Abarca Health is hiring a
Senior Manager

Summary

Join Abarca as the Drug Value Strategy Senior Manager and be a key part of the team leveraging expertise combined with data to provide models and tools that deliver key insights. As a critical role, you will develop specialty quarterly business reviews, oversee clinical initiatives, and audit specialty claims.

Requirements

• Pharmacy Degree (PharmD or RPh) required. (In lieu of a degree, equivalent relevant experience may be considered.)
• 8+ years of experience with formulary, pharmacy & therapeutics (P&T), drug utilization management programs in health plan or pharmacy benefit manager (PBM)
• Experience with data analysis and visualization tools
• Experience in project management, KPI’s, and data visualization
• Experience managing key strategic initiatives in healthcare/PBM industry
• Experience with Excel, pivot, and other Microsoft products
• Excellent oral and written communication skills

Responsibilities

• Develop and manage new and innovative specialty programs based on collaboration with the specialty network of pharmacies and track progress
• Develop monthly and quarterly specialty spend reports to include initiatives, trends in the market, pipeline drugs, and other impactful events
• Optimize and manage specialty claims auditing process (in conjunction with analytics team)
• Drive generation of client facing tools that help with feasibility, context, and budget and drug forecast models
• Work with our actuarial strategist on developing real world data budget impact models
• Design and help develop complex healthcare analyses for diverse clients
• Ensure regulatory standards are met across all drug value programs and the drug value strategy team is informed of new upcoming regulations
• Support relationship and project management for key clients for relevant DVS offerings (such as predictive models, rfps/underwriting, new pricing models, and innovative rebates and contracts)
• Other tasks and projects as assigned

Benefits

Flexible hybrid work model which will require certain on-site work days (Puerto Rico Location Only)