[Remote] Director, Finance and Business Intelligence

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. The Director, Finance and Business Intelligence leads financial oversight and analytical performance of pharmacy benefits, focusing on cost management, rebate processes, and operational effectiveness while collaborating cross-functionally to enhance value creation.ResponsibilitiesTrack, manage, and report on performance and cost guarantees, with a focus on Net PMPM and operational performanceMonitor pharmacy cost drivers and identify trends impacting overall spend and marginPartner with stakeholders to implement cost containment and performance improvement strategiesEnsure alignment of financial outcomes with organizational goals and contractual commitmentsAnalyze network pricing, pharmacy claims data, and customer-level performance trendsProvide actionable insights to support data-driven decision-making across the organizationEvaluate unit economics, formulary impacts, and reimbursement structuresIdentify opportunities to optimize network performance and reduce cost variabilityEstablish and oversee end-to-end rebate processes, including forecasting, tracking, and reportingEnsure accurate reconciliation of rebate accruals with pharmacy claims dataManage customer payments and maintain strong internal controls to ensure compliance and accuracyContinuously improve processes to enhance transparency, efficiency, and audit readinessSupport pricing and underwriting teams with real-time financial and operational insightsDevelop and maintain advanced analytics to drive efficiency and value creation initiativesCollaborate with operations, IT, and clinical teams to optimize resource allocationProvide strategic financial guidance to enhance PBM performance and support long-term growth initiativesSkillsBachelor's Degree in Finance, Accounting, Business Administration or related field10+ years of experience in finance, analytics, or pricing/underwriting roles within Pharmacy Benefit Management or related industryExpertise in claims analytics, rebate modeling, and formulary managementStrong understanding of pharmacy network economics, PBM contracting, and regulatory complianceAdvanced proficiency with analytical tools and platforms (e.g., SQL, SAS, Tableau) for claims and rebate data analysisProven track record of delivering actionable insights and supporting high-impact initiatives in PBM environmentsComfortable operating in a fast paced, growth environment without defined processesProven ability to translate complex data into clear business recommendations and executive-level communicationsBenefitsCompetitive compensation, including health, dental, vision and other benefitsCompany OverviewAffirmedRx, PBC, is the only Public Benefit Corporation leading the next generation of Pharmacy Benefit Management solutions for employer groups, health plans, hospital groups and other payers. It was founded in 2021, and is headquartered in Louisville, Kentucky, USA, with a workforce of 51-200 employees. Its website is https://www.affirmedrx.com.

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