Coverage Determination Specialist - Temp
Abarca Health
About this role
A Coverage Determination Specialist at Abarca works within the PBM Operations & Services organization to support coverage decision processes for Medicare, Medicaid and commercial plan beneficiaries. The role focuses on applying clinical knowledge while interacting with pharmacists, physicians and members and ensuring compliance with federal regulations and client contracts. It supports the company’s mission to improve pharmacy benefits through technology-driven services.
Skills
Qualifications
About Abarca Health
abarcahealth.comAbarca Health is a technology-driven pharmacy benefit manager (PBM) that delivers innovative PBM solutions to health plans, employers, and public programs. The company combines advanced analytics, clinical programs, and modern technology to manage drug spend, optimize formularies, and improve patient outcomes. Abarca emphasizes transparency, flexible contracting models, and member-centric services, including specialty drug management and patient support. Its offerings are positioned to reduce costs while streamlining pharmacy benefit operations for payers and providers.
Recent company news
News is My BusinessAbarca named to 2026 Best Places to Work in IT list
Dec 10, 2025
News is My BusinessAbarca rolls out Better Balance, Better Access care programs
Dec 17, 2025
MedCity News4 Prescription Drug Trends that are Top of Mind for One Abarca Exec
Mar 11, 2025
Word & Brown General AgencyBlue Shield Of California Drops CVS, Taps Amazon: What’s Behind The PBM Shakeup
Feb 25, 2025
PR NewswireTrusted Health Plan Selects Abarca to Manage Pharmacy Benefits
Apr 3, 2019
About Abarca Health
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Abarca Health.
Salary
$82k – $110k
per year
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