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.
Responsibilities
- Track, manage, and report on performance and cost guarantees, with a focus on Net PMPM and operational performance
- Monitor pharmacy cost drivers and identify trends impacting overall spend and margin
- Partner with stakeholders to implement cost containment and performance improvement strategies
- Ensure alignment of financial outcomes with organizational goals and contractual commitments
- Analyze network pricing, pharmacy claims data, and customer-level performance trends
- Provide actionable insights to support data-driven decision-making across the organization
- Evaluate unit economics, formulary impacts, and reimbursement structures
- Identify opportunities to optimize network performance and reduce cost variability
- Establish and oversee end-to-end rebate processes, including forecasting, tracking, and reporting
- Ensure accurate reconciliation of rebate accruals with pharmacy claims data
- Manage customer payments and maintain strong internal controls to ensure compliance and accuracy
- Continuously improve processes to enhance transparency, efficiency, and audit readiness
- Support pricing and underwriting teams with real-time financial and operational insights
- Develop and maintain advanced analytics to drive efficiency and value creation initiatives
- Collaborate with operations, IT, and clinical teams to optimize resource allocation
- Provide strategic financial guidance to enhance PBM performance and support long-term growth initiatives
Skills
- Bachelor's Degree in Finance, Accounting, Business Administration or related field
- 10+ years of experience in finance, analytics, or pricing/underwriting roles within Pharmacy Benefit Management or related industry
- Expertise in claims analytics, rebate modeling, and formulary management
- Strong understanding of pharmacy network economics, PBM contracting, and regulatory compliance
- Advanced proficiency with analytical tools and platforms (e.g., SQL, SAS, Tableau) for claims and rebate data analysis
- Proven track record of delivering actionable insights and supporting high-impact initiatives in PBM environments
- Comfortable operating in a fast paced, growth environment without defined processes
- Proven ability to translate complex data into clear business recommendations and executive-level communications
Benefits
- Competitive compensation, including health, dental, vision and other benefits
Company Overview
AffirmedRx, 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.