What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Our Product Team is the steady bridge between clients and tech teams at Abarca. They lead us towards #PBMAwesome by brainstorming new innovations, improvements and scaling for our product and technology offerings! Attention to detail and observational skills are key in this team to ensure our products are fully functional and maintain quality. Our Product Owners and Managers also ensure all program specifications are correct, business requirements are properly established, and operating procedures are adjusted as needed.

The Product Resolution Analyst you will assist as a liaison between client team members, software engineers, and product team.  This involves conducting investigations into potential claim adjudication issues related to business processes and adjudication functionality (such as gap analysis, impact assessment, etc.). You will also collaborate with stakeholders to create potential solutions that integrate system functionality and business processes.

The fundamentals for the job…

• Develops in-depth understanding of Darwin adjudication system to ensure accurate investigation is performed.
• Conducts investigations of paid and rejected claims to determine potential issues within in the adjudication process according to drug pricing, configuration settings, benefit design, and claim edits.
• Interprets XML content relevant to the reported issues and creates queries to assist during the claim investigations.
• Identifies adjudication deficiencies during the investigation process and provides potential solutions towards new or enhanced functionality to improve product quality.
• Documents all relevant information that was performed or discussed off-line during the investigation process.
• Applies critical thinking skills and utilizes resources to ensure all investigations are performed with the highest level of quality to prevent rework.
• Collaborates with the Engineering team aimed on debugging, and produce client-appropriate Issue Summary, Root Cause Analysis, Corrective Actions, Preventative Measures, Impact Criteria, Impact Analysis Review and/or Coordination.
• Engages with business partners, product owners, and engineers to ensure a thorough understanding of the business processes.
• Participates in daily meetings to provide status updates, review priorities, coordinate tasks, and discuss troubleshooting strategies for investigations.
• Supports in the preparation for CMS, client or internal audits as well as follow through on any investigations.
• Maintains regular communication with the manager, promptly informing them of any issues or escalations.
• Achieve the performance goals and adhere to the established timelines for responsibilities.
• Performs additional tasks or special projects as assigned.

What we expect of you

The bold requirements… 

• Bachelor’s Degree (In lieu of a degree, equivalent relevant work experience may be considered).
• 3+ years of relevant PBM and/or health plan operational experience, including experience in pharmacy and/or medical claims processing, benefit configuration, claim analyses, or related area.
• Strong analytical, planning, problem identification, and resolution skills, with self-initiative.
• Ability to independently troubleshoot claim functionality within the claim system or databases.
• Proficient time management abilities, evidenced by effectively managing multiple deliverables with varying deadlines.
• Experience in leveraging and utilizing SQL, business intelligence and associated data analysis tools.
• Experience utilizing dashboard tools, e.g., Tableau, QVW, and Excel tools.
• Ability to work independently as well as with team members for successful collaboration to achieve common or shared goals.
• Experience with Healthcare, Pharmacy, and Pharmacy Benefit industries, Medicare Part D, and CMS regulations, NCPDP standards and/or HIMSS.
• Excellent written and verbal communications, both formal and informal.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only)

Nice to haves…

• Experience with accumulator programs.
• Experience in PBM end-to-end claim testing.
• Experience with business intelligence solutions to create ad-hoc queries to support analysis.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-JM1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

The Cloud Infrastructure Engineering Team manages and maintains all cloud-related systems, network, and infrastructure at Abarca Health. Our team ensures peak performance, availability, stability and security of our cloud-based systems and platform. We leverage the latest Azure technologies to continually improve and modernize our cloud operating environment. We partner with product and software development teams to drive business outcomes.

Azure Cloud Engineers -FinOps are responsible for the maintenance of secure and highly available cloud computing environments. This position is designed for someone who is passionate about leveraging cloud technologies to optimize financial operations within Azure environments. You will be instrumental in driving cost-efficiency and maximizing cloud investment returns.

The fundamentals for the job…

• Implement and manage Azure cloud services focusing on cost optimization and financial governance.
• Collaborate with IT and finance departments to develop and enforce cloud spend policies and best practices.
• Analyze and report on cloud expenditures, providing insights and recommendations for cost savings and operational efficiencies.
• Use Azure Cost Management tools to monitor, allocate, and optimize expenditures across multiple departments and projects.
• Develop automated solutions for budget tracking, alerting, and reporting to enhance visibility and control over cloud costs.
• Design and implement tagging strategies to ensure accurate cost allocation and chargebacks.
• Lead cloud cost reduction initiatives, including reserved instances, sizing, and scaling adjustments.
• Stay updated with Azure’s pricing and service catalog to advise on cost-effective cloud architectures and services.
• Train and mentor team members on Azure cost management practices and tools.
• Collaborate with architecture and engineering teams to ensure cost-efficiency is embedded in all cloud projects.

What we expect of you

The bold requirements… 

• Bachelor’s degree in Computer Science, Information Technology, Finance, or a related field.
• 3+ years of experience in cloud engineering with a strong emphasis on Microsoft Azure environments.
• Deep understanding of Azure services, pricing models, and billing dashboard.
• Proven experience with Azure Cost Management, Budgets, and other financial management tools.
• Strong analytical skills and the ability to interpret financial data to make business recommendations.
• Experience with scripting languages (PowerShell, Python, etc.) for automation of cloud services.
• Excellent communication and collaboration skills to work effectively across teams.

Nice to haves…

• Certifications in Azure, such as Azure Cost Management and Billing preferred.
• Financial experience, cost accounting/billing experience.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-REMOTE #LI-MH1

Whatyou’lldo  

Inafew words… 

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… 

The Legal & Compliance department ensures our business operations and processes are compliant with all state and federal requirements. They keep Abarca updated on all regulatory and legislative developments to mitigate the impact on the services we offer! Within this team, the Pharmacy Integrity group handles FWA and related regulations to ensure we're maintaining standards and compliance in all pharmacy related processes, claims and transactions. 

As our Pharmacy Integrity Specialist, you will be responsible for performing audits of pharmacies within the Company’s Provider network, as detailed in the Company’s Network Agreements. Audits are a fundamental part of maintaining a first-class and comprehensive network and must be completed with great attention to detail to prevent, identify and control potential cases of Fraud, Waste and Abuse (FWA), as defined by CMS. Additionally, as a Pharmacy Audits Specialist you must maintain excellent relations with members of the Provider Network and internal partners. 

