Transplant Specialist at Abarca Health

Sioux Falls, South Dakota, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

High School or GED Equivalent
Relevant experience
Visual acuity adequate to perform position duties
Ability to communicate effectively with others
Ability to hear, understand, and distinguish speech and other sounds

Responsibilities

Serves as first line resource for patients and assists in facilitating the patient through all transplant/donor phases; referral, evaluation, waitlist and post-transplant or donation phases
Assists in the arrangements of living related/non-related organ donation and transplantation as directed by the RN Transplant Coordinator
Obtains and tracks testing results performed at outside facilities into the transplant database
Creates, updates, and tracks all program referrals and patient information in the transplant database, OTTR, Expanse, etc
Collaborates with the Financial Coordinator to provide insurance information, determine if authorizations are required and to secure required authorizations from insurance carriers
Schedules all initial, annual and post-transplant multidisciplinary team evaluations, diagnostic studies, health maintenance exams, specialty consults, and testing (e.g., Transplant Coordinator, Dietician, MSW, Pharmacy, Financial Coordinator, Surgeon, Nephrologist, Hepatologist); notifies patients via phone calls and/or letters
Requests/retrieves medical reports required for pre-transplant evaluation from dialysis units, HIM, outside facilities, and physicians
Participates in project plan development and implementation, facilitating project meetings and documenting effectively
Coordinates transplant outreach to include patient and physician schedules, car rentals, lodging accommodations and may travel with team when indicated
Coordinates general office duties from triaging phone calls and faxes for the Transplant Office, reporting urgent calls to coordinator and physicians, ordering office supplies, medical supplies, and forms

Skills

OTTR

Expanse

Transplant Database Management

Patient Scheduling

Insurance Authorization

Medical Testing Tracking

Patient Coordination

Living Donor Coordination

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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