Job description
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 an Associate Configuration Integration Analyst, you will assist in the intake, validation, processing, and automation of configuration-related files that support key automated processes within Abarca and Darwin. You will ensure seamless file handling, reduce manual interventions, enhance data integrity, and support downstream adjudication processes.
The fundamentals for the job…
- Assist in daily intake, validation, and processing of configuration files.
- Support the development and maintenance of automation workflows and transformation scripts.
- Conduct quality checks, troubleshoot errors, and ensure adherence to mapping dependencies.
- Coordinate with internal teams to ensure timely file delivery and processing.
- Monitor file automation performance and identify issues.
- Maintain documentation, standard operating procedures (SOPs), and configuration mapping details.
- Execute testing to confirm that automated file changes do not negatively impact adjudication results.
- Provide first-tier triage support within SLAs/SLOs to verify and analyze pharmacy claims processing case research referred for validation.
- Support the transition from configuration files to APIs, streamlining processes and enhancing integration, as needed.
- Collaborate on the implementation of Robotic Process Automation (RPA) to automate repetitive tasks and workflows, further enhancing efficiency and accuracy, as needed.
What we expect of you
The bold requirements…
- Associate or bachelor’s degree.(In lieu of a degree, equivalent relevant work experience may be considered.)
- 1+ years of work-related experienceautomated files configuration and/or implementations.
- Beginner level experience working with SQL, Macros, APIs and Excel tools.
- Ability to establish good interpersonal skills.
- Excellent oral and written communication skills in Spanish and English.
- 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).
Nice to haves…
- Experience in a healthcare non-retail pharmacy setting.
- Experience related to Pharmacy Benefit Manager Operations, Member Services, Pharmacy Networks, Fulfillment, Call Center, and Medicare.
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.
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