Director of Human Resources & Compliance at Abarca Health

Tyndall, South Dakota, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Human ResourcesIndustries

Requirements

Bachelor’s Degree in Human Resources or Business

Responsibilities

Provides direction to leaders and employees needing assistance in areas such as benefits, compensation, payroll, employment, education, etc
Responsible for benefit administration and corresponding communication
Compiles comparative data for compensation and benefits and recommends updates to the CEO
Participates in the development and monitoring of salary budgets
Processes bi-weekly payroll and payroll reports (W2, census, etc.)
Maintains in-depth knowledge of legal requirements related to day-to-day management of employees, reducing legal risk and ensuring regulatory compliance
Partners with legal departments as needed or required
Provides day-to-day performance management guidance (coaching, counseling, career development, and disciplinary action)
Conducts effective, thorough, and objective investigations when necessary
Coordinates and manages the entire recruitment process; advertising, interviewing, new hire onboarding, and new hire orientation
Coordinates and completes new hire paperwork and maintains up-to-date information for each employee’s personnel and confidential file
Manages the ordering and administering of employee ID badges
Monitors and assigns mandatory education for all employees
Develops facility-wide continuing education plan for all departments
Assists in the monitoring of employee licensing and certification
Develops, recommends, revises, and implements policies and procedures
Develops, reviews, and revises job descriptions on a routine and as-needed basis
Assists in the planning and implementation of employee and company events
Maintains assigned HR responsibilities in accordance with South Dakota Department of Health requirements
Works with the Director of Finance on accounts payable, invoice filing, statistical data compilation, and other supportive functions
Assists CEO, Directors, and Managers by composing and typing routine correspondence
Assists in preparation of the various Board of Directors and hospital committee meetings, attends meetings when needed, and records minutes in an organized and timely manner
Provides follow-up action as directed in those meetings
Implements Employee Engagement Survey and debriefs the results with each department individually
Completes SDAHO Salary and Benefits Surveys each year
Develops cost projections and departmental budget for staffing and capital expenses and ensures the department operates within the approved budget
Oversees and delegates the Employee Evaluation process
Ensures compliance with federal, state, and local healthcare regulations, including HIPAA, Stark Law, Anti-Kickback Statute, and OSHA requirements
Develops, implements, and maintains policies and procedures to ensure regulatory compliance
Conducts internal audits and risk assessments to identify and address compliance issues
Trains staff on compliance policies, patient privacy laws, and ethical standards
Investigates compliance violations, prepares reports, and recommends corrective actions
Monitors changes in healthcare laws and regulations and updates policies accordingly
Works with legal and regulatory bodies to ensure organizational adherence to industry standards
Maintains documentation of compliance activities and reports for regulatory agencies
Assists in preparing for external audits and accreditation reviews
Serves as a liaison between departments to promote a culture of compliance and ethical behavior

Skills

HR Consultation

Payroll Administration

Benefits Administration

Compensation Analysis

Regulatory Compliance

Performance Management

Recruitment

Onboarding

Policy Development

Employee Training

Privacy Officer

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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