The fundamentals for the job… 

• Complete in-person andlong-distanceaudits of pharmacies within the Company’s Provider Network, paying special attention to conforming to all Company, Client, and CMS policies and proceduresincludingprescriptions, documentation,and credentialing.  
• Collectvirtual andphysical evidence of claimsas well ascarry out pharmacy onsite audits. 
• Investigate paid claims toidentify errors, track patternsforpossible casesof FWA.  
• Prepare quarterly reports on audit processes and timelines, detailing recent findings,determiningoverpaymentsas well as submit findings adequately.  
• Analyze FWA referrals from clients, other departments,members,and hotline calls.   
• Reviewand promptly respond to requests for information from law enforcement agencies and plan sponsors (clients).  
• Analyze audit findings todeterminevalidity of any identified discrepancieswhile bearingthe full responsibilityof identified issues during audits.  
• Write the final audit discrepancies notification letter and audit report for pharmacies.  

What we expect of you

The bold requirements…  

• Pharmacy Technician Associate Degree (In lieu of a degree, equivalent relevant work experience may be considered.) 
• 3+ years of experience in a related role. 
• Experienceworking withfraud, waste and abuse regulationsand industry trends. 
• Experience in handlingfull analysis, from issue identification up to providing reports. 
• Excellent oral and written communication skills.Bilingual fluency in English and Spanish is required.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only) 

Nice to haves…  

• Specialty Pharmacy experience is preferred. 
• Experience within the Healthcare, Pharmacy Benefit Management, and Insurance industriesis a plus.  
• Certified Fraud Examiner.  
• Experience related toCMSandMedicare Part Dis preferred.  

Physical requirements… 

• Must be able to access and navigate each department at the organization’s facilities. 
• Sedentary work that primarily involves sitting/standing. 

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’ssimply meant to give readers an idea of what the role entails. 

Abarca Health LLC is an equal employment opportunity employer andparticipatesin E-Verify. “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visasat this time” 

All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of gender, race/ethnicity, gender identity, sexual orientation, protected veteran status, disability, or other protected group status.

#LI-NO1 #LI-REMOTE

What you’ll do 

In a few words…

Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

The Darwin Claims Administration team provides high quality services to clients and beneficiaries and meets that standard by configuring timely and accurate updates related to plan benefit, pricing, and network changes and beyond. The Darwin Claims Administration team handles all claims verifications, daily configuration set-up and maintenance, and related special projects, issue management and research for benefit configuration.

As a Darwin Claims Analyst, you will be responsible for implementing new and updating existing benefit plan setups for Medicare, Medicaid, Commercial and Employer clients. Also, you will review client configuration requests, identify, and define their needs and requirements, determine the best operational approach, and perform setup in the Pharmacy Benefit Manager system. The position also requires that you perform client configuration setup testing on all plan benefit design changes into a production scenario to ensure proper and accurate configuration for claims processing and adjudication. Additionally, you will provide first level triage for operational issues, analyze, and identify solutions to resolve issues in configuration setup, claims processing and other operational gaps.

The fundamentals for the job…

• Pharmacy Benefit Manager System Configuration setup and maintenance for pharmacy benefits, networks and pricing for Medicare, Medicaid, Commercial and Employer groups.
• Perform testing to confirm configuration set-up or changes are processing as expected as defined in the client documentation.
• Develop in-depth understanding of Darwin (proprietary adjudication platform) system logics to ensure benefit designs are configured to meet client request.
• Provide timely first-tier triage support to verify and analyze pharmacy claims processing case research referred for validation.
• Support pharmacy claims adjudication research, analysis, identification of root cause, impact analysis determination and corrective action.
• Responsible for daily tracking and monitoring of assigned requests to ensure due dates are met.
• Utilize critical thinking and organizational skills to ensure all work is performed with the highest level of quality, accuracy and delivered timely.

 What we expect of you

The bold requirements…

• Associate or bachelor’s degree. (In lieu of a degree, equivalent relevant work experience may be considered.)
• 3+ years of work-related experience.
• Experience working with SQL and Excel tools.
• Ability to establish good interpersonal skills.
• 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).

Nice to haves…

• Experience in a healthcare non-retail pharmacy setting.
• Experience related to Pharmacy Benefit Manager Operations, Member Services, Pharmacy Networks, Fulfillment, Call Center, and Medicare.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

 #LI-NS1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

The Cloud Infrastructure Engineering Team manages and maintains all cloud-related systems, network, and infrastructure at Abarca Health. Our team ensures peak performance, availability, stability and security of our cloud-based systems and platform. We leverage the latest Azure technologies to continually improve and modernize our cloud operating environment. We partner with product and software development teams to drive business outcomes.

Azure Cloud Engineers -FinOps are responsible for the maintenance of secure and highly available cloud computing environments. This position is designed for someone who is passionate about leveraging cloud technologies to optimize financial operations within Azure environments. You will be instrumental in driving cost-efficiency and maximizing cloud investment returns.

The fundamentals for the job…

• Implement and manage Azure cloud services focusing on cost optimization and financial governance.
• Collaborate with IT and finance departments to develop and enforce cloud spend policies and best practices.
• Analyze and report on cloud expenditures, providing insights and recommendations for cost savings and operational efficiencies.
• Use Azure Cost Management tools to monitor, allocate, and optimize expenditures across multiple departments and projects.
• Develop automated solutions for budget tracking, alerting, and reporting to enhance visibility and control over cloud costs.
• Design and implement tagging strategies to ensure accurate cost allocation and chargebacks.
• Lead cloud cost reduction initiatives, including reserved instances, sizing, and scaling adjustments.
• Stay updated with Azure’s pricing and service catalog to advise on cost-effective cloud architectures and services.
• Train and mentor team members on Azure cost management practices and tools.
• Collaborate with architecture and engineering teams to ensure cost-efficiency is embedded in all cloud projects.

What we expect of you

The bold requirements… 

• Bachelor’s degree in Computer Science, Information Technology, Finance, or a related field.
• 3+ years of experience in cloud engineering with a strong emphasis on Microsoft Azure environments.
• Deep understanding of Azure services, pricing models, and billing dashboard.
• Proven experience with Azure Cost Management, Budgets, and other financial management tools.
• Strong analytical skills and the ability to interpret financial data to make business recommendations.
• Experience with scripting languages (PowerShell, Python, etc.) for automation of cloud services.
• Excellent communication and collaboration skills to work effectively across teams.

Nice to haves…

• Certifications in Azure, such as Azure Cost Management and Billing preferred.
• Financial experience, cost accounting/billing experience.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-REMOTE #LI-MH1

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Our IT Service Operations team is critical for success at Abarca Health. You will handle day to day systems operations and monitoring of data processing to server updates, review stability and collaborate to ensure the stability of networks and datacenters.

As the Monitoring and Tools Analyst, you will be part of our IT Service Operations team, and will be responsible for building, maintaining, and supporting the monitoring tools used to detect, mitigate, and resolve application and infrastructure issues. This includes setting-up, maintaining, and continuously improving Abarca’s various monitoring, visualizations, alerting and notification tools, enabling other teams to respond to incidents, as well as providing recommendations for areas of opportunity.

