Pharmacy Margin & Unit Econ Manager

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.

Amerita

• Owns end-to-end margin analytics across drug, payer, channel, therapy, branch, claim, and patient-level performance
• Leads monthly margin narrative for executive reporting, including MORs, CFO presentations, and margin deep-dives
• Builds, reviews, and maintains rate, mix, volume, reimbursement, and unit cost bridges explaining gross profit performance
• Analyzes impacts from ASP, AWP, WAC, MAC, acquisition cost, reimbursement rate, payer mix, drug utilization, and channel shifts
• Defines business requirements for SQL-based margin analytics, backend data models, and automated reporting processes
• Partners with the Sr. Finance Data Analyst to build scalable reporting logic for drug, payer, channel, branch, claim, and patient-level profitability
• Reviews and validates SQL-based outputs to ensure reporting ties to financial results, source systems, and business expectations
• Owns margin reporting methodology, including data definitions, mapping logic, bridge calculations, cost-to-claim matching, and validation controls
• Identifies opportunities to automate manual margin reporting processes and reduce dependency on Excel-based analysis
• Translates complex business questions into structured analytical requirements for backend data development
• Partners with Market Access on pricing strategy, reimbursement changes, payer behavior, and industry trends
• Collaborates with Margin Optimization to assess claim-level profitability, reimbursement accuracy, margin leakage, and cost-to-claim mapping
• Partners with Pharmacy Procurement to track drug costs, manufacturer rebates, wholesaler discount rates, and purchasing trends
• Conducts ongoing monitoring of drug cost fluctuations and payer reimbursement changes to identify margin volatility
• Ensures margin data models appropriately capture reimbursement, acquisition cost, rebates, payer mix, drug utilization, and unit economics
• Establishes validation controls, documentation standards, and quality checks across recurring margin reporting
• Translates complex analytics into clear executive insights, risks, opportunities, and recommendations
• Leads and supports 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 drivers
• Manages, develops, and directs the work of the Sr. Finance Data Analyst supporting pharmacy margin analytics
• Supervisory Responsibility:
  Yes

• 6–10+ years of FP&A, finance, analytics, healthcare reimbursement, pharmacy analytics, or related experience
• Pharmacy, infusion pharmacy, specialty pharmacy, healthcare reimbursement, payer, or provider finance experience required
• Strong understanding of pharmacy reimbursement concepts, including ASP, AWP, WAC, MAC, acquisition cost, payer reimbursement, rebates, and gross profit
• Strong technical fluency with SQL-based reporting, data models, Power BI, Alteryx, Power Query, or similar analytics tools required
• Hands-on SQL, data transformation, or backend analytics experience strongly preferred
• Ability to direct, validate, and interpret complex backend data analytics supporting margin reporting
• Experience working with claim-level, drug-level, payer-level, branch-level, or transaction-level healthcare data required
• Advanced Excel and financial modeling skills required
• Experience with Power BI, SQL Server, Snowflake, Databricks, Alteryx, or similar database/reporting environments preferred
• Strong ability to translate complex data into executive-ready financial insights and recommendations
• Strong understanding of financial statements, gross profit drivers, variance analysis, and unit economics
• Excellent communication skills with the ability to partner across Finance, Market Access, Procurement, Margin Optimization, IT/Data teams, and operations
• Strong attention to detail, validation discipline, and ability to identify data quality issues or logic gaps
• Demonstrated ability to manage and develop analytical talent
• Strong understanding of pharmacy reimbursement, payer dynamics, and infusion pharmacy margin drivers across PBM and Medical benefit channels
• Advanced financial modeling, variance analysis, and rate/mix/volume analytics skills
• Knowledge of pharmaceutical pricing methodologies including ASP, AWP, WAC, and MAC
• Advanced Excel skills with experience using Power BI, SQL, or similar analytics/reporting tools
• Ability to analyze large, complex datasets and translate findings into…