Senior Financial Analyst, COGS & Inventory

At Pediatric Home Service, we help medically complex kids live their best lives,
at home, with their families. As a national leader in pediatric home care, we offer a full range of services including infusion, clinical nutrition, respiratory therapy, PPEC, private duty nursing, and DME. Whether you're caring for patients or supporting behind the scenes, every role at PHS makes a difference. Join a mission-driven team that’s committed to putting children and families first.

• Hours: Monday‑Friday, 8am‑5pm

The Senior Financial Analyst, COGS & Inventory provides financial visibility, analysis, and accountability for PHS’s $200M annual supply and inventory spend. This role partners closely with Operations, Respiratory Therapy, Pharmacy/IV, Billing, Supply Chain, Procurement, and FP&A to monitor supply usage, reduce shrinkage, improve unit‑cost compliance, and strengthen alignment between supplies and revenue billed.

Beyond supply‑related COGS, the role serves as the primary liaison between Finance and Procurement, overseeing both direct and indirect spend categories, including fleet, purchased services, and corporate programs that impact overall cost structure.

This position is critical to improving contribution margin, reducing financial leakage, and strengthening operational controls across PHS’s multi‑state organization. A strong accounting foundation, including inventory valuation, reconciliations, and accruals, is essential to ensure COGS accuracy and stabilize reported results.

• Own monthly COGS reporting, forecasting, and variance analysis across all regions and service lines (RT/HME, IV/Pharmacy, CN, etc.).
• Develop detailed supply‑usage dashboards and KPIs (consumption per patient, etc.).
• Analyze breakage, non‑returned equipment, shrinkage, and over‑consumption trends; recommend corrective actions.
• Monitor inventory activity, reconcile usage vs. orders, and ensure accurate categorization of COGS during month‑end close.
• Support inventory audits, annual counts, and documentation required for compliance and financial reviews.
• Reconcile inventory balances and COGS activity with accounting each period; ensure alignment between operational usage and GL entries.
• Ensure accurate month‑end COGS accruals, true‑ups, reversals, and classification of supply and equipment costs.
• Partner with accounting to improve rules for inventory movement, and cost categorization.
• Track unit price changes with vendors (McKesson, Cardinal, Medline, etc.) and validate invoicing against contracted rates.
• Lead SKU‑level price benchmarking, identify opportunities for product substitutions, and partner with Procurement, Supply Chain and Operations to implement savings.
• Conduct price‑volume‑mix (PVM) analyses to understand cost drivers and inflation exposure.
• Support annual budget development of supply costs by region, service line, and vendor.

• Build and maintain reconciliation processes linking supply pulls and equipment placement to billing submissions.
• Partner with Billing to resolve documentation gaps, missing claims, and reimbursement issues tied to supplies/equipment.
• Identify systemic issues causing unbilled usage and help develop fixes with Operations and Revenue Cycle.
• Own COGS inputs for forecasts, annual budgets, LRP, and service‑line level modeling.
• Provide forward‑looking analysis on inflation, utilization, and operational changes affecting COGS.
• Model financial impact of operational initiatives (SKU rationalization, etc.).

• Serve as a financial partner for Procurement, Supply Chain, and Operations.
• Develop reporting tools that improve operator visibility into consumption, breakage, and cost‑performance trends.
• Support cross‑functional efforts to reduce waste and drive accountability across the organization.

• Strengthen internal accounting controls related to inventory valuation, cycle counts, and balance sheet integrity.
• Ensure compliance with GAAP principles related to inventory, capitalization, and write‑offs.
• Support audit requirements by providing detailed…