The fundamentals for the job…

• Install, configure, and maintain the tools used by the organization for monitoring, alerting, notifying, and diagnosing issues.
• Configure and continuously improve the instrumentation of our infrastructure and applications.
• Collaborate with the software engineering teams to better instrument and monitor application features before they are released.
• Monitor vendor information to ensure tools are updated, secured, and optimally implemented as they change.
• Work with the IT Service Operations teams and organizational leaders to produce meaningful visualizations of the monitoring metrics.
• Provide regular updates and reports associated with SLA adherence.
• Create, update, and maintain the documentation of current and new tools.

What we expect of you

The bold requirements…

• Bachelor’s degree or Master’s Degree in Computer Engineering, Computer Science, Information Technology, or related field (In lieu of a degree, equivalent relevant experience may be considered.)
• 3+ years of experience within an IT Operations Support team maintaining the surveillance and monitoring tools or related roles.
• Experience with network infrastructure, network hardware, server operating systems (Windows and Linux), server hardware, server storage, relational databases (MS SQL Server, MySQL, or others) as well as Eventlogs and Syslogs.
• Experience with SNMP and WMI for obtaining metrics and with concepts associated with Web Applications.
• Experience visualizing data.
• Experience with of monitoring tools such as Dynatrace, App Dynamics, Datadog, Splunk, New Relic, Solarwinds, PagerDuty, Evolvenor SCOM.
• Availability to work rotating or irregular shifts, including weekends and certain holidays, per business or operational needs.
• Excellent oral and written communication skills.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

 Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

 The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-MH1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Providing high quality services to clients and beneficiaries is at the core of what we do every day! The PBM Operations & Services team is the very heart of Abarca and meets that standard by running services from MTM to price eligibility to government services and beyond. Our beneficiaries' every concern is satisfied whether it be for a prior authorization, script concern or case management follow up. They're not just an operations team as they also set strategy for new clinical programs based on accurate data. Collaboration is also key as they work with teams like Software Development to design quality processes that meet client requirements, test our systems, and ensure benefits and claims are configured and processed correctly!

As a Medicare Part D Letter Analyst, you will be tasked with conducting investigations and resolving complex issues via strong analytical and communication skills. We’ll rely on you to execute and monitor letter processes for Medicare Part D business including EOBs, Transition, Formulary Negative Change, OIG Exclusion, Provider Preclusion Letters, and more. Grasping new concepts and acquiring platform knowledge through independent study, as well as interaction with other team members, will be essential here. The ability to discuss technical logic, awareness of when to be detailed, and assurance evoked through extensive understanding of our solutions and technology is also a key part of this role!

 The fundamentals for the job…

• Monitor Part D letters and dashboards; identify and initiate error resolution as necessary.
• Analyze pharmacy claims, formulary, provider data, and pricing changes and determine how those affect downstream letters.
• 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 and solid understanding of Medicare Part D processes the impact letters.
• Assist in new client implementations and existing client re-implementations to ensure accurate letter logic and content.
• Locate, read, understand, and apply CMS guidance to processes as necessary.
• Understand and execute the quality assurance checks on Medicare Part D processes and communications.
• Review inbound and outbound data files, utilize reports to ensure Medicare Part D process accuracy in various business functions.
• Stay up to date on CMS guidance related to Medicare Part D products.
• Provide client support and/or compliance/audit activities and collaborate in special projects and activities.

What we expect of you

The bold requirements…

• Bachelor’s degree in a related field. (In lieu of a degree, equivalent, relevant work experience may be considered.)
• 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 that are 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 to run and complete important investigations simultaneously.
• 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). 

Nice to haves…

• Experience with pharmacy paid claim calculations and accumulators is strongly preferred.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-NO1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Providing high quality services to clients and beneficiaries is at the core of what we do every day! The PBM Operations & Services team is the very heart of Abarca and meets that standard by running services from MTM, price eligibility, configurations, and beneficiary services to government services and beyond.The Darwin Claims Operations team handles all claims verifications, day to day configuration set-up and maintenance as well as related special projects, issue management and research for configuration.

As a PBM Operation Manager, you’ll be responsible for working closely with our Configuration Services Managers to triage configuration tickets for Medicare, Medicaid, Commercial and Employer clients. You will also interpret client configuration requests, defining their request complexity, needs and requirements, to recommend the best operational approach and build repeatable processes. Additionally, you will work hands-on to overview operational issues, analyze and identify solutions to resolve issues in configuration setup, claims processing and other operational gaps, as well as track trends and identify process improvement opportunities to make plan configuration design setup more efficient.

The fundamentals for the job…

• Work with PBM Configuration Services & Operations Leadership to create and drive process for definitions of configuration request type.
• Review configuration ticket queue and triage open tickets to Analysts and Leads strategically and in alignment with client SLA’s and department SLO’s.
• Interpret business requests and determine scope of impact and categorize the complexity of the request to drive accurate SLA assignment.
• Support best practices and recommended approaches to trend solutions.
• Work closely with Configuration Leads and Configuration Architects to determine impact scope and solutions.
• Build, track and monitor department SLA reporting, review and compliance.
• Monitor queues and issue trends to identify opportunities for associate coaching and mentoring.
• Assess error trends and recommend solutions and/or training opportunities to PBM Configuration Services and Operations Leadership.
• Work as a liaison between the business areas within PBM Configuration Services and Operations to ensure alignment, communication and priorities are clear.
• Create a system of early identification of configuration issues.
• Proven ability to demonstrate proactiveness in identifying opportunities for process improvement, problem-solving, and anticipating potential challenges in a dynamic work environment.
• Develop process documentation, including Policies and Procedures, to document Darwin Configuration operational processes.
• Stay current with external regulator guidelines such as Medicare, Medicaid, and state requirements, to make timely adjustments to operations ensuring our processes follow compliance, rules, and regulations.

What we expect of you

The bold requirements…

• Bachelor’s degree in Accounting, Finance, or related field. (In lieu of a degree, equivalent relevant work experience may be considered.)
• Experience utilizing dashboard tools, (e.g., Tableau, QVW, and Excel tools).
• 8+ years of work-related experience.
• 4+ years of PBM and/or configuration experience.
• Ability to apply critical thinking skills to manage responsibilities.
• Extremely detail oriented.
• Excellent oral and written communication skills.
• Proficiency in SQL query writing and execution, with the ability to retrieve, manipulate, and analyze data efficiently.
• 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).

Nice to haves…

• Experience as a leader of others within the PBM or Healthcare setting.
• Learning and development and/or training experience within healthcare operations, client services, configuration, and/or call center.
• SQL

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-NS1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Our Quality Assurance & Oversight team is key to implementing new clients, testing claims within their respective lines of business and ensuring all claims are paying out correctly. The Quality Assurance team ensures test cases and scripts are developed on the requirements clients has specified and while designing quality review processes with other departments. Along with them, the Product Quality team leverages these skills and functions by focusing on all Abarca related products and software services by collaborating with Product Teams.           

