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
Senior Actuarial Analyst
March 26
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
📋 Description
• Optimize ongoing short, mid, and long-range forecasts of trends, revenue, and expenses for Abarca and clients. • Lead benchmarking projects for key clients. • Develop actuarial work products that inform business decision making such as: financial impact modeling for changes in risk, utilization management, and trend as well as forecast trend using typical market indicators and Abarca innovative solutions. • Create models that showcase Abarca’s value proposition. • Assist in modeling the impact of new regulations and quality measures (i.e. STARs) • Develop other financial models for critical priorities as needed. • Support development of analytic tools to empower the underwriting team, drug trend development, and other internal and external clients.
🎯 Requirements
• Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science, Economics, Finance, or a related field (or 2+ years equivalent experience in health insurance or PBM setting) • 6+ years healthcare actuarial experience or equivalent healthcare analytics role utilizing claims data. • Experience using statistical programming languages. Examples include SAS, VBA, SQL, Python, and R. • Experience applying project management skills in data-related and financial analysis projects. • Experience driving and taking ownership of creating cost savings and ROI models. • Excellent oral and written communication skills • We are proud to offer a flexible hybrid work model which will require certain on-site work days (Puerto Rico Location Only) • This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members. • This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable).
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