Senior Financial Analyst, COGS & Inventory

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.

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.

Job Duties

COGS & Inventory Analytics (Primary Focus)

• 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.

Unit Cost & Pricing Compliance

• 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.

Consumption-to-Billing Reconciliation

• 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.

Financial Forecasting & Planning

• 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.).

Operational Partnership

• 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.

Controls, Compliance & Risk Reduction

• 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 documentation, transaction support, and variance explanations.
• Work directly with accounting on reconciliations between subledger systems.
• Standardize inventory processes and workflows across fleets, regional sites, and warehouse locations.
• Identify risks related to improper documentation, usage patterns, asset management, and financial leakage.

Procurement Liaison Direct & Indirect Spend Oversight

• Act as finance's primary partner to procurement for both direct and indirect spending areas.
• Partner with accounting to validate month-end accruals for indirect categories.
• Analyze indirect cost categories such as fleet, facilities, purchased services, maintenance, and corporate programs.
• Support sourcing decisions with cost/benefit modeling, total cost of ownership analysis, and scenario comparison (buy vs. lease, maintenance vs. replacement, vendor switching, etc.)
• Build dashboards and KPIs for indirect spend categories that mirror COGS reporting (cost/unit, spend per FTE, etc..).
• Review contract compliance and partner with procurement to identify savings, avoid overspend, and strengthen vendor discipline.
• Ensure fleet, indirect cost centers, and corporate purchasing channels have the right operational controls to prevent waste,

Requirements

Education and/or Experience

• Bachelor's degree in finance, accounting, or related field.
• 35+ years of relevant experience (FP&A, cost accounting, inventory control, supply chain finance, or healthcare finance).
• Strong analytical skills: ability to work with large data sets and partner with IT to build dashboards/models.
• Comprehensive understanding of accounting principles including accruals, reconciliations, and inventory valuations.
• Ability to collaborate with accounting to ensure COGS/inventory accuracy and proper financial controls.
• Advanced Excel skills; experience with BI tools (Power BI, SAC, Tableau, or similar).
• Ability to communicate analytical insights clearly to non-financial audiences.
• Strong understanding of cost drivers, unit economics, and P&L impacts.
• Knowledge of price-volume-mix analysis, supply chain concepts, and inventory controls.

Preferred Qualifications

• Experience in healthcare services, home health, DME, pharmacy/IV, or medical supplies.
• Experience with Brightree, Vena, or other ERP/EPM tools.
• Prior experience building financial processes, KPIs, or operational dashboards.

Benefits

• Generous Paid Time Off (PTO) for full time employees to ensure a healthy work-life balance
• 401(k) Matching to help secure your future
• Tuition Reimbursement to support your educational and professional growth
• Professional Development & Learning Opportunities to expand your skills and knowledge in pediatric care
• Health and Dental insurance
• Short & Long Term Disability and Life Insurance

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance. #DME123