As our Product Quality Analyst you will partner with the Product Team to ensure that business requirements originating from them are developed accurately and configured into our claims adjudication platform, while the Quality Assurance Analysts and Software Testers support the development and testing. You will execute all business functional testing activities to ensure the quality of each client’s pharmacy benefit design and that all new logic integrates with other plans’ programs. As such, understanding those requirements, designing, and defining testing scenarios, executing them and documenting them will be an important aspect of your role. Due to the hands-on level you will take on in this role, the team will support your developing knowledge of both technical and operational sides of the business as you make recommendations on corrective actions and process improvement for testing and monitoring.

The fundamentals for the job…

• Optimize testing and monitoring activities to ensure the quality of the systems and processes supporting the company’s operation.
• Develop into a subject matter expert (SME) on certain lines of business and adjudication logic while stay current with regulatory guidelines.
• Develop, document, and execute test plans, and test cases and scripts based on business functional requirements (independent of Software Test Engineer test plan).
• Analyze, document, and report on test results to business stakeholders and SDLC teams.
• Document and track issues identified during testing activities to ensure defect resolution and testing completion.
• Perform functional testing of the specific adjudication changes being requested, their integration with the specific client rule being tested and related impact to other products. (e.g. member portal, platform visualization).
• Review executed test results with Scrum team, business users, and requestors to ensure acceptance and approval of the results.
• Log all documentation of test plan execution and results in a centralized area available for all SDLC teams.
• Contribute to the business requirement gathering process by identifying missing requirements based on test-cases development and testing experience.
• Collaborate in the development of new ideas and requirements to resolve testing and system’s issues, and improve current systems based on testing results. Collaborate with the Software Test Engineering team to develop and improve testing strategies, techniques, procedures, and tools.
• Participate in product grooming and refinement meetings to gather understanding of new system functionalities and requirements that will require testing and monitoring.
• Team up to support users during issue-solving activities, and day-to-day system operation.

What we expect of you

The bold requirements…

• Bachelor’s degree or Master’s Degree in Business, Engineering, Healthcare, or related field. (In lieu of a degree, equivalent relevant work experience may be considered.)
• 3+ years experience with program testing (claims processing testing), quality assurance practices and tools.
• Experience in pharmacy benefit manager (PBM) setting.
• Experience as a detail-oriented problem-solver, able to quickly spot trends and discrepancies.
• Experience analyzing large data sets while able to use dashboard tools (e.g. Tableau, QVW and Excel tools).
• Experience leveraging strong analytical and critical thinking by being, innovative, accountable and a team worker with a desire to be challenged.
• Experience with Microsoft Office products (e.g. Excel, Power BI).
• 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). 

Nice to haves…

• Experience with software development life cycle (SDLC), quality assurance (QA) and SQL Management Studios.
• Experience operational standards and processes for healthcare, pharmacy, pharmacy benefit management, Medicare Part D, and Centers for Medicare and Medicaid Services (CMS) regulations.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

 #LI-AMBT1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Our Sales and Business Development gurus are the welcoming heralds for any potential client! They're entrusted with developing the strategy operational relationships that are needed to extend our superior quality, processes, and aid to new beneficiaries. They handle everything related to marketing our value proposition, proposal management, emphasizing our broad line of products and supporting all services our potential clients are seeking. 

The Pharmacy Proposal Manager will coordinate and produce proposal packages (RFP, RFI, RFQ) for full service PBM offerings or a la carte offerings. The proposal manager will lead, train, and develop the proposal team which includes a senior proposal writer and three proposal writers. The proposal manager will be a skilled thinker that can put value proposition narratives together to submit a winning proposal package. The proposal manager will support the sale process as well. Assisting the Business Development leadership team with sales presentations and demos, as necessary. Occasional travel for conferences, networking events, or onsite team building activities. Must have experience working under pressure and meeting tight deadlines. Must be willing to work evenings and weekends as needed.

The fundamentals for the job…

• Delivery of compliant, professionally produced proposals within customer defined timeframes
• Coordinate and review / edit proposal input from a variety of stakeholders, typically involving contributions from sales, marketing, product teams, finance, commercial, legal, and other departments
• Communicate and influence at a senior level
• Ability to coach team in persuasive writing and proposal best practice
• Ability to mentor, develop, and engage each direct report
• Management and oversight of proposal systems (SalesForce, Ombud, etc.)
• Management of all RFP marketing material and compliance with company branding
• Implementation hand off post sale
• Support client RFPs
• Manage relationships with consultants through RFP procurement process.
• Finalist and Sales Presentations
• Writing Executive Summaries
• Reporting of all department activity RFPs, projects, KPIs, etc.
• All other duties as assigned or needed.

What we expect of you

The bold requirements…

• Bachelor’s Degree or Master’s Degree. (In lieu of a degree, equivalent, relevant work experience may be considered).
• 8+ years of experience in proposal management, business development and/or sales.
• 5+ years of experience leading, developing and guiding teams reporting directly to you. 
• Experience using RFP Software or any other relevant software (RFP360, Proposal Tech)
• Experience applying problem solving and critical thinking skills
• Experience delivering presentations for stakeholders
• 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)

Nice to haves…

• APMP Foundation Certification.
• Bilingual fluency in English and Spanish.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

 Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-AMBT #LI-REMOTE 

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology, we are redefining pharmacy benefits, but this is just the beginning…

Making healthcare awesome is key to everything we do at Abarca, and so the Strategy to Execution team helps us reach those heights through service design, project and process improvement, and strategy planning! From Project and Process Improvement to Innovation and Business Enabling to Strategic Management, this team tackles existing and innovative programs or processes at Abarca to rethink, reshape and rework how we do what we do.

As our Business Partner, Project Management, you will manage multiple medium-sized projects or 1-3 highly complex and large-sized projects. You will have overall accountability for each assigned project and be responsible for project conception through completion, including scope, time, and budget, following our Project Management and Process Improvement methodology. You’ll be expected to document status, agreements and learnings from all meetings and presentations, and lead overall coordination, status reporting and stability of project work efforts.

