Informatics Lead (Medical Claims)
Greater Boston Area
3 days ago
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.