Pharmacy Network & Pricing Configuration Analyst

Abarca Health(1 month ago)

HybridFull TimeMedior$93,756 - $125,187 (estimated)Pharmacy Operations

About this role

The Pharmacy Network & Pricing Configuration Analyst configures, validates, and supports pharmacy network participation and pricing logic within a PBM environment to ensure accurate claims adjudication and compliance. The role supports implementations and plan changes across Medicare, Medicaid, Commercial, and Employer lines of business and collaborates with product, adjudication, and operations teams. The analyst also performs testing, triage, root-cause analysis, and documents configuration standards while staying current with regulatory requirements.

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Required Skills

Pharmacy Network
Pricing Configuration
Network Setup
Contracted Rates
Pricing Rules
Pricing Logic
Claims Adjudication
Configuration Changes
Unit Testing
Root Cause

+10 more

Qualifications

Associate Degree
Bachelor's Degree

About Abarca Health

abarcahealth.com

Abarca 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.