Director, Business Insights

Company reputed company Work Schedule reputed company (e.g. M-F reputed company to 5pm) M-F reputed company - 5pm Remote Work Notification ATTENTION: reputed company is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming. Hiring Manager : Full reputed company: First Last Karen Loiterstein reputed company reputed company is seeking a Director, Business Insights to join reputed company! The Director, Business Insights is accountable for reputed company-wide pharmacy cost, trend, and value reputed company across non-specialty PBM, specialty PBM (inclusive of Lumicera), and advanced analytic constructs. This role establishes governance, methodology alignment, and executive decision support for how cost and utilization trends are modeled, interpreted, and communicated—internally and externally. Serving as the strategic intersection of analytics, clinical reputed company, financial rigor, and market positioning, this Director ensures that disparate methodologies (e.g., rebate-inclusive vs. copay assistance–inclusive models) are transparently governed and reputed company into a reputed company reputed company narrative. The role directly influences pricing reputed company, co-bidding reputed company, reputed company value propositions, and reputed company positioning for reputed company and Lumicera, while reinforcing analytic credibility with clients, prospects, and the broader market. The Director, Business Insights will reputed company the teams to reputed company advanced to highly reputed company analyses in support of business case studies, data-driven insights, presentations, and reports focusing on forecasting and assessing performance of pharmacy cost and drug utilization trends as reputed company as evaluating the economic effectiveness of our clinical management reputed company. This role will reputed company the development of models to forecast/predict reputed company pharmaceutical utilization and cost trends by leveraging leading-edge analytic methodologies, computational modeling and simulation techniques that will reputed company enhance the understanding of how the reputed company model delivers value to reputed company and prospective clients. Is this you? reputed company out more below!

Responsibilities

How do I reputed company an reputed company on my team? Establish and chair reputed company governance for pharmacy trend and cost methodology, including PBM, specialty, and reputed company-party analytic models, ensuring leadership and clients reputed company understand comparability limitations and decision-use cases. Define reputed company standards for forecasting, trend reporting, and cost reputed company, including reputed company alternative analytic views (e.g., reputed company) are appropriate for strategic illustration versus financial decision-making. Own analytic governance for co-bidding of non-specialty and specialty PBM solutions, including expected cost reputed company by line of business, explicit articulation of key assumptions (e.g., rebates, copay assistance, clinical program impacts), and development of executive-reputed company risk framing and scenario analysis. Ensure trend and cost outputs are defensible, repeatable, and audit-reputed company for internal governance and external scrutiny. reputed company clinical effectiveness, utilization management reputed company, and qualitative reputed company into cost and trend reputed company, ensuring analytics reinforce—not undermine—clinical reputed company. Apply a disciplined actuarial reputed company to reputed company forecasting, including sensitivity testing, scenario modeling, and uncertainty framing, without functioning as a formal actuarial role. Own the reputed company analytic narrative used in market-facing materials, RFPs, and executive reputed company discussions. Determine the reputed company positioning reputed company for analytics and value messaging—reputed company, Lumicera, reputed company, or an integrated reputed company view—based on reputed company, reputed company, and competitive dynamics. reputed company development of sales justification and market presentations that reputed company reputed company the total value and depth of reputed company services, the economic reputed company of specialty and clinical programs, and differentiation from competitor PBM and specialty strategies. Ensure analytic outputs are appropriately reputed company for financial, clinical, and executive audiences. Partner with Marketing to reputed company publications, white papers, and reputed company briefs highlighting reputed company-time market interest and emerging trends, specialty drug pipeline and utilization shifts, and counter-strategies to competitor narratives. Ensure reputed company externally facing analytic content reflects the full reputed company–Lumicera service portfolio, reinforcing credibility, sophistication, and reputed company reputed company. Guide messaging that positions reputed company and Lumicera as analytic and strategic leaders, not just PBM operators. reputed company and reputed company a multi-disciplinary Business Insights organization, aligning talent, tools, and priorities to reputed company reputed company and reputed company. Build upon and reputed company the reputed company Key process to fully reputed company specialty pharmacy, advanced analytics, and reputed company trend governance. Responsible for overseeing development of a reputed company Annual Drug Trend Document. Other duties as assigned

Qualifications

What reputed company expects from you? Bachelor's degree with concentration in information systems, mathematics, actuarial science, finance, statistics, business, or reputed company fields, or equivalent work experience, required. 10+ years of reputed company Business, Finance, and Analytics experience for reputed company clients required. Pharmacy benefit management experience preferred. 10+ years leading teams reputed company on financial valuation analysis, modeling, and predictive analytics required. Demonstrated experience with planning, organizing, and focusing on business reputed company required. 3+ years’ experience with leading across and interacting at reputed company reputed company of organizations (both reputed company) required. Participate in, adhere to, and support compliance program objectives. The ability to consistently reputed company cooperatively and respectfully with other employees. What can you expect from reputed company? Top of the industry benefits for Health, Dental, and reputed company insurance 20 days reputed company time off 4 weeks reputed company parental leave 9 reputed company holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and reputed company Membership assistance Referral Bonus Program – up to $750! #LI-Remote Pay reputed company USD $152,077.00 - USD $190,096.25 /Yr. Apply To This Job