Director - Nursing Services at Abarca Health

Creighton, Pennsylvania, United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Registered Nurse (RN) - Board of Nursing with an active license in the state of practice (Upon Hire)
4-6 years RN experience
Visual acuity adequate to perform position duties
Ability to communicate effectively with others, hear, understand, and distinguish speech and other sounds
Ability to work the specified hours (Day Shift, Full time)
Commitment to Avera’s mission, vision, core values, and social principles
Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE)
Maintain confidentiality
Work effectively in a team environment
Comply with safety principles, laws, regulations, and standards (e.g., CMS, The Joint Commission, DHHS, OSHA)

Responsibilities

Collaborate with interdisciplinary team members to ensure services are provided safely, efficiently, and cost-effectively, enhancing patient, staff, and physician satisfaction
Facilitate staff and resources to reinforce Avera’s vision
Cultivate relationships across functions and departments at local facility, region, and system levels
Develop short- and long-range plans for the department, community, and health system
Establish benchmark goals, develop data analysis, set thresholds, and create action plans to address variances
Manage department and hospital resources for effective outcomes using minimum resources
Develop positive relationships with customers (physicians, patients, families, referral sources) to promote Avera’s referral base
Utilize teamwork to achieve objectives and improve operations within the department, hospital, and Avera
Maintain knowledge of Medicare reimbursement principles, applicable laws and regulations; review and update departmental policies
Support Avera’s strategic goals and develop departmental goals accordingly
Interview, hire, develop, train, and retain employees; plan, assign, and lead work; appraise performance; reward and coach employees; address complaints and resolve problems
Accountable for department success through sound decision making, fiscal planning, maintaining staff levels, monitoring competency, and quality of services

Skills

Nursing Leadership

Healthcare Management

Fiscal Planning

Staff Management

Quality Assurance

Regulatory Compliance

Strategic Planning

Data Analysis

Resource Management

Team Leadership

Abarca Health

Pharmacy Benefit Management services provider

About Abarca Health

Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.

Aventura, FloridaHeadquarters

2005Year Founded

VENTURE_UNKNOWNCompany Stage

HealthcareIndustries

501-1,000Employees

Benefits

PTO

Parental leave

Work flexibility

Health insurance

Wellness stipend

401k

Tuition reimbursement

Leadership development programs

Risks

Increased competition from Amazon Pharmacy and Mark Cuban's Cost Plus Drug Company.

Growing focus on specialty drugs may require platform adaptation.

Shift towards price transparency could pressure Abarca's pricing models.

Differentiation

Abarca Health's Darwin platform is highly adaptable and user-friendly.

The company offers innovative programs like Triple S en Casa for home delivery.

Abarca Health ensures compliance with ever-changing healthcare regulations.

Upsides

Abarca transitioned two million members to Darwin in 18 months, showing operational efficiency.

Collaboration with Blue Shield of California boosts Abarca's reputation in the PBM sector.

Recognition as a top IT workplace attracts top talent, driving innovation.

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