Abarca Health

Operations Associate - Finance and Revenue

San Francisco, California, United States

Not SpecifiedCompensation
Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Mental Health, Behavioral HealthIndustries

Requirements

Candidates should be financially savvy with a strong understanding of healthcare billing complexities and experience with revenue cycle management. They must be tech-savvy, capable of bridging system gaps and improving interfaces for workflow automation. Experience in defining and developing roadmaps for organizational goals and comfort with ambiguity in an early-stage startup environment are essential. A high EQ and low ego, along with a growth mindset, are also required.

Responsibilities

The Operations Associate will drive operational excellence with a financial lens, bridging Revenue Cycle Management, Finance, and Clinical Operations. They will work to streamline and improve outcomes by improving Revenue Operations, collaborating across the organization to build assets, workflows, and tools for efficiency. This role supports month-end close and revenue recognition processes, including reconciling claims, adjustments, and collections. Additionally, they will collaborate with Finance to improve forecasting and refine model assumptions by analyzing historical claims, collections, and payment data.

Skills

Finance
Revenue
Operations
Healthcare
Data Analysis
Problem-Solving
Communication

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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