrective action.
  • Identify and explain drivers affecting prescription volume, revenue, reimbursement, drug acquisition cost, cost of goods sold, gross margin, operating expenses, and net operating income.
  • Independently identify emerging financial risks and opportunities and recommend actions to pharmacy and finance leadership; 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 actionable opportunities that improve margin performance and reduce avoidable losses.
  • Evaluate purchasing, inventory, replenishment, inflation, price, volume, and therapy-mix impacts on pharmacy financial performance and recommend opportunities to improve results.
  • Quantify the financial impact of operational changes, contracting decisions, payer access, limited-distribution drug access, referral capture, network integrity, 340B activity, rebate performance (MFP, GPO, etc.), and other revenue integrity initiatives.
  • Develop financial forecasts, budget models, scenario analyses, variance bridges, return-on-investment models, and planning assumptions for annual 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 it occurred, its 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.
  • Own validation and reconciliation of financial and operational analyses to applicable source systems, financial statements, and supporting data to improve reporting accuracy and decision confidence.

Desired Qualifications

  • Experience with pharmacy, specialty pharmacy, health system pharmacy, pharmacy benefit management, healthcare reimbursement, or pharmacy claims is strongly preferred.
  • Experience analyzing drug-level reimbursement, payer performance, pharmacy purchasing, inventory economics, cost of goods sold, or negative margin claims is preferred.
  • Experience with business intelligence tools such as QlikView, Qlik Sense, Power BI, Tableau, SAS, or other reporting and visualization platforms is preferred.
  • Experience with SQL, Python, R, or other data analysis tools is preferred.

About the Company

Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Navitus Health Solutions is a pharmacy benefits manager that offers transparent pricing by passing 100% of negotiated rebates and discounts to its health-plan clients. It runs a spend-management clinical model designed to control drug costs from the outset while supporting member health, delivering both immediate value and long-term savings as drug spend trends are managed over time. The company markets its services through its portfolio brands—Navitus, Lumicera, and Archimedes—and serves over 18 million members across 800 clients, including public and private employers, unions, health plans, and health systems. It is owned by SSM Health and Costco Wholesale Corporation. Unlike traditional PBMs with opaque pricing, Navitus emphasizes transparency and direct savings for plan sponsors. The overarching goal is to reduce prescription drug costs for plans while improving member health outcomes.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Appleton, WI
Founded
2003

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