Senior Pharmacy Network Configuration Analyst

Abarca Health(12 days ago)

HybridFull TimeSenior$166,006 - $221,557 (estimated)Pharmacy Operations

About this role

Abarca is a healthcare company focused on redefining pharmacy benefits through technology. The Senior Pharmacy Network & Pricing Configuration Analyst will work within the PBM environment to support pharmacy network participation and pricing configuration across Medicare, Medicaid, Commercial, and Employer clients. The role requires in-depth knowledge of adjudication logic and regulatory requirements to maintain accurate claims processing and compliance.

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Required Skills

Pharmacy Configuration
Pricing Configuration
SQL
Excel
Root Cause Analysis
Quality Assurance
Unit Testing
Claims Adjudication
Regulatory Compliance
Project Management

+2 more

Qualifications

Associate Degree
Bachelor's Degree
Equivalent Experience

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.