The fundamentals for the job…

• In this role, you’ll be responsible for managing multiple medium-sized projects or 1-3 highly complex large-sized projects.
• You are to oversee overall coordination, status reporting and stability of project work efforts.
• You’ll establish and implement management processes and methodologies to ensure projects are delivered on time, within budget, adhere to high quality standards and meet expectations.
• You get to define the scope, develop plans, manage milestones, develop, and carry out appropriate communication plans with stakeholders; you also develop relationships with cross functional partners and align project timelines to ensure they are completed meeting stakeholder needs.
• Assemble project plans and teamwork assignments, direct and monitor work on a daily basis, identify resources needed, perform quality reviews, and escalate functional, quality, and timeline issues appropriately.
• Keep track of key milestones and adjust plans and/or resources to meet customer needs.
• Schedule and monitor project deliverables.
• Coordinate communication with all areas that impact the scope, budget, risk, and resources of the project.
• Manage and update project plan using Microsoft Project tool and keep team informed of status and deliverables.
• Provide weekly/monthly/quarterly progress reports to management, as needed.
• Provide oversight and leadership in executing projects from planning to completion to provide results to the business​.
• Assess, prioritize, and provide a health check report of active projects.
• Provide advice to optimize business performance and assist in the development of the department’s strategy​.
• Provide operational process improvements, identifying, analyzing & improving current business processes to optimize performance, meet best practices & improve quality.
• Work in tandem with other teams to automate processes, improve functionality, identify inefficiencies and areas for improvement, and drive advances that impact both, the team’s performance as well as the client expecting deliverables.
• Provide education, training and presentation of project updates, new processes, and tools for users.
• Be generally amazing and awesome to the point that people want to work projects of which you are in charge.
• Perform any other tasks or special projects as assigned.

What we expect of you

The bold requirements…

• Bachelor or Master’s Degree Engineering, Business or Economics (In lieu of a degree, equivalent relevant experience may be considered.)
• 3+ years of experience in consulting, engineering, and project management teams.
• Experience with data analytics tools (e.g. Excel, Tableau, PoweBI)
• Experience leading cross-functional initiatives, driving performance, and executing on deliverables while leveraging tools and techniques.
• Experience in leveraging excellent communication to achieve commitment from stakeholders, good organizational skills for projects and problem-solving experience when issues arise.
• Excellent oral and written communication skills, bilingual fluency in Spanish and English is required.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only)

Nice to haves…

• PMI Credential (PMP, PgMP, PMI-ACP, PMI-SP, or PMI-RMP).
• Experience with Microsoft Projects Server.
• Experience in health insurance or PBM setting managing projects.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-REMOTE #LI-BM1 

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Our Operational Performance team is #All-In on centralizing data to dive through and study as they work on improving operations at Abarca. The Performance Monitoring team has the metrics tracking down from OKRs to KPIs and proactively manages shortfalls to ensure we continuously set and reach the highest standards. That's why performance is part of their name as they help drive both scalability and efficiency across the board!

As our Service Level Analyst, you will play a critical role in monitoring, analyzing, and reporting on service level agreements (SLAs) to ensure the organization meets its commitments to customers and clients. This role involves data analysis, reporting, and collaboration with various teams to maintain high service quality and customer satisfaction.

The fundamentals for the job…

• Tracks that Performance Guarantees (PG) reports are produced for each customer service. Documents overall compliance of SLAs by client/area.
• Analyze data to identify trends, areas of improvement, and/ or opportunities to enhance service delivery.
• Performs gap analysis to highlight breaches of SLA targets, investigating reasons and recommending improvement actions to PG owners to prevent their recurrence (collaboration with Performance Oversight team). Triggers and collaborates with PG owners on Improvement Action Plan process once criteria are met.
• Monitors PG owners Improvement Action plan completion and results.
• Executes periodic process audits to ensure reporting methodology accuracy.
• Monitor adherence to client service level agreement by reviewing documentation supplied by operations and technology teams.
• Generate regular reports on service performance and SLA adherence.
• Maintain accurate records of SLAs, service metrics, and performance data.
• Ensure documentation is up-to-date and readily accessible.
• Assist in the implementation of service improvement initiatives and projects.
• Provide data-driven insights to support continuous service quality enhancements.
• Identify and report potential risks to SLA attainment.
• Collaborate on strategies to mitigate risks and ensure consistent service quality.
• Provide necessary data and reports needed for the Performance Guarantee committee.

What we expect of you 

The bold requirements…

• Bachelor’s or Master’s Degree in Business Administration, Science, or related field (In lieu of a degree, equivalent relevant experience may be considered.)
• 3+ years of experience in experience in contract and vendor management, corporate affairs and/or related fields.
• Experience and solid expertise in project planning, data management, data analysis, and reporting.
• Experience in leveraging excel for reporting and business analytics.
• Excellent oral and written communication skills.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only)

Nice to have….

• Experience with Experience with the Healthcare, Pharmacy, and Pharmacy Benefit Management industries, Medicare Part D, and CMS regulations.
• Experience with SQL Queries, PowerBi, Microsoft Visio and other visual documentation or analytics tools.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-JD1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Our Sales and Business Development gurus are the welcoming heralds for any potential client! They're entrusted with developing the strategy operational relationships that are needed to extend our superior quality, processes, and aid to new beneficiaries. They handle everything related to marketing our value proposition, proposal management, emphasizing our broad line of products and supporting all services our potential clients are seeking. 

As Proposal Writer you will collect accurate and timely information that is relevant to bid specifications and platforms from the subject matter experts and will support proposal development in any way needed to meet on-time delivery. You can put your creative juices to good use making sure that proposals present Abarca in a manner that differentiates the company from the rest and clearly articulates our value proposition. We expect quality, on-time proposals that have a high degree of probability to make it to the final stages of selection.

The fundamentals for the job…

• Lead, coordinate, write and edit all delegated proposals from start to finish.
• Engage and collaborate with key Subject Matter Experts (SME’s) to produce and improve Abarca’s Proposal content to maximize the chances of delivering winning proposals.
• Edit and revise proposals according to feedback.
• Review products, services, and business ideas to package the content in a manner that persuades and influences prospects.
• Attend and lead meetings as needed to support successful execution of the proposal package.
• Maintain our library of response system and close out proposals in the system.
• Maintain and update any documentation and exhibits as necessary or required for the proposal.
• Follow company and department policies to maintain consistency in proposal writing and meet regulatory requirements.

What we expect of you

The bold requirements…

• Bachelor’s Degree or Master’s Degree in English, Journalism, Marketing, Pharmacy or Healthcare Administration. (In lieu of a degree, equivalent, relevant work experience may be considered).
• 3+ years of experience in pharmacy or proposal writing with a focus in managed care, healthcare, or pharmacy benefit management.
• Experience with project management, process improvement, and agile methodologies.
• Experience collaborating with multi-functional teams to develop a customer-specific proposal strategy.
• Experience creating new proposal text by meeting with subject matter experts or using reference documents.
• Experience with Salesforce
• Experience with Ombud or other Request for Proposal (RFP) software management tools 
• Excellent oral and written communication skills.

