Pharmacy Business Finance Manager

C002 Medical University Hospital Authority (MUHA); South Carolina; Hybrid; USD 120,000 - 180,000; Full time

Job summary

The Medical University of South Carolina is seeking a Pharmacy Business and Finance Manager to lead financial planning, budgeting, analytics, and business operations across the Pharmacy Enterprise. This role serves as a strategic advisor to pharmacy leadership, translating data into actionable insights that support growth and sustainability.

Responsibilities include leading ledger reviews, budgets, dashboards, and reports; analyzing drug spend, reimbursement, and cost-saving opportunities; and

Qualifications

• Pharm D or RPh with MBA, MHA, or equivalent experience.
• Five years of progressive healthcare finance and pharmacy operations experience.
• 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.

Responsibilities

• 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.

Skills

Financial planning

Budgeting

Analytics

Executive reporting

Leadership

Education

Pharm D or RPh with MBA/MHA

Bachelor's degree or equivalent education

MBA or MHA

Tools

Axiom

Workday

Power BI

Tableau

Excel

Job description

Job Description Summary

The Pharmacy 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.

Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC004415 SYS - ICCE - Pharmacy Pay Rate Type Salary Pay Grade Health-36 Scheduled Weekly Hours 40 Work Shift

Job Description MUSC Business and Finance Manager Pharmacy Enterprise Position Summary 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.

Key Responsibilities

• 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.

Required Qualifications

• 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.

Preferred Qualifications

• 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.

Knowledge, Skills, and Abilities

• 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.

Additional Job Description Education

• Bachelor's degree or equivalent education and/or relevant work experience.

Work Experience

• 10 years progressive work experience and 5 years management experience.

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.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees.

Thank you for wanting to be part of the Medical University of South Carolina team.

Whether you want to teach the next generation of health care leaders, innovate new business models, discover the next breakthrough or provide patient care, there's a role for you that fuels your passion and takes advantage of your skills.

There are career opportunities available in academics, research, hospital medicine, physician practices and support services, from patient billing to IT.

As an applicant, you can search jobs for all MUSC entities as well as search by category and location.

MUSC attracts more than $250 million annually in research funding, making it the biggest magnet for biomedical, extramural research dollars of all institutions of higher learning in South Carolina.

The Clinical and Translational Science Award (CTSA) Program aims to advance clinical and translational science to increase the speed at which new treatments become available to patients.

MUSC Health, the clinical enterprise, operates a 750 bed medical center, which includes a nationally recognized Children's Hospital, the Ashley River Tower (cardiovascular, digestive disease, and surgical oncology), Hollings Cancer Center (one of fewer than 70 elite National Cancer Institute designated centers), a Level I Trauma Center and the Institute of Psychiatry.

In addition, there are more than 100 outreach clinics, hospital/health system affiliations, and telehealth sites.

U.S. News & World Report placed us among the top one percent of all American hospitals, with 11 specialties in the top 50.

The MUSC Medical Center is also one of only three Magnet® designated hospitals in South Carolina.