Director, Commercial Finance (Specialty / Pharmacy)

Hospitals, health systems and providers are under more financial and operational pressure than ever, and the technology that helps them run smarter is more critical than ever. We are a well funded, rapidly scaling healthcare technology company that partners directly with pharmaceutical manufacturers, providers and health systems to solve one of their most pressing challenges, and we are looking for our next great Director of Finance (Commercial) to support our iteration and evolution. This is financially backed healthcare venture changing the industry and pharmacy landscape. The is a financially focused commercial 'builders' role inside a company that is actively reshaping how health systems manage and specialty provider groups manage cost, revenue, and operational performance patient care and journey across pharmacy, spend and finance. T About the Role : Director, Commercial Finance & Specialty Pharmacy Modeling We are looking for an Financial 'Mathlete' able to trace the revenue from drug acquisition all the way to reimbursement and explain the story and details along the way to a CFO, Executive team or client group. We are looking for a true pharmacy + specialty pharmacy economics expert to help lead that growth while working in tandem with the Commercial team. What you'll own Building the financial models behind major commercial deals, from first pitch to final signature Running scenario and sensitivity analysis on the variables that actually move margin: WAC changes, NADAC shifts, 340B eligibility, payer mix, and limited distribution access Structuring creative deals with health systems and provider groups, side by side with sales leadership Presenting in finalist meetings for the largest opportunities Leading the financial story in executive business reviews: what changed, why it changed, and what to do about it Spotting underwater NDCs, leaky contracts, and hidden margin opportunities before anyone else does Teaching the internal team and becoming the go to voice on pharmacy math across the company Keeping financial workflows aligned with Stark and Anti Kickback requirements What a 'fit' looks like 8 + years in pharmacy finance, specialty pharmacy economics, or pharmacy consulting You speak WAC, AWP, ASP, and NADAC fluently, and you understand both the acquisition side and the reimbursement side (this combination is rare, and it's exactly what we need) Real command of manufacturer rebates, PBM fees, DIR, and spread vs. pass through pricing You understand hospital and health system dynamics: affiliations, prescribing patterns, and how 340B strategy plays in You can walk a lead physician or health system CFO through how a reimbursement change hits their EBITDA, clearly and confidently Advanced Excel and Power Query; SQL and Tableau or Power BI are a plus You think like a forensic accountant and a deal maker at the same time Preferred Successes and Experiences come from : Specialty Pharmacy, Specialty Pharmacy Consultancies, PBM and PBM affiliated Specialty Pharmacies, HealthSystem Pharmacy Finance. BS Degree in Finance, Economics, Actuary are preferred but not required. Why this role Direct exposure to executive leadership and external Stakeholders. Your models directly drive multimillion dollar revenue wins A company in genuine growth mode where you'll shape the playbook Competitive base salary, equity, and full benefits