Nice to haves…

• Experience in pharmacy benefit management and commercial background.
• Experience and comfort with presentation and public speaking.
• Experience analyzing compliance-driven and technical documentation to determine customer requirements and understand complex customer issues within the public sector, or pharmacy areas.
• Bilingual fluency in English and Spanish.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

 Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

 The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-AMBT #LI-REMOTE 

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Our Product Team is the steady bridge between clients and tech teams at Abarca. They lead us towards #PBMAwesome by brainstorming new innovations, improvements and scaling for our product and technology offerings! Attention to detail and observational skills are key in this team to ensure our products are fully functional and maintain quality. Our Product Owners and Managers also ensure all program specifications are correct, business requirements are properly established, and operating procedures are adjusted as needed.

Product Owners on our team leverage a keen attention to detail and sharp observational skills to understand our product and services as well as their histories and upcoming innovations. In this role, you’ll work through analysis of the business requirements and software development life cycle to prepare all things product related! We’ll also need you to help identify improvements for operating procedures, evaluate existing or propose road maps and prepare specifications while collaborating with clients, internal operations, and technology teams.

What you’ll do:

The fundamentals for the job…

• Be the subject matter expert for one to two product domains within Abarca.
• Create, update, enhance, or refine business requirements, user stories and acceptance criteria in an agile framework.
• Assist and partner with other Product Owners and Product Managers in solving business needs through collaborative product feature enhancements.
• Gather requirements with internal clients and technology teams to solve complex business needs and translate ideas into requirements.
• Work collaboratively with business partners, SMEs, Developers, and Testers to ensure a shared understanding of business requirements.
• Determine feasibility of business requirements and recommend changes to support business needs and processes.
• Assist in analyzing business solution options by evaluating current system processes and identify possible solution options for new functionality or modifications to existing functionality.
• Provide support of your product domain in research, analysis and troubleshooting related to your products.
• Provide input and engage in setting priorities to define a product roadmap working with other product owners and product managers.
• Understand the products that you own and how they interact upstream and downstream within the product ecosystem.
• Ensure that system solution options are thoroughly researched, analyzed, and documented.
• Develops acceptance criteria and leads User Acceptance Testing (UAT) efforts to ensure the product meets the needs of the business.
• Provide support to Applications Development through participation in Design Reviews.
• Project estimates and resource plans for systems solutions.

What we expect of you:

The bold requirements…

• Bachelor’s or Master’s Degree in a related area (In lieu of a degree, equivalent relevant work experience may be considered.)
• 3+ years of experience as a product owner, product analyst or in roles associated and/or collaborating with product management within an Agile SDLC environment
• Experience in client facing tasks, facilitating meetings, and setting priorities.
• Experience leveraging and utilize SQL, business intelligence and associated data analysis tools.
• Experience in developing roadmaps, managing product questions, vendor management, leading meetings and, developing technical product documentation.
• Experience collaborating an agile and scrum environment and with associated SDLC toolsets (example: DevOps, Jira, etc.).
• Experience developing and documenting acceptance criteria and user stories.
• Excellent oral and written communication skills.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only)

Nice to haves…

• Scrum Certified Product Owner or Product Strategy Product Owner certification preferred.
• Experience with project management and/or process improvement.
• Experience in market research and analysis as well as sales support within requests for proposal.
• Experience with business intelligence solutions to create ad-hoc queries & reports to support analysis.
• Experience with Healthcare, Pharmacy, and Pharmacy Benefit industries, Medicare Part D, and CMS regulations, NCPDPD standards and/or HIMSS.
• Experience UX and/or Human Centered Design.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-MH1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Providing high quality services to clients and beneficiaries is at the core of what we do every day! The PBM Operations & Services team is the very heart of Abarca and meets that standard by running services from MTM, price eligibility, configurations, and beneficiary services to government services and beyond. Our GPS, (Government Programs & Services) teams handle direct contact, data transfers, issue management, auditing, and much more for any state or federal agencies as well as government led programs. No one else in this division can talk the talk and walk the walk on Medicare and Medicaid services like they can!

In the role of GPS Regulatory Communications Program Manager, you are responsible for ensuring written communications sent to external parties are generated accurately and timely according to regulatory requirements and client agreements, while meeting all the standards required for successful processing internally or by our mail vendor. You need to be knowledgeable about the regulatory requirements that apply to Member or Prescriber communications and the internal end-to-end process of each communication type, from letter template definition, batch generation, printing, and mailing, to validation.

The fundamentals for the job…

• Analyze, trend, and track written communications for all lines of business. Keep an inventory of the most current approved letter templates by topic and by client, with applicable requirements.
• Stay up to date with regulatory requirements and best practices pertaining to mailing timeliness and communication requirements.
• Ensure communications requirements are followed in accordance with policies and procedures as well as regulatory guidance.
• Engage directly with clients, auditors and vendors as a subject matter expert and strategic consultant.
• Develop tools to document and perform monitoring activities for determining if letters are compliant with regulatory requirements, accurate content, approved templates, and mailing timeliness.
• Work with areas to identify root cause of issues pertaining to letter processes and ensure any findings are promptly corrected and documented properly.
• Assist in issue management processes related to communications processes and/or vendor performance to ensure corrective actions are performed, including testing and ongoing monitoring.
• Manage relationship with print and mailing delegated entities to ensure compliance with SLA’s and contracted functions.
• Facilitate discussions related to changes that may impact file exchanges between Abarca’s technical team and print and mailing vendor(s).
• Participate and facilitate discussions related to change that may impact regulatory communications. Prepare and maintain process documentation supporting regulatory communication processes and logics for internal and external audiences.
• Develop internal and client training programs and cadence, facilitate execution.
• Engage directly with clients and leadership to develop, modify, and deliver dashboards and other required reporting as needed.
• Identify, quantify, and communicate areas of risk and develop corrective actions.
• Support creation of internal and external CAPs; oversee implementation of remediations, monitor efficacy of corrective actions.
• Collaborate with client implementation team as needed for process requirements gathering, configuration, E2E testing and go-live process.
• Prepare ad hoc analysis and other reports such as RFP responses, presentations, among others.

 What we expect of you 

The bold requirements…

• Bachelor’s Degree or Master’s Degree in a related field. (In lieu of a degree, equivalent relevant work experience may be considered.).
• 6+ years of experience within a similar role in government related programs.
• Experience the Healthcare industry (PBM, Pharmacy, Insurance, CMS plan audits).
• Experience working with PBM Operations, Medicare Part D, Auditing and Monitoring, CMS Program Audits & Protocols.
• Excellent writing skills with high levels of negotiating capabilities and proper presentation skills.
• Experience in vendor management.
• Excellent oral and written communication skills.

Nice to haves…

• Bilingual fluency in Spanish and English.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-JD1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning.

Abarca’s Government Program Services team takes charge by handling programs within Medicare Part D and Medicaid. Areas that GPS handles range from managing PDE accuracy by working rejects within compliant timeframes and file submissions for Encounters and Plan Finder. The team leverages their deep understanding of Medicare Part D & the Medicaid Market regulatory environment to support different business areas such as PBM Operations, Compliance, Benefit Configuration, Product Strategy, and Service Delivery. The GPS team aims to provide improvements in the development of new capabilities in support of government program compliance and audit readiness.

