Abarca Health

Product Manager

• Be the subject matter expert for one to two product domains within Abarca.
• Create, update, enhance, or refine business requirements, user stories and acceptance criteria in an agile framework.
• Assist and partner with other Product Owners and Product Managers in solving business needs through collaborative product feature enhancements.
• Gather requirements with internal clients and technology teams to solve complex business needs and translate ideas into requirements.
• Work collaboratively with business partners, SMEs, Developers, and Testers to ensure a shared understanding of business requirements.
• Determine feasibility of business requirements and recommend changes to support business needs and processes.
• Assist in analyzing business solution options by evaluating current system processes and identifying possible solution options for new functionality or modifications to existing functionality.
• Provide support for your product domain in research, analysis and troubleshooting related to your products.
• Provide input and engage in setting priorities to define a product roadmap working with other product owners and product managers.
• Understand the products that you own and how they interact upstream and downstream within the product ecosystem.
• Ensure that system solution options are thoroughly researched, analyzed, and documented.
• Develops acceptance criteria and leads User Acceptance Testing (UAT) efforts to ensure the product meets the needs of the business.
• Provide support to Applications Development through participation in Design Reviews.
• Project estimates and resource plans for systems solutions.

Senior Product Owner

Analyst

• Serve as the primary support for pharmacy network and pricing configuration, including network setup, contracted rates, and pricing rules for new client implementations and existing plan changes.
• Configure and maintain pricing logic to ensure accurate claims adjudication aligned with client documentation and contractual requirements.
• Support configuration changes related to pharmacy network participation and pricing structures across multiple lines of business.
• Perform unit testing to validate adjudication outcomes against expected network and pricing rules.
• Perform Quality Control and Quality Assurance reviews to ensure accuracy and consistency within network and pricing configuration processes.
• Participate as needed in UAT testing for product enhancements/updates to confirm operational and business user acceptance.
• Research and resolve claims adjudication issues related to network participation and pricing discrepancies, including root cause analysis, impact assessment, and corrective actions.
• Provide first-tier triage support for network and pricing-related claims processing issues, ensuring performance aligned to SLAs/SLOs.
• Take ownership of project-based configuration work, ensuring timelines, deliverables, and outcomes are met.
• Collaborate across configuration, adjudication, product, and operational teams to execute accurate network and pricing solutions.
• Identify network and pricing functionality required to meet client outcomes and support implementation execution.
• Continuously develop and maintain an in-depth understanding of Darwin (proprietary adjudication platform) logic related to network and pricing configuration.
• Stay current with Medicare, Medicaid, and state regulatory requirements, ensuring configurations remain compliant.
• Provide consultation and peer review for network and pricing configuration practices and design standards.
• Support the Sr. Analyst in documenting client plan standards, configuration processes, and operational procedures.
• Evaluate network and pricing workflows and recommend process improvements that advance efficiency, consistency, and quality outcomes.
• Support onboarding and knowledge transfer by contributing to documentation and training resources as needed.

Senior Pharmacy Network Configuration Analyst

Security Engineer

• Own and drive security engineering initiatives that improve cloud and infrastructure security, including standards, guardrails, and technical controls.
• Design, implement, and continuously improve security controls across Azure (primary) and supporting services (e.g., Entra ID, Azure Policy, Defender for Cloud, Log Analytics/SIEM as applicable).
• Engineer and operationalize identity and access governance controls (RBAC, Conditional Access, privileged access workflows, and access logging) in partnership with other teams.
• Build and mature detection and response capabilities: tune alerts, improve signal quality, and contribute to playbooks and automation for common security events.
• Lead technical incident response activities: triage, scope, containment, eradication, recovery, and post-incident corrective actions and lessons learned.
• Own the technical execution of vulnerability lifecycle management (scanning, triage, prioritization, remediation coordination, and verification) and drive measurable reductions in risk and remediation timelines.
• Perform security gap assessments; translate findings into actionable remediation plans; and partner with stakeholders to implement durable fixes.
• Partner with Engineering teams to embed security into delivery processes (secure configuration patterns, CI/CD security checks where applicable, and security reviews for new services and changes).
• Support audit and compliance readiness by implementing and validating technical controls aligned to NIST 800-53 and HITRUST, and by producing technical evidence and remediation documentation.
• Document and maintain security standards, playbooks, and procedures; mentor peers and junior team members; and serve as an escalation point for complex security issues.
• Continuously monitor emerging threats, security advisories, and cloud platform changes; recommend and implement improvements.
• Perform other duties and special projects as assigned.

Senior Product Owner

Senior Pharmacy Network Configuration Analyst

Senior Security Engineer