[Remote] Provider Network Representative III at Abarca Health

United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Experience working in a health system or primary care practice 5+ Years
Provider engagement and/or Sales Experience 5+ Years
Proven ability to build, and maintain, strong relationships with group practices and providers
Experience with sales/network development as it relates to interfacing with Payers, Practice Managers, and Primary Care Physicians
Sales/Account Management experience in healthcare EMR, Pharmaceutical, Medical Device or Managed Care Services to independent healthcare providers
Experience in Salesforce.com CRM (Preferred)
Excellent multitasking and prioritization skills with a proven ability to manage multiple, simultaneous projects to completion
Superb written and verbal communication skills with the ability to effectively collaborate with internal and external executive leadership
Highly organized and detail oriented. Makes decisions regarding own work methods, occasionally in ambiguous situations; requires minimal directions and solicits guidance when needed. Follow established guidelines/procedures
Action Oriented: Taking on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm. Identifies and seizes new opportunities
Being Resilient: Quickly recovering from setbacks and adversity. Confidently handles adversity and grows from negative experiences
Drives Results, Vision, and Purpose: Ensure daily tasks lead to impactful results that align with Vatica priorities. Results-driven champion for Vatica. Adjusts plans as needed to ensure effectiveness. Profitability focused, persistent in achieving objectives with a positive track record of exceeding

Responsibilities

Ability to effectively engage practices, ranging from large health systems to local practices in assigned geographic regions
Engage physicians & administrators in group, face to face and telephone meetings
Support collaboration with health plan clients to analyze, design, and develop networks through ongoing evaluation of both current and potential network participants
Recommend appropriate provider engagement tactics to improve performance in Vatica Health’s programs
Supports, develops, and maintains service relationships with all participants (physicians and administrators) of a provider network
Analyze data related to practice/physician participation, to identify opportunities to increase the number of participating physicians (in existing practices) and new practices participating in Vatica’s programs
Analyzes program performance (across entire portfolio) and works collaboratively with practices to develop strategies to improve performance
Assists with the development of program marketing materials, messages and sales campaigns as needed
Participates and learns in the process of understanding market trends, best practices, growth and development of their assigned territories in accordance with company goals
Act as preceptor in the onboarding and training of other Provider Network Representatives
Leads provider engagement and support-related projects, as necessary

Skills

Key technologies and capabilities for this role

Provider RelationsAccount ManagementHealthcare RecruitmentContract NegotiationPhysician EngagementNetwork DevelopmentData AnalysisProgram Performance AnalysisSales CampaignsMarketing Materials

Questions & Answers

Common questions about this position

What is the salary for the Provider Network Representative III position?

The salary is $80,000.

Is this position remote?

Yes, the position is remote.

What experience is required for this role?

The role requires 5+ years of experience working in a health system or primary care practice, 5+ years of provider engagement and/or sales experience, and proven ability to build and maintain strong relationships with group practices and providers.

What skills are needed to succeed in this position?

Key skills include experience with sales/network development interfacing with Payers, Practice Managers, and Primary Care Physicians, sales/account management in healthcare sectors like EMR or Managed Care Services, and excellent multitasking and prioritization skills.

What makes a strong candidate for this Provider Network Representative role?

A strong candidate has 5+ years in health systems or primary care, proven provider engagement and sales experience, relationship-building skills with practices and providers, and familiarity with Salesforce.com CRM.

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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