Outreach Enrollment Specialist at Abarca Health

Worthington, Minnesota, United States

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$37,976 – $49,400Compensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Certified Application Counselor (CAC) - Licensing Board Certified for applicable state within 120 Days
Preferred: High School or GED Equivalent
Preferred: Certified Application Counselor (CAC) - Licensing Board Federal within 120 Days
Visual acuity adequate to perform position duties
Ability to communicate effectively with others, hear, understand, and distinguish speech and other sounds
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

Provide enrollment assistance, including completing coverage applications, gathering documentation, and troubleshooting the enrollment process, for uninsured children and adults to access subsidized, low-cost, and free health insurance programs (e.g., Health Insurance Marketplace, Medicaid, CHIP, sliding fee programs, outreach to disabled community, other public/private resources)
Provide structured patient education on health coverage
Engage in follow-up conversations and offer renewal assistance for enrolled individuals
Develop, discover, and attend community events to promote coverage options and the mission/services of the organization
Collaborate with local organizations to build awareness of coverage options, spur enrollment, and build referral linkages
Accurately provide reporting to track goal achievement and client satisfaction
Recruit and utilize volunteers to increase program capacity
Assist in the development and implementation of organizational outreach and enrollment initiatives
Assist with the collection, compilation, and computation of sliding fee information as requested

Skills

Enrollment Assistance

Health Insurance Applications

Patient Education

Community Outreach

Medicaid

CHIP

Event Promotion

Collaboration

Reporting

Volunteer Recruitment

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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