As a Supervisor, Prescription Data Event (PDE), you will play a crucial role in ensuring the accuracy and integrity of Prescription Drug Event (PDE) data, a critical component of Medicare Part D compliance. The successful candidate will oversee a team of analysts responsible for the day-to-day PDE processes and work collaboratively with cross-functional teams to maintain compliance with regulatory requirements.

The fundamentals for the job…

• Oversee timely and accurate submission of PDE data while adhering to compliance requirements and service level agreements.
• Ensure the reconciliation of PDE data to resolve any discrepancies in a timely manner.
• Monitor and report on PDE data quality metrics and compliance within customer and CMS guidelines.
• Communicate PDE-related issues and updates to relevant stakeholders.
• Identify opportunities to streamline PDE data submission processes and enhance data accuracy.
• Lead a team of PDE analysts providing guidance, mentorship, and support to ensure team success.
• Direct and manage incoming work for the analysts as well as providing support for clients and internal requests in the capacity of a subject matter expert.
• Set performance goals and conduct regular performance evaluations for team members.
• Foster a collaborative and positive work environment that encourages growth and development.
• Identify and resolve escalating issues and conflicts within the operation, project execution, or implementation.
• Stay up to date with Medicare Part D regulations and CMS guidance related to PDE processes and data reporting.
• Work closely with the Product and Analytics teams to implement system and reporting enhancements and improvements.
• Develop and update Standard Desktop Procedures (SDPs) related to PDE processes.
• Collaborate with cross-functional teams including pharmacy operations, finance, and analytics to ensure data accuracy and consistency.
• Participate in meetings and presentations related to PDE metrics and data reporting.
• Establish effective communication between all stakeholders.
• Assist team during the development and testing of operational and project deliverables.

What we expect of you 

The bold requirements…

• Bachelor's or Master’s Degree in healthcare administration, pharmacy, or a related field. Master's degree preferred. (In lieu of a degree, equivalent, relevant work experience may be considered.)
• 6+ years of experience in roles within a health plan, pharmacy benefit management and/or related areas.
• 2+ years in a supervisory or leadership role overseeing teams.
• Experience with Medicare Part D regulations and CMS guidelines.
• Experience with team management and development including task coordination, team building, and other management aspects.
• Experience data analysis and data reconciliation withing healthcare and/or pharmacy benefit management.
• Experience handling root cause analysis, problem solving and escalations of prescription drug events and other Medicare Part D program aspects.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only)

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-JD1#LI-REMOTE 

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

From overseeing the implementation of new clients, products, and services to managing client relationships for all our accounts, the Client Success Team focuses endlessly on looking for ways to satisfy every single client’s need! As part of the Implementation Team you’ll be ensuring that all implementation aspects regarding new clients, products and services are tracked and delivered.

As our Implementation Manager you will be responsible for adding new clients to Darwin (proprietary adjudication platform) based on the agreed-upon contractual obligations. You will manage the overall implementation, execution, and completion of the process while ensuring consistency with company strategy, commitments, and goals. You will serve as a primary point of contact for internal as well as external stakeholders and clients during the implementation phase of each project. This includes day-to-day interface on project commitments and updates, leading stakeholder, and client meetings, and ensuring project delivery is appropriate, timely, and accurate.

The fundamentals for the job…

• Oversee the effective, accurate, and timely transition of new clients into Darwin (proprietary adjudication platform).
• Establish implementation project plans, support, define, and gather requirements, outline project objectives, and define implementation success.
• Lead client communications and presentations throughout the implementation process, facilitate client meetings, maintain notes, and constantly assess progress against key milestones.
• Manage 1 or more small to medium-sized implementations.
• Proactively identify execution risks and develop solutions to address them.
• Coordinate and collaborate with internal and external subject matter experts (SME) to facilitate the gathering of requirements for a successful implementation.
• Provide excellent customer service and oversight to build and maintain trusting relationships with clients and any associated third parties.
• Support the development of internal implementation and project management best practices.
• Implementation teams will provide support during the stabilization period after going live for 45 days during the transition to operational support teams.
• Lead joint workgroup calls and clarification sessions to ensure prompt attention of issues or risks.
• Identify and resolve or escalate issues and conflicts within the project implementation.
• Lead site visits, conference calls, and related responsibilities to ensure requirements are gathered using a consultative approach.
• Participate in E2E testing to ensure that claims processing requirements documented in the requirements gathering are working accurately. If applicable, you must make sure any identified gaps get fixed.
• Manage and update implementation statuses as needed by providing weekly/monthly/quarterly progress reports to senior leadership and clients.

What we expect of you

The bold requirements…

• Bachelor’s degree or Master’s Degree in a related area. (In lieu of a degree, equivalent relevant experience may be considered.)
• 6+ years or more of applicable experience in client onboarding and implementations and/or client management.
• Demonstrated experience leading large teams and meeting schedule milestones for a large system implementation or transition.
• Experience balancing operational and client-facing tasks to ensure successful execution.
• Excellent oral and written communication skills.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).

Nice to haves…

• Experience in Project Management or gathering business requirements.
• Experience within the PBM technology sector.
• Experience in insurance, pharmacy, and/or healthcare.
• Project Management Professional Certification.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-JD1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

The Legal & Compliance department ensures our business operations and processes are compliant with all state and federal requirements. They keep Abarca updated on all regulatory and legislative developments to mitigate the impact on the services we offer! They're also the team we go to for channeling services from our external legal counsel and working on matters related to tax, audits, managing codes of conduct as well as corporate, and healthcare law.

As Counsel for Regulatory Affairs, you will be responsible for the review, analysis and interpretation of legislation and regulatory sources, assessing the applicability and impact to Abarca, overseeing the cross-functional implementation of regulatory and legal requirements, working closely with operational business units to ensure understanding of these requirements, and determining any risks that may affect Abarca.

Thefundamentals for the job…

• Monitoring and tracking of state and federal legislative and regulatory measures impacting Abarca,
• Review, analyze and assess changes in state and federal laws and regulations, determining any risks or impact to Abarca, and coordinating with business areas to capture and document operational/system impacts and proposed solutions.
• Oversee the cross-functional implementation of legal and regulatory requirements, ensuring understanding of these requirements across business units and Abarca.
• Provide counsel on proposed legislation and regulations to impacted business units and clients.
• Assess regulatory and legal risks of any corporate initiatives and products.
• Draft responses to inquiries and consults presented by the business or clients regarding legal and regulatory requirements including but not limited to, federal legislation, Medicaid and Medicare legislation and guidance, state legislation applicable to the healthcare industry, or other state statutes or regulations where Abarca may be engaged in business.
• Collaborate with our Government & Industry Partnerships team on advocacy strategies for engaging with regulators and policymakers, preparing assessments of state and federal policy and legislative measures, providing amendments to proposed legislation impacting Abarca, and drafting position papers requested by State Legislature or others.
• Attend regulatory meetings (bi-weekly or as necessary) and coordinate with internal stakeholders on regulatory and legislative issues as they arise.
• When needed, lead stakeholder and industry related activities to coordinate initiatives related to legislation or matters impacting Abarca and/or the industry.
• Coordinate with clients’ internal legal counsel as needed for regulatory matters.
• Be up to date on applicable regulatory and legal requirements and be an educational source of knowledge and legal wisdom whenever needed.

