Description

The Informatics Lead coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informatics Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Pharmacy Informatics Lead will oversee Medical Formulary modeling and forecasting, as well as analytic support for Specialty programs.   The Lead leverages their advanced knowledge of data, modeling, optimization, and tools. Applies disciplined analytics to predict behavior and optimize programs and products to maximize revenue growth. Utilizes advanced or predictive modeling to develop, test and validate cases that improve the outcomes and quality of the programs we offer. Contributes to more innovative approaches to financial models as they build knowledge of the business context in which it operates. Understands and analyzes complex data, articulates mathematical concepts to various units within the company at the appropriate level, and on initiatives with potentially sizable dollar impact. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action.  This lead role will have a team of 4 associates to support this work. 

Medical modeling 

• Scale up resources and build bench strength, to support modeling cycle with a high-volume busy season 

• Work with other leaders on the team to identify synergy opportunities with similar processes 

Specialty Initiatives 

• Implement best practices in forecasting and tracking initiative performance 

• Prioritize the big picture, long term goals 

• Develop a robust process for scorecard submission, allowing for quarterly comparisons of drivers 

Required Qualifications

• Bachelor's degree in Mathematics, Statistics, Actuarial Science, Economics, or other quantitative focus

• 6 + years of data analytics experience, preferably healthcare /medical claims

• Ability to clearly articulate and present findings, drivers of change, and insights to senior leadership  

• Experience in defining and executing measurement programs 

• Ability to prioritize multiple projects and competing customers  

• Experience with advanced analytics, including program evaluation and optimization 

• Strategic thinking and planning capabilities 

• Organized and detail-oriented 

• Excellent verbal and written communication 

• Intermediate experience with analytic tools such as SAS or SQL

Preferred Qualifications

• 2 or more years of leadership experience 

• Advanced Degree 

• Six Sigma certification 

• Prior healthcare, pharmacy, actuarial experience strongly desired  

• Advanced experience in SAS, SQL, similar tools