Medicare Part D Analyst

5 days ago

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Logo of Abarca Health

Abarca Health

Abarca Health is a healthcare technology company focused on revolutionizing pharmacy benefit management (PBM). They aim to bring predictability, transparency, and cost savings to drug spend management with their net cost guarantee pricing solution, Assura. Abarca collaborates with industry leaders to improve convenience in the prescription drug system and offers a home delivery app to enhance prescription management. Their cutting-edge PBM platform, Darwin™, is designed to be user-friendly and help payers innovate and compete. Abarca Health is committed to personalized healthcare and reducing pharmacy benefit costs through advanced technology and a transparent approach.

Pharmacy Benefit Management (PBM) • Health Business Intelligence • Health Information Technology (HIT) • Medicare • Medicaid

501 - 1000 employees

Founded 2008

⚕️ Healthcare Insurance

☁️ SaaS

📋 Description

• Monitor Part D letters and dashboards; identify and initiate error resolution as necessary • Analyze pharmacy claims, formulary, provider data, and pricing changes • Track, trend, and monitor issues as they arise • Understand and reference guidance when analyzing and resolving issues • Identify and proactively suggest process improvements • Document and explain observations to technical and non-technical audiences • Provide guidance on Medicare Part D processes • Assist in new client implementations • Locate, read, understand, and apply CMS guidance • Review inbound and outbound data files

🎯 Requirements

• Bachelor’s degree in a related field (or equivalent relevant work experience) • 3+ years of combined or relevant work-related experience • Experience with Medicare Part D processes within a pharmacy benefit manager or health plan • Ability to analyze data, reports, and findings to discern patterns and discrepancies • Problem solving and analytical skills applicable to role processes and procedures • Ability to thrive in a high-growth, fast-paced, complex, shifting, and uncertain business environment • Highly organized and self-motivated • Excellent oral and written communication skills

🏖️ Benefits

• Flexible hybrid work model with certain on-site work days (Puerto Rico Location Only)

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