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Pharmacy Network & Pricing Configuration Analyst at Abarca Health - ApplyBlast

Pharmacy Network & Pricing Configuration Analyst

Abarca Health

9 months ago

3.8 on Glassdoor

Hybrid

Full Time

Medior

0 applicants

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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.

Skills

Qualifications

Associate DegreeBachelor's Degree

About Abarca Health

abarcahealth.com

Headquarters

San Juan, San Juan, Puerto Rico

Company Size

501-1000 employees

Founded

2005

View Profile

Abarca Health is a technology-driven pharmacy benefit manager (PBM) that has combined with LucyRx to form Healthcare Revolution Partners, serving 9 million+ members across the U.S. The company offers innovative PBM solutions powered by its next-generation Darwin™ platform, along with Assura, a net cost guarantee pricing solution that brings transparency and predictability to drug spend management. Abarca serves health plans, employers, and public programs with a focus on reducing costs, improving patient outcomes, and delivering a seamless, personalized pharmacy experience.