Network Relations Analyst (San Juan)

Network Relations Analyst (San Juan)

12 ago
|
Abarca Health
|
San Juan

12 ago

Abarca Health

San Juan

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 part of our Network Strategy Provider Relations team, you will be responsible for assisting with the development and maintenance of the Provider Network and the related Pharmacy Service contracts and Agreements. You will work to ensure all our Provider Network Agreements are implemented correctly, and you will troubleshoot any network related issues for our clients and pharmacy partners. This role involves planning (i.e. pharmacy contracting), tracking, communication, and identifying and resolving issues.
The fundamentals for the job…
- Assist with developing and maintaining pharmacy network strategies for US mainland and in Puerto Rico. Key inputs to consider type, location, and size of participating pharmacies, network size, reimbursement drivers and terms (discounts, DIR, incentives), quality criteria, and other contracting elements.




- Establish and maintain relationships with pharmacy chains and PSAOs, as well as national pharmacy organizations, i.e. NCPDP
- Serve as a point of contact for pharmacy operational questions and assist with pharmacy contracts, network maintenance, daily pharmacy enrollment requests and other relevant provider network tickets.
- Work with Legal team on creating and revising pharmacy contracting templates.
- Support and represent the development and execution of new clients, operationalize tasks associated, and deliver the highest quality of service to clients and pharmacies.
- Support the day-to-day tasks related to the pharmacy network, including triaging, and resolving issues, answering requests, creating and delivering reports on demand, and identifying opportunities for improvement.
- Use analytical tools to create and monitor network performance to ensure contract compliance and alignment with network objectives.
- Provide support to

📌 Network Relations Analyst (San Juan)
🏢 Abarca Health
📍 San Juan

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