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Medicare Part D Letter Analyst - Remote

Posted 4 weeks ago
All others
Full Time
Worldwide

Overview

Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning. Providing high quality services to clients and beneficiaries is at the core of what we do every day!

In Short

  • Monitor Part D letters and dashboards; identify and initiate error resolution as necessary.
  • Analyze pharmacy claims, formulary, provider data, and pricing changes.
  • Track, trend, and monitor issues as they arise.
  • Understand and reference guidance when analyzing and resolving issues.
  • Identify and proactively suggest process improvements.
  • Document and explain observations to technical and non-technical audiences.
  • Provide guidance on Medicare Part D processes.
  • Assist in new client implementations.
  • Locate, read, and apply CMS guidance to processes.
  • Review inbound and outbound data files for accuracy.

Requirements

  • Bachelor’s degree in a related field or equivalent work experience.
  • 3+ years of relevant work-related experience.
  • Experience with Medicare Part D processes.
  • Ability to analyze data and discern patterns.
  • Strong problem solving and analytical skills.
  • Highly organized and self-motivated.
  • Excellent oral and written communication skills.

Benefits

  • Flexible hybrid work model.

A.H

Abarca Health

Abarca Health is a pioneering company in the healthcare sector, dedicated to transforming pharmacy benefits through innovative technology. The organization is committed to redefining the healthcare experience for its clients, including Medicare, Medicaid, and commercial entities. Abarca values diversity, equity, and inclusion, ensuring that its workforce reflects the communities it serves. The company promotes a flexible work environment and is focused on delivering exceptional service while adhering to compliance and regulatory standards.

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