Abacus Insights
Business Solution Manager
Remote - US
Sponsorship not specifiedDetected 5 days ago
Node.jsSQLSnowflakeDatabricksData EngineeringAccount ManagementCommunicationAdaptability
About the role
- We are seeking an experienced Business Solution Manager to join our team.
- Doing that well takes two things at once: command of healthcare business context, and the data literacy to work directly in the data.
- A data model built for one client's use case can share structure with a completely different client's need
