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Director, Commercial Finance

Job in Nashville, Davidson County, Tennessee, 37247, USA
Listing for: Foster McKay
Full Time position
Listed on 2026-10-02
Job specializations:
  • Finance & Banking
    Financial Analyst
  • Business
    Financial Analyst
Salary/Wage Range or Industry Benchmark: 180000 - 240000 USD Yearly USD 180000.00 240000.00 YEAR
Job Description & How to Apply Below
Position: Director, Commercial Finance – #21526

“People don’t choose their careers; they are engulfed by them.”

The Director, Commercial Finance will serve as the organization’s internal authority on pharmaceutical revenue mechanics, including Gross-to-Net modeling, ASP-based reimbursement, and buy-and-bill market dynamics. This individual will partner closely with Sales, Marketing, Market Access, Pricing & Contracting, Supply Chain, and Operations to analyze revenue trends, develop robust forecasting models, and translate complex reimbursement dynamics into actionable financial insights.

The role will also lead financial modeling across Budget, Forecast, and Long-Range Planning (LRP) processes and support business development initiatives through valuation modeling and scenario analysis for licensing, partnership, and acquisition opportunities.

Candidates must demonstrate deep expertise in pharmaceutical revenue and market access finance. Ideal candidates will have:

  • Direct experience in pharmaceutical Gross-to-Net forecasting and revenue recognition.
  • Experience supporting physician-administered or buy-and-bill pharmaceutical products reimbursed under Medicare Part

    B.
  • Strong understanding of ASP-based reimbursement dynamics and provider margin economics.
  • Experience modeling government pricing programs including Medicaid, 340B, VA/FSS, and Medicare Part D rebates.
  • Familiarity with specialty distribution and specialty pharmacy channel economics.

Candidates without direct experience in pharmaceutical Gross-to-Net and ASP-based revenue modeling will not be considered.

What would I be doing?

Commercial Business Partnership
  • Serve as the lead finance partner to US Commercial leadership, providing financial insight and decision support across the commercial organization.
  • Analyze revenue trends, demand signals, channel dynamics, and competitive market events to provide forward-looking insights.
  • Partner with Commercial and Market Access leadership to evaluate pricing strategy, payer contracting structures, and promotional investment decisions through rigorous financial modeling and scenario analysis.
  • Prepare ready executive analyses and presentations for senior leadership and Board-level discussions.
  • Translate complex reimbursement and market dynamics into clear financial insights to support strategic decision-making.
Revenue Forecasting & ASP Modeling (Subject Matter Expert)
  • Develop the company’s commercial revenue forecast, including demand, pricing, channel mix, and Gross-to-Net deductions.
  • Develop and maintain detailed forecasting models including:
  • Volume forecasting (TRx, NRx, and demand units).
  • Channel mix and inventory dynamics.
  • Average Selling Price (ASP) modeling and reimbursement-driven pricing considerations.
  • Develop scenario and sensitivity analyses to assess commercial risks and opportunities.
  • Continuously enhance forecasting methodologies, data integration, and financial modeling tools.
  • Drive forecast accuracy through strong cross-functional collaboration with Commercial, Market Access, Supply Chain, and Market Analytics teams.
Gross-to-Net (GTN) Leadership
  • Lead all Gross-to-Net modeling and forecasting, including:
  • Commercial managed care rebates.
  • Chargebacks and distribution service fees.
  • Copay assistance programs.
  • Returns and other deductions.
  • Monitor GTN trends and identify key drivers of forecast variance.
  • Ensure alignment between GTN forecasts, accrual methodologies, and revenue recognition policies.
  • Partner with Accounting and Market Access teams to ensure accurate financial reporting and compliance.
Medicare Part B Buy-and-Bill Expertise
  • Serve as the internal expert on revenue modeling for physician-administered pharmaceutical products reimbursed under Medicare Part

    B.
  • ASP-based reimbursement methodology and quarterly ASP updates.
  • Provider acquisition…
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