What we expect of you

The bold requirements…

• Juris Doctor Degree from an accredited law school and licensed to practice law in at least one (1) state.
• 8+ years of experience with regulatory affairs, contractual or corporate compliance.
• Experience in healthcare industry, including managed care organizations, PBMs.
• Experience managing research and proficiency in regulatory sites and legal research systems (i.e. CMS, Westlaw, etc.).
• Excellent oral and written communication skills.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only)

Nice to haves…

• Experience with Medicare Operations and/or Part-D regulations.
• Be versed in California healthcare and industry regulatory and legal requirements.
• Experience in project planning and implementation.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-NO1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

As a Learning Designer, Knowledge Acceleration Team, you will be responsible for helping carry out the vision and mission of the Knowledge Acceleration Team to support PBM Operations and internal teams. Your expertise in learning experience and design will support internal associates by designing and delivering learning interactions though instructor-led training (ILT), online eLearning, microlearning, and off-road learning methods. In this role you will need to be versatile within learning methodology and PBM Operations.

The fundamentals for the job…

• Work independently and as part of a team to achieve optimal learning retention on claim adjudication systems and subsystems.
• Create and maintain training and documentation repositories such as training materials (e.g. PowerPoint, Articulate Rise, Participant Guides, Instructor Guides, and Job Aids), recordings, and other training documentation using Abarca’s enterprise learning, such as the learning management system (LMS), Knowledge portal, and SharePoint.
• Conduct interviews and demonstrations with various subject matter experts (SMEs) throughout the organization to gather required information or procedures.
• Stay up to date on changes to the adjudication platform, Abarca functional processes, and the pharmacy industry in general pertaining to PBM Operations, then maintain the training curriculum accordingly.
• Coordinate training sessions, focus groups, and feedback sessions following practices that ensure maximum attendance, participation, and learning.
• Utilizes various learning methodologies including SAM, ADDIE, Rapid Prototyping, and Agile Learning Design.
• Assist in the tracking of PBM Ops training records and the development of dashboard reporting.
• Stay in the know of advances in learning sciences and instructional design.

What we expect of you

Theboldrequirements…

• Bachelor's degree in a related area (In lieu of a degree, equivalent experience may be considered.)
• 3+ years of experience in roles related to the training development lifecycle (including but not limited to design, development, delivery, and evaluation).
• 2+ years of work-related experience in PBM industry or insurance industry.
• Experience and understanding of pharmacy benefit management lines of business including but not limited to operations as well as external regulator guidelines such as Medicare, Medicaid, and state requirements.
• Experience producing various types of documents such as end user guides, online help systems, quick reference guides, reference manuals, and functional specifications.
• Experience with Instructional Design and Multimedia tools.
• Excellent oral and written communication skills.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-MH1 #LI-REMOTE

What you’ll do

In a few words…

Abarca is igniting a revolution in healthcare.  We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning…

Our Product Team is the steady bridge between clients and tech teams at Abarca. They lead us towards #PBMAwesome by brainstorming new innovations, improvements and scaling for our product and technology offerings! Attention to detail and observational skills are key in this team to ensure our products are fully functional and maintain quality. Our Product Owners and Managers also ensure all program specifications are correct, business requirements are properly established, and operating procedures are adjusted as needed.

Senior Product Owners on our team leverage a keen attention to detail and sharp observational skills to understand our product and services as well as their histories and upcoming innovations. In this role, you’ll work through analysis of the business requirements and software development life cycle to prepare all things product related! We’ll also need you to help identify improvements for operating procedures, evaluate existing or propose road maps and prepare specifications while collaborating with clients, internal operations, and technology teams.

The fundamentals for the job…

• Be the subject matter expert for one to two product domains within Abarca.
• Create, update, enhance, or refine business requirements, user stories and acceptance criteria in an agile framework.
• Assist and partner with other Product Owners and Product Managers in solving business needs through collaborative product feature enhancements.
• Gather requirements with internal clients and technology teams to solve complex business needs and translate ideas into requirements.
• Work collaboratively with business partners, SMEs, Developers, and Testers to ensure a shared understanding of business requirements.
• Determine feasibility of business requirements and recommend changes to support business needs and processes.
• Assist in analyzing business solution options by evaluating current system processes and identify possible solution options for new functionality or modifications to existing functionality.
• Provide support of your product domain in research, analysis and troubleshooting related to your products.
• Provide input and engage in setting priorities to define a product roadmap working with other product owners and product managers.
• Understand the products that you own and how they interact upstream and downstream within the product ecosystem.
• Ensure that system solution options are thoroughly researched, analyzed, and documented.
• Develops acceptance criteria and leads User Acceptance Testing (UAT) efforts to ensure the product meets the needs of the business.
• Provide support to Applications Development through participation in Design Reviews.
• Project estimates and resource plans for systems solutions.

What we expect of you

The bold requirements…

• Bachelor’s or Master’s Degree in a related area (In lieu of a degree, equivalent relevant work experience may be considered.)
• 6 + years of experience as a product owner, product analyst or in roles associated and/or collaborating with product management within an Agile SDLC environment
• Experience in project management, client facing tasks, facilitating meetings, and setting priorities.
• Experience leveraging and utilizing SQL, business intelligence and associated data analysis tools.
• Experience in developing roadmaps, managing product questions, vendor management, leading meetings and, developing technical product documentation.
• Experience in market research and analysis as well as sales support within requests for proposal.
• Experience in developing and documenting acceptance criteria and user stories.
• Experience in collaborating within an agile and scrum environment and with associated SDLC toolsets (example: DevOps, Jira, etc.).
• 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)

Nice to haves…

• Scrum Certified Product Owner or Product Strategy Product Owner certification preferred.
• Experience with business intelligence solutions to create ad-hoc queries & reports to support analysis.
• Experience Healthcare, Pharmacy, and Pharmacy Benefit industries, Medicare Part D, and CMS regulations, NCPDPD standards and/or HIMSS.
• Experience in UX and/or Human Centered Design.

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Applicant must be a United States’ citizen. Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-NO1 #LI-REMOTE