[Remote] Provider Engagement Manager at Abarca Health

Hartford, Wisconsin, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Minimum of three years of provider account management or liaison/engagement and a Bachelor’s degree; experience at a health system or other healthcare setting
Ability to actively engage and influence behavior on all levels, i.e. C-Suite, providers, office staff
Demonstrated proficiency increasing provider engagement
Excellent customer service and problem-solving skills
Excellent presentation and communication skills (verbal and written) in both remote and in-person environments
Keen attention to details; ability to follow verbal and non-verbal cues
Ability to learn quickly, adapt and succeed in a fast-paced organization
Ability to demonstrate a high degree of sound judgment and resiliency
Ability to work independently in a remote environment
Comfortable with ambiguity and pivoting to support changing market needs
Excellent organizational skills with the ability to multi-task
Up to 25% travel required
Strong knowledge/experience in Value Based Care arrangements (Preferred)
Experience working with health systems, provider practices

Responsibilities

Collaborate with C-Suite leadership, doctors, staff and key external stakeholders to maintain and cultivate relationships
Develop strategic, comprehensive, provider-specific plans to advance risk adjustment and quality performance, participation and provider satisfaction
Proactive identification of performance improvement opportunities through analysis and discussion with subject matter experts; influence provider behavior to achieve key performance metrics
Develop effective improvement plans for practices that are not meeting performance goals
Improve the rate of active participation among all contracted practices, at the individual provider level
Contribute to the achievement of 99%+ provider retention year-over-year
Follow standard protocols and leverage Job Aids, workflows, and other tools to ensure providers’ questions and concerns are addressed in a timely manner
Contribute to the achievement of 99%+ provider e-signature on Vatica encounters within client specific Lock parameters
Leverage technology, and best practices, to deliver provider-centric service
Receive, assess, and research all questions, concerns and complaints received from contracted practices. Work cross functionally to research concerns and complaints and achieve “win-win” results for practices, clients and Vatica
Immediately seek assistance and guidance from leadership, or other supervisory staff, to resolve escalated and complex provider service issues and complaints
Fully document all interactions, and communications, with practices in Salesforce (and other tools, as appropriate)
Drive incremental improvements in provider satisfaction scores (measured by NPS or other methods) year-over-year, in accordance with corporate OKRs
Support interdepartmental projects
Contributes to, and executes, all responsibilities assigned to this role

Skills

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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