Associate Rebate Operations Analyst

What you’ll do

In a few words… 

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…

As Associate Rebate Operations Analyst, your job is to monitor and document the operational activities related to in-house manufacturers, aggregators, and provide support to rebates process. Your interpretations will be used to generate and analyze rebates financial data for internal and external use. Aside from generating invoices to manufacturer companies, you will also analyze contractual terms for billing, register payments in the Darwin System, and generate reconciliations and adjustments related to the rebates billing cycle. The process will include reporting for external or internal users.

The fundamentals for the job…

• Validate the summary of claims data set to submit to the manufacturers and/or aggregator each month.
• Review the monthly payments received from manufacturers and aggregator related to claims, billing, and payment.
• Monitor and review the rebates billing and payment files in system. The process includes invoice generation, contract review, payments, collection effort, and reconciliations.
• Identify and report any deviation from the expected amount from submission, data received and upload of rebates data.
• Provide payment details from manufacturers and/or aggregator to the accounting department.
• Perform assessment and communicate critical information for maintenance of the rebate system.
• Generate, analyze, and send out rebates reports to clients or internal use.
• Liaison with all departments involved in the invoicing process.
• Assist in preparation of management reports, accompanying schedules, worksheets and narratives, and quarterly and annual regulatory filings.
• Assist in documenting internal controls and SOP documentation.
• Identify and suggest system changes and enhancements.
• Assist with special projects and provide support on all company audits related to rebates process.

What we expect of you

The bold requirements…

• Associate’s Degree or Bachelor’s Degree Finance, Business, or related field (In lieu of a degree, equivalent relevant work experience may be considered.)
• 1+ years of experience within financial analysis, rebates management and/or adjacent roles.
• Experience in the healthcare industry, claims processing, manufacturer billing, 3rd party rebates billing and reconciliation, and Medicare and Commercial reporting to CMS and their audits.
• Willing to travel (5% of time) per year (in state or out of state).
• Excellent oral and written communication skills.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only)
• This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members.
• This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable).

Physical requirements…

• Must be able to access and navigate each department at the organization’s facilities.
• Sedentary work that primarily involves sitting/standing.

At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves.  We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify.  “Abarca Health LLC does not sponsor employment visas at this time”

The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It’s simply meant to give readers an idea of what the role entails.

#LI-BM1 #LI-HYBRID