This is a numbers-forward, strategy-heavy role where your models directly shape pricing, risk, and how competitive Abarca is when winning (and renewing) big PBM clients. If you like messy claim data, clean assumptions, and walking execs through “here’s why this rate works,” you’ll feel at home.
About Abarca Health
Abarca is building smarter tech to redefine pharmacy benefits. Their Drug Value Strategy team sits at the intersection of network ops, reporting, rebate strategy, and pricing, so this role has real visibility and real impact.
Schedule
Remote.
Note: They mention a “flexible hybrid work model” requiring on-site days for Puerto Rico only. If you’re not in PR, it reads like fully remote.
What You’ll Do
- Underwrite and assess risk for new and renewing large-group contracts
- Partner with Sales, Finance, and leadership on complex RFPs, strategy calls, and recommendations
- Build and maintain complex financial models using multiple data sources to forecast pricing scenarios
- Forecast PBM cost drivers (fixed + variable) and understand what moves pharmacy spend
- Build rebate forecasts based on utilization trends and key rebate drivers
- Identify outliers in prospective client claims to protect pricing accuracy
- Forecast operating costs, ancillary fee revenue, and clinical program ROI to show total value and savings
- Use market intelligence to evaluate competitiveness and create financial comparisons
- Negotiate and clearly explain rate development, pricing components, and underwriting policy applications
- Document your pricing strategy and modeling approach per prospect, and produce client-ready deliverables
What You Need
- Bachelor’s or Master’s in a quantitative or business field (or equivalent relevant experience)
- 6+ years in underwriting/analytics in PBM or non-retail healthcare pharmacy
- Heavy experience responding to large RFPs and translating needs into strategy
- Strong Excel skills (models, scenarios, analysis)
- Root-cause analysis + process improvement experience
- Ability to build dashboards/presentations and tailor the story for execs, internal teams, and clients
- Strong written and verbal communication
Nice to Have
- Experience with rebates, manufacturers, drug pricing, and contract negotiations
- SQL and Tableau
Benefits
- Equal opportunity employer, E-Verify
- U.S. citizen requirement; no visa sponsorship
Real talk (backbone moment): this isn’t an “I’m good with spreadsheets” job. It’s a “I can defend the assumptions, explain the why, and protect margin while staying competitive” job. If your background is more general customer support / ops, this is likely a stretch unless you’ve already lived in PBM underwriting, pricing, or actuarial-adjacent work.
If you want, paste your resume bullets (or your last underwriting-ish role) and I’ll tell you straight whether you’re a fit and how to position it if you are.
Happy Hunting,
~Two Chicks…