Pharmacy Business Finance Manager

The Business and Finance Manager provides leadership for financial planning, budgeting, analytics, and business operations across the Pharmacy Enterprise. Serving as a strategic advisor to pharmacy leadership, this position translates financial and operational data into actionable insights that support sound decision-making, service growth, operational improvement, and long-term financial sustainability.

• →Lead monthly General Ledger reviews, budget-to-actual analyses, financial reconciliations, and variance reporting for pharmacy departments and cost centers.
• →Coordinate annual operating and capital budgets, forecasts, accruals, journal entries, and period-end reporting.
• →Develop executive dashboards, scorecards, key performance indicators, and recurring financial and operational reports.
• →Analyze revenue, expenses, labor, drug spend, utilization, reimbursement, rebates, and high-cost medication trends.
• →Develop pro formas, financial models, business plans, scenario analyses, capital requests, and FTE justifications.
• →Evaluate the financial performance and sustainability of existing and proposed pharmacy services.
• →Identify opportunities to increase revenue, improve margins, reduce costs, and optimize resources.
• →Support financial analysis for specialty pharmacy, medication management services, 340B operations, supply chain, infusion, retail, and other pharmacy programs.
• →Assess the potential financial impact of reimbursement, regulatory, manufacturer, and market changes.
• →Establish standardized financial workflows, reporting practices, internal controls, and data-validation processes.
• →Prepare decision-ready presentations and recommendations for pharmacy executives, finance committees, and organizational leadership.
• →Lead and develop assigned business, finance, and analytics staff.
• →Collaborate with Pharmacy, Finance, Accounting, Supply Chain, Revenue Cycle, Human Resources, Information Solutions, and operational leaders.

• Pharm D or Rph, and MBA,  MHA  or experience
• Five years of progressive experience in healthcare finance, pharmacy business operations, budgeting, financial analysis, accounting, or business analytics.
• Experience with budgeting, forecasting, variance analysis, financial modeling, and executive reporting.
• Previous supervisory, team leadership, or project leadership experience.
• Advanced proficiency in Microsoft Excel and financial reporting tools.

• Master of Finance, Master of Accounting, or another relevant advanced degree.
• Active pharmacist licensure when required by the position’s scope.
• Experience within an academic medical center, integrated health system, or complex multi-site pharmacy enterprise.
• Experience with Axiom, Workday, Power BI, Tableau, or similar financial and analytics platforms.
• Knowledge of pharmacy reimbursement, pharmaceutical purchasing, specialty pharmacy, 340B, medication management, and contracting.

• Strong financial, analytical, problem-solving, and strategic planning skills.
• Ability to interpret complex data and develop practical business recommendations.
• Effective executive communication, presentation, and relationship-management skills.
• Strong organizational skills with the ability to manage multiple priorities and recurring deadlines.
• Demonstrated leadership, sound judgment, attention to detail, and commitment to data integrity.
• Ability to collaborate across clinical, operational, financial, and administrative teams.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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