Practice Management Support Partner at Abarca Health

Sioux Falls, South Dakota, United States

Abarca Health Logo
$58,240 – $87,360Compensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

  • Bachelor's degree
  • 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
  • Promotion of Avera’s values of compassion, hospitality, and stewardship
  • Upholding Avera’s standards of Communication

Responsibilities

  • Create mutual understanding of business points between key stakeholders within designated medical group product lines
  • Manage contracts, analytics, and business planning for medical group service lines
  • Develop contract language and contract formats to support effective and efficient operations of service lines and strategic business units
  • Provide up-to-date research and best practice recommendations for designated service lines and strategic business units
  • Provide high level of expertise in 3rd party reimbursement for physician services, clinic business planning, and ad hoc analysis of physician production results
  • Support administration in key product line planning
  • Translate physician productivity statistics into meaningful management data for discussions with providers
  • Provide knowledge in medical economics, national clinic productivity trends, and reimbursement
  • Assist administration in budgeting and business planning by asking appropriate questions and encouraging dialogue
  • Calculate program break-even levels and provide capital project payback analysis upon request
  • Generate, review, audit, and provide monthly practice management trends for all AMG clinics, ensuring accuracy and meaningfulness

Skills

Contract Management
Analytics
Business Planning
Third-Party Reimbursement
Clinic Business Planning
Ad Hoc Analysis
Physician Production Analysis
Research
Best Practices

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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