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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.
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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
Full Time
$99k-121k (estimate)
05/01/2024
05/16/2024
abarcahealth.com
SAN JUAN, PR
50 - 100
2005
JASON BORSCHOW
$5M - $10M
Ancillary Healthcare
Abarca is igniting a revolution in healthcare. We started by redefining pharmacy benefits, but this is just the beginning. We built our company on the belief that with smarter technology and a straightforward approach to business, we can provide a better experience and greater value for payers and consumers. For fifteen years, we have questioned the industry status quo and changed what it means to be a PBM. So call us a PBM for discussion purposes, but we are unlike any other company out there. And today, we manage more than $5.3 billion in drug spend for 4.1 million lives with unheard of clie...nt satisfaction and retention. Join the revolution!
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