Abarca Health is hiring a
Associate Financial Operations Analyst

Summary

Join Abarca Health as a Financial Operations Associate Analyst and contribute to supporting client billing, managing provider and member payments, pharmacy price appeals, and ensuring compliance with contractual obligations.

Requirements

• Bachelor’s degree in accounting, Finance, or a related field (equivalent relevant work experience may be considered)
• 1+ years of experience in an analytical, finance, accounting, or auditing role
• Proficiency in working with financial reports and data analysis tools such as Microsoft Excel, Tableau, or other reporting software
• Strong attention to detail, with a proven ability to identify and resolve financial discrepancies
• Exceptional communication skills, both oral and written
• Fully bilingual in English and Spanish, with fluency in both languages

Responsibilities

• Execute client billing and provider payment processes, including related analysis, controls, and reconciliations
• Manage invoice submissions to clients and payment issuances to providers, ensuring any concerns or discrepancies are addressed promptly to maintain client satisfaction
• Oversee Direct Member Reimbursements (DMRs), adjustments, and approvals
• Ensure compliance with timeliness requirements for pharmacy appeals
• Support any client and/or pharmacy concerns and ensure resolution and satisfaction
• Address and resolve client or pharmacy billing and payment inquiries efficiently
• Identify opportunities for process improvement, risk mitigation, and cost-saving measures
• Regularly review and analyze financial discrepancies and errors, offering recommendations for corrective actions
• Contribute to the preparation and submission of Medicare reporting requirements and reconciliations
• Provide support to the Medicare Reporting Requirements tasks and reconciliations, as well as other reporting requirements for other lines of business such as Commercial, Medicaid, among others
• Support the Pharmacy Financial Services team in executing key tasks and handling special projects as needed
• Collaborate cross-functionally with other departments to address financial reporting needs across business lines, including Commercial and Medicaid

Benefits

Flexible work models