Finance Manager, Market Access — US Oncology

AstraZeneca; Gaithersburg (MD); Hybrid; USD 123,000 - 184,000; Full time

Job summary

AstraZeneca in Gaithersburg, MD, seeks a finance leader to own Gross-To-Net for the US Oncology unit. You will partner across Policy, Market Access, Government Pricing, and Contract Strategy to ensure accurate forecasting, robust controls, and data-driven decision support for pricing, contracting, and patient access initiatives.

Responsibilities include leading GTN close, building modelled scenarios, and driving automation with AZ tools to improve speed and transparency.

Qualifications

• Finance/accounting degree required or equivalent experience.
• CPA and/or MBA desirable for advancement.
• 5+ years of financial experience in a life sciences or pharma setting.
• Knowledge of US operating model and US pricing/government programs.

Responsibilities

• Lead monthly GTN close for accurate accruals and liabilities.
• Provide contracting insight and payer issue resolution with teams.
• Ensure SOX controls are embedded and monitored.
• Develop deal models and support decision making.
• Forecast rebates and discounts for RBUs and MTPs.

Skills

Analytical ability

Communication skills

Stakeholder management

Attention to detail

Leadership of multiple priorities

US operating model knowledge

Excel

Power BI

Cloud-based solutions

SOX/compliance mindset

Education

B.S. Degree in Finance or Accounting

CPA and/or MBA

Tools

CoPilot Studio Workflow

CoPilot Agent Builder

Job description

Location: Gaithersburg, MD Hybrid: Minimum 3 days per week in office

Introduction

Are you ready to turn financial insight into smarter access decisions that help patients receive life-changing oncology therapies? In this pivotal role, you'll lead the Gross-To-Net (GTN) agenda for the US Oncology Business Unit, ensuring accuracy, compliance, and foresight that directly influence pricing, contracting, and patient access outcomes.

As a strategic partner to Policy, Market Access, Government Pricing, and Contract Strategy, you will shape the financial backbone that supports key commercial initiatives. How will you leverage your GTN expertise and analytical rigor to strengthen decision-making and accelerate impact across the U.S. Commercial Business?

Accountabilities

• GTN Close and Liability Oversight: Lead the monthly GTN close to deliver accurate accruals and manage liability balances for chargebacks, commercial and government contracts, and all relevant GTN discounts, ensuring integrity of reported results.
• Contracting Insight and Payer Issue Resolution: Consult with US Contract Operations and Market Access to assess payer issues and contracting changes, translating implications into consistent, defensible liabilities.
• SOX Compliance: Safeguard a high-risk area by embedding and monitoring Sarbanes-Oxley controls, elevating compliance and reducing financial risk.
• Deal Modeling and Decision Support: Maintain the conceptual financial framework for deal structuring and build models that quantify cost/benefit trade-offs, including potential competitor responses, to inform sound contracting strategies.
• Forecasting Leadership: Partner with Franchise Finance, Market Access, and Contract Strategy to create robust rebate and discount forecasts for RBUs (Rolling Business Update) and MTPs (Mid-Term Plan), improving predictability and clarity.
• GTN Systems Ownership: Own and maintain the cloud-based GTN forecasting system, driving data integrity, timely insights, and scalable reporting.
• Automation and Process Innovation: Develop and lead process automation solutions using AZ Automation tools (e.g., CoPilot Studio Workflow, CoPilot Agent Builder) and GBS partners to enhance speed, accuracy, and transparency.
• Reporting and Special Projects: Deliver ad-hoc analyses and lead special projects that translate data into actionable insight for senior stakeholders.
• Brand and Franchise Planning: Occasionally lead financial and strategic planning for a brand or franchise, driving end-to-end P&L management with a focus on forecast accuracy, disciplined cost management, and effective resource allocation.
• Commercial–Finance Interface: Act as the strategic bridge between Commercial and Finance, ensuring tools, processes, and insights directly support business needs and decision-making.
• Planning Journey Simplification: Identify and lead opportunities to simplify financial planning and operational processes, improving efficiency and effectiveness across the planning lifecycle.

Essential Skills & Experience

• B.S. Degree in Finance or Accounting
• CPA and/or MBA desired
• 5+ years of financial experience
• Pharmaceutical industry experience desired
• Knowledge of US operating model
• In-depth knowledge of Excel and working knowledge of other MS Office applications, Power BI, and/or other cloud-based solutions
• Strong analytical ability
• Outstanding communication and interpersonal skills, both oral and written
• Confidence in working with Senior Management
• High degree of accuracy with attention to detail
• Demonstrated ability to perform in an environment that emphasizes teamwork to meet deliverables
• Demonstrated capacity to effectively lead multiple and frequently changing priorities
• Demonstrated capability to meet strict deadlines with a high level of ownership and strong sense of urgency

Desirable Skills & Experience

• Experience managing Gross-To-Net accounting, rebate accruals, and revenue deductions within US pharmaceutical markets
• Hands-on exposure to government pricing, payer contracting, and collaboration with Contract Operations
• Proven track record of SOX controls in high-risk revenue or deductions processes
• Ownership of cloud-based GTN forecasting systems and development of Power BI dashboards or similar analytics
• Advanced financial modeling for deal evaluation, scenario planning, and competitor response analysis
• Practical experience with automation solutions, including CoPilot Studio Workflow and CoPilot Agent Builder, and partnering with GBS teams
• Leadership in RBU and MTP forecasting, and familiarity with end-to-end P&L management for brands or franchises

Compensation & Benefits

The annual base pay for this position ranges from $122,760 to $184,140 USD. Our positions offer eligibility for various incentives - an opportunity to receive short-term incentive bonuses, equity-based awards for salaried roles and commissions for sales roles. Benefits offered include qualified retirement programs, paid time off (i.e., vacation, holiday, and leaves), as well as health, dental, and vision coverage in accordance with the terms of the applicable plans.

How We Work

When we put unexpected teams in the same room, we unleash bold thinking with the power to inspire life-changing medicines. In-person working gives us the platform we need to connect, work at pace, and challenge perceptions. That's why we work, on average, a minimum of three days per week from the office. But that doesn't mean we're not flexible - we balance the expectation of being in the office while respecting individual flexibility. Join us in our unique and ambitious world.

Why AstraZeneca

Here, your finance leadership fuels tangible patient impact and business momentum. We bring diverse experts together to make fast, data-driven decisions, applying cutting-edge digital tools and design thinking to solve complex problems. You'll be part of a high-performing, collaborative community that values curiosity and kindness alongside ambition, integrates tightly with the enterprise, and empowers you to take smart risks, accelerate change, and build a reputation on work that matters.

Our mission is to build an inclusive environment where equal employment opportunities are available to all applicants and employees. In furtherance of that mission, we welcome and consider applications from all qualified candidates, regardless of their protected characteristics. If you have a disability or special need that requires accommodation, please complete the corresponding section in the application form.