Commercial Growth

We partner for growth!

Our team develops innovative solutions to maximize revenue through underwriting, performance guarantees, competitive pricing tactics, and other financial considerations. Together, we can empower our clients to innovate and compete in an increasingly consolidated marketplace.

WHAT WE DO

Data Analytics

• Develop comprehensive Drug Trend and Expenditure analytics, reports, tools, and/or frameworks to simplify data related to controlling drug spend (including all associated factors and inputs).
• Analyze and perform root cause analyses of healthcare claims and investigate potential operational and clinical opportunities.
• Leverage machine learning to develop programs and algorithms that maximize effectiveness and improve experience within existing and new programs. 

Actuarial Strategy

• Leverage healthcare expertise, advanced analytics, and predictive modeling to create business solutions and tools.
• Conduct drug spend forecasts to estimate budget impact and help support informed decision making.
• Support risk mitigation efforts by providing estimated current and future spend, as well drug and rebate models to provide further insights.

Drug Trend Solutions & Pharmacy Program Strategy

• Create initiatives that facilitate cost savings and/or revenue generation for clients and partners.
• Manage day-to-day operations of advanced pharmacy programs and develop and implement cost savings programs and strategies.
• Highlight data and results that are insightful, actionable, and enhance interactions between Abarca and its partners.

Pricing & Underwriting Strategy

• Develop, set, and maintain pricing strategies for internal and external clients—including negotiating best-in-class network and rebate contracts.
• Build tools using Python, SQL, and VBA that automate complex analytic processes and empower the Drug Value Strategies team to launch and support new strategic initiatives.
• Create and manage formulary coverage strategies that are financially advantageous and clinically applicable.
• Develop attractive pricing bids that maximize financial revenue and mitigate risk.

Business Development & Sales

• Build relationships with payors and consultants in order to develop strategies for a seamless and personalized healthcare experience.
• Serve as the liaison between the marketplace and our partners to ensure Abarca’s products and services are supporting client needs.
• Elevate Abarca’s visibility in the industry by attending conferences, speaking at events, and pursuing other opportunities, as appropriate.

Clinical Strategy & Services

• Develop new clinical programs aligned with healthcare industry trends that ensure the quality of services provided, guarantee client satisfaction, and improve the health of the members.
• Evaluate coverage determination requests.
• Educate clients and pharmacies on newly approved drugs and other clinical trends.