Welcome page Returning Candidate? Log back in! Pharmacy Margin & Unit Econ Manager Job Locations US-KY-LOUISVILLE ID 2026-190667 Line of Business Amerita Position Type Full-Time Our Company

Amerita

Overview

The Finance Manager of Pharmacy Margin & Unit Economics will lead margin analytics across the infusion pharmacy business, with primary ownership of drug-level, payer-level, channel-level, branch-level, and unit economics profitability. This role will translate complex reimbursement, procurement, utilization, and payer mix dynamics into clear, executive-ready insights that support decision-making across pricing, contracting, procurement, Market Access, and operations.

 

This role will also serve as the business owner of pharmacy margin data logic, reporting methodology, and analytical framework. Given the complexity of infusion pharmacy reimbursement and claim-level profitability, this position must be technically fluent enough to partner with data analysts, review SQL-based outputs, validate backend reporting logic, and ensure margin analytics are accurate, scalable, and tied to financial results.

 

This is a high-visibility role partnering closely with FP&A leadership, Market Access, Margin Optimization, Pharmacy Procurement, IT/Data teams, and executive leadership. The Finance Manager will define the business requirements, own the financial interpretation, and direct the work of the Sr. Finance Data Analyst supporting the backend data models, SQL logic, automation, and recurring reporting infrastructure.

 

We Offer:

• Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
• 401(k) Retirement Plan 
• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
• Employee Discounts
• Tuition Reimbursement
• Paid Time Off & Holidays 

Responsibilities Owns end-to-end margin analytics across drug, payer, channel, therapy, branch, claim, and patient-level performanceLeads monthly margin narrative for executive reporting, including MORs, CFO presentations, and margin deep-divesBuilds, reviews, and maintains rate, mix, volume, reimbursement, and unit cost bridges explaining gross profit performanceAnalyzes impacts from ASP, AWP, WAC, MAC, acquisition cost, reimbursement rate, payer mix, drug utilization, and channel shiftsDefines business requirements for SQL-based margin analytics, backend data models, and automated reporting processesPartners with the Sr. Finance Data Analyst to build scalable reporting logic for drug, payer, channel, branch, claim, and patient-level profitabilityReviews and validates SQL-based outputs to ensure reporting ties to financial results, source systems, and business expectationsOwns margin reporting methodology, including data definitions, mapping logic, bridge calculations, cost-to-claim matching, and validation controlsIdentifies opportunities to automate manual margin reporting processes and reduce dependency on Excel-based analysisTranslates complex business questions into structured analytical requirements for backend data developmentPartners with Market Access on pricing strategy, reimbursement changes, payer behavior, and industry trendsCollaborates with Margin Optimization to assess claim-level profitability, reimbursement accuracy, margin leakage, and cost-to-claim mappingPartners with Pharmacy Procurement to track drug costs, manufacturer rebates, wholesaler discount rates, and purchasing trendsConducts ongoing monitoring of drug cost fluctuations and payer reimbursement changes to identify margin volatilityEnsures margin data models appropriately capture reimbursement, acquisition cost, rebates, payer mix, drug utilization, and unit economicsEstablishes validation controls, documentation standards, and quality checks across recurring margin reportingTranslates complex analytics into clear executive insights, risks, opportunities, and recommendationsLeads and support the budget and forecast build for pharmacy margin, with ownership from Revenue through Gross Profit, including reimbursement assumptions, payer/channel mix, drug cost trends, utilization, rebates, and other COGS-related margin driversManages, develops, and directs the work of the Sr. Finance Data Analyst supporting pharmacy margin analyticsSupervisory Responsibility:Yes
Qualifications 6–10+ years of FP&A, finance, analytics, healthcare reimbursement, pharmacy analytics, or related experiencePharmacy, infusion pharmacy, specialty pharmacy, healthcare reimbursement, payer, or provider finance experience requiredStrong understanding of pharmacy reimbursement concepts, including ASP, AWP, WAC, MAC, acquisition cost, payer reimbursement, rebates, and gross profitStrong technical fluency with SQL-based reporting, data models, Power BI, Alteryx, Power Query, or similar analytics tools requiredHands-on SQL, data transformation, or backend analytics experience strongly preferredAbility to direct, validate, and interpret complex backend data analytics supporting margin reportingExperience working with claim-level, drug-level, payer-level, branch-level, or transaction-level healthcare data requiredAdvanced Excel and financial modeling skills requiredExperience with Power BI, SQL Server, Snowflake, Databricks, Alteryx, or similar database/reporting environments preferredStrong ability to translate complex data into executive-ready financial insights and recommendationsStrong understanding of financial statements, gross profit drivers, variance analysis, and unit economicsExcellent communication skills with the ability to partner across Finance, Market Access, Procurement, Margin Optimization, IT/Data teams, and operationsStrong attention to detail, validation discipline, and ability to identify data quality issues or logic gapsDemonstrated ability to manage and develop analytical talentStrong understanding of pharmacy reimbursement, payer dynamics, and infusion pharmacy margin drivers across PBM and Medical benefit channelsAdvanced financial modeling, variance analysis, and rate/mix/volume analytics skillsKnowledge of pharmaceutical pricing methodologies including ASP, AWP, WAC, and MACAdvanced Excel skills with experience using Power BI, SQL, or similar analytics/reporting toolsAbility to analyze large, complex datasets and translate findings into actionable business insightsStrong executive communication and presentation skills with ability to simplify complex financial conceptsAbility to build scalable reporting, validation controls, and analytical processes with high attention to detailStrong cross-functional collaboration skills with ability to partner effectively across Finance, Operations, RCM, and Market AccessAbility to manage multiple priorities in a fast-paced, evolving healthcare environmentDemonstrated leadership, problem-solving, and critical thinking capabilities with focus on continuous improvementStrong knowledge of financial and operational data analysis, with the ability to oversee the development and support of reporting, automated data pipelines, and enterprise analytics solutionsStrong analytical and problem-solving skills, with the ability to perform root cause analysis, validate financial data integrity, and translate complex data into actionable business insights for leadership decision-makingStrong understanding of data governance, reconciliation, and data quality management practices to ensure consistency, accuracy, and reliability across financial and operational reportingStrong SQL knowledge with experience working in SQL Server environments, including relational database design, complex query development, performance tuning, stored procedures, views, functions, and SQL Server Agent jobs. Familiarity with additional database platforms and data warehousing concepts is preferredStrong experience developing and maintaining automated data pipelines and ETL processes using SQL Server technologies, with the ability to optimize data workflows, troubleshoot failures, and ensure data integrity across enterprise systemsExperience with business intelligence and reporting tools such as Power BI and SSRS, including oversight of dashboard development, KPI validation, and financial reporting processesPercentage of Travel: 0-25%

 

**To perform this role will require frequently sitting, and typing on a keyboard with fingers, and occasionally standing, walking, bending, reaching, climbing (stairs/ladders), kneeling, crouching, and stooping. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**

About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.