Pharmacy Benefits Determination Specialist

About Abarca HealthAbarca Health is a revolutionary company that's redefining pharmacy benefits through smarter technology. Our mission is to deliver exceptional healthcare services while ensuring the satisfaction of our clients and beneficiaries.Job SummaryWe're seeking a highly skilled Coverage Determination Team Manager to oversee the Coverage...

About Abarca HealthAbarca Health is a leading provider of pharmacy benefit management services. Our team of experts works tirelessly to ensure that our clients receive the highest level of care and service.Job DescriptionWe are seeking a highly experienced Coverage Determination Team Lead to join our team. As a key member of our Service Operations team, you...

About the RoleAbarca Health is seeking a skilled Pharmacy Claims Quality Assurance Specialist to join our team. As a key member of our Quality Oversight Department, you will play a critical role in ensuring the quality and integrity of our pharmacy claims testing and adjudication processes.Key ResponsibilitiesOptimize testing and monitoring activities to...

Abarca Health is igniting a revolution in healthcare, and we're looking for a skilled Pharmacy Claims Quality Assurance Specialist to join our team.Job DescriptionWe're seeking a detail-oriented professional with 2+ years of experience in quality assurance and software development life cycles. As a Pharmacy Claims Quality Assurance Specialist, you'll be...

Join Our Team as a Pharmacy Operations ManagerWe are seeking an experienced and skilled Pharmacy Operations Manager to join our team at Walgreens.About the RoleThis is a full-time position responsible for overseeing the daily operations of our pharmacy, ensuring efficient workflow and a positive customer experience. As a key member of our team, you will be...

Product Quality Assurance Specialist Job DescriptionAt Abarca Health, we are igniting a revolution in healthcare by redefining pharmacy benefits. We are seeking a Product Quality Assurance Specialist to join our team. This role will ensure that business requirements are developed accurately and configured into our claims adjudication platform.Key...

About the RoleWe are seeking a skilled Pharmacy Operations Manager to lead our pharmacy team in San Juan, Puerto Rico. As a key member of our team, you will be responsible for ensuring the efficient operation of our pharmacy, providing excellent customer service, and driving business growth.Job SummaryThe Pharmacy Operations Manager is accountable for...

About the Role: CVS Health is seeking a highly skilled Pharmacy Manager to lead our pharmacy operations. As a Pharmacy Manager, you will be responsible for the management, oversight, and operation of all aspects within your pharmacy. This includes patient safety, pharmacy professional practice, regulatory requirements, quality assurance, customer service,...

Key Responsibilities:As a Pharmacy Sales Assistant at Costco, you will assist pharmacists in processing, pricing, and selling prescriptions to customers. Your duties will include assisting customers at the counter, retrieving prescriptions, and ringing up orders. Additionally, you will be responsible for ordering and stocking drugs, supplies, and...

The Benefits Specialist is responsible for assisting Product and Client Managers in strategizing communication flow and positioning of data between the client and company departments.As a liaison, they serve as a bridge between the Company and its clients to assist with service to the accounts assigned to their Product and Client Managers Book of Business...

Job OverviewWalgreens is seeking a skilled and detail-oriented Pharmacy Technician to join our team!

Job SummaryAs a key member of the Walgreens pharmacy team, the Pharmacist Healthcare Specialist oversees daily operations, ensuring seamless workflow management, exceptional patient care, and continuous quality improvement. This role requires adherence to company policies, compliance with regulatory bodies, and a strong focus on customer satisfaction.Key...

A career-defining opportunity awaits at Abarca Health, a revolutionary healthcare company reimagining pharmacy benefits. As a seasoned PBM Account Manager, you will be the face of our organization, forging strong relationships with clients and driving business growth.

About the RoleWe are seeking a skilled Healthcare Utilization Specialist to join our team at Elevance Health. This is an exciting opportunity for a motivated and detail-oriented individual to work in a dynamic environment.Job SummaryThe Healthcare Utilization Specialist will be responsible for conducting preauthorization reviews for diagnostic imaging...

In a few words...Abarca Health is revolutionizing pharmacy benefits. Our Operational Performance team is dedicated to centralizing data to drive improvements.As an Issue Management Analyst, you will collaborate with key functional areas to ensure the quality and integrity of the claims processing system.Contribute to the definition of tactical and strategic...

Job SummaryWe are seeking a highly skilled Technical Support Specialist to join our team at NUC University - Corporate. In this role, you will be responsible for providing exceptional support to end-users, resolving technical issues efficiently, and escalating complex problems to senior technicians.About the RoleThis is a full-time position that requires a...

About UsAbarca Health is a revolutionary company in the healthcare industry, using smarter technology to redefine pharmacy benefits.Salary Range: $90,000 - $140,000 per year, depending on experience and qualifications.Job Description:Key ResponsibilitiesCollaborate with analysts and designers to develop new software programs, applications, and tools.Write,...

Abarca Health is a revolutionary healthcare company that is igniting a new era in pharmacy benefits.We are seeking a highly skilled Data Transformation Specialist to join our team of experts. This role will play a crucial part in extracting data from various sources and transforming it into actionable insights for our business stakeholders.The ideal...

Abarca Health is igniting a revolution in healthcare, redefining pharmacy benefits and driving scalability and efficiency across the board.About the RoleWe are seeking an experienced Issue Management Analyst to join our Operational Performance team. This role will be responsible for collaborating with key functional areas to ensure the quality and integrity...

Job SummaryWe are seeking a highly skilled Talent Acquisition and Customer Experience Specialist to join our team at Popular Bank. This is a fantastic opportunity to work with a leading financial institution in Puerto Rico, where you will be responsible for providing exceptional customer service and supporting our hiring processes.About UsPopular Bank is a...