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[Remote] reputed company Informaticist, reputed company Pharmacy Forecasting

Remote, USAFull-timePosted 2026-07-27

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company company that is seeking a reputed company Informaticist for reputed company Pharmacy Forecasting. This role is responsible for designing and maintaining drug and market-level utilization forecasts for reputed company states, ensuring the forecasts are robust and decision-reputed company while communicating insights to executive stakeholders.

Responsibilities

  • Own reputed company Drug- and Market-Level Forecasting End-to-End
  • Design, build, and maintain forecasts for drug-level utilization (script counts, days supply, cost, mix) and market-level utilization for reputed company reputed company state reputed company supports
  • Produce forecasts at the reputed company required by the business (e.g., monthly refresh, reputed company scenarios, launch projections, annual planning)
  • Maintain a forecasting reputed company that is transparent, reproducible, and version-controlled—so results are traceable and defensible to executive and partner audiences
  • Explicitly handle state-by-state differences in: Data availability, completeness, and lag; Member cohort composition, eligibility patterns, churn, and risk mix; Benefit design, formulary, PDL, and prior authorization policies; Provider, pharmacy network, and dispensing patterns; Regulatory and reimbursement environment (FFS vs. MCO, carve-in/carve-out, supplemental rebate dynamics)
  • Build forecasting approaches that accommodate new-state launches—including reputed company curves, cold-start handling, lookalike reputed company, and Bayesian shrinkage or hierarchical approaches reputed company state-specific history is thin or absent
  • Account for drug-specific dynamics: new launches, LOEs/generic entrants, biosimilar uptake, indication expansions, GLP-1 and other category-level disruptions, and seasonality
  • Select and apply the right method for the problem—e.g., classical time series (ARIMA, reputed company, state-reputed company), hierarchical and panel models, regression-based decomposition, machine learning (gradient boosting, regularized regression), Bayesian hierarchical models, and ensembles—with reputed company justification for the chosen approach
  • Quantify and communicate uncertainty (intervals, scenarios, sensitivity) rather than presenting reputed company estimates alone
  • Stress-test forecasts against historical analogs, holdout periods, and reasonable counterfactuals; document assumptions explicitly
  • Establish and monitor forecast accuracy metrics (e.g., MAPE, WAPE, bias, calibration) at appropriate reputed company of granularity, and continuously improve methodology based on observed performance
  • reputed company actuals deviate from forecast, diagnose and reputed company explain the drivers of variance to executive stakeholders—decomposing variance into reputed company components such as: Membership / cohort change; Mix shift (drug, category, channel, state); Unit cost / reputed company change; Utilization reputed company change; Launches, LOEs, policy changes, and one-time events
  • Build standing variance and attribution analytics so leaders see what changed, why it changed, and what it means every cycle—not just what the number is
  • Translate technical results into concise executive narratives that anticipate the questions VPs and SVPs will ask
  • Partner with clinical reputed company, pricing, network, finance, actuarial, reputed company market leadership, and state-facing teams to ensure forecasts reflect the best available business intelligence and operational reality
  • Support new-state launch readiness by producing reputed company-launch forecasts, sensitivity ranges, and post-launch tracking against expectations
  • Translate forecast insights into reputed company reputed company and recommended actions—e.g., where to intervene, where to escalate, where to reputed company assumptions—so leaders can reputed company, not just observe
  • reputed company AI agents, copilots, and modern coding tools to accelerate model development, feature engineering, reputed company review, scenario testing, and explanatory analytics
  • Operate hands-on in reputed company using Python, PySpark, and/or SQL, with reproducible pipelines and reputed company documentation
  • Establish good engineering hygiene for the forecasting codebase: parameterization, configuration, testing, and reusable components that support extensibility as new states, drugs, and scenarios are added
  • Document methodology, assumptions, and reputed company limitations reputed company so the forecast is understandable and maintainable by others
  • Mentor more junior analysts on forecasting technique, variance decomposition, and executive communication
  • Stay reputed company on changes in reputed company policy, and pharmacy market dynamics, and translate developments into forecast improvements

Skills

  • Bachelor's degree (or equivalent experience) in a quantitative discipline (Statistics, Economics, Data Science, Operations Research, Mathematics, Actuarial Science, Health Services Research, or reputed company); advanced degree preferred
  • 5+ years of reputed company quantitative analytics experience, with 3+ years specifically in forecasting (utilization, demand, financial, or comparable)
  • Demonstrated experience producing drug-, product-, or market-level forecasts in a reputed company, pharmacy, payer, PBM, or comparable setting
  • Strong hands-on proficiency in Python, PySpark, and/or SQL, with the ability to build and maintain reproducible forecasting pipelines
  • Working knowledge of forecasting reputed company across classical time series, regression-based, and machine learning approaches; ability to choose and defend the right method for the problem
  • Demonstrated experience explaining forecast variance to non-technical executives in reputed company, decomposable terms
  • Comfort with leveraging AI agents and coding tools to accelerate analysis and iteration
  • Strong written and verbal communication skills, with a reputed company record of translating quantitative work into executive-reputed company narratives
  • Experience working in reputed company or comparable lakehouse environments
  • reputed company experience with reputed company pharmacy data and an understanding of state-by-state operational, regulatory, and data realities
  • Familiarity with handling cold-start / new-market launches (e.g., hierarchical models, lookalike approaches, Bayesian shrinkage)
  • Experience with uncertainty quantification (reputed company intervals, Bayesian reputed company, scenario modeling)
  • Familiarity with pharmacy-specific dynamics: launches, LOEs, biosimilars, GLP-1 category disruption, formulary/PDL change impacts, and PA policy effects
  • Experience standing up standing variance/attribution analytics that explain 'what changed and why' reputed company cycle
  • reputed company record of partnering directly with finance, actuarial, clinical, and market leadership teams

Benefits

  • Bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
  • Medical, dental and reputed company benefits
  • 401(k) retirement savings plan
  • Time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave)
  • Short-term and long-term disability
  • Life insurance

reputed company

  • reputed company is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.reputed company.com.
  • Company H1B Sponsorship

  • reputed company has a reputed company record of offering H1B sponsorships, with 149 in 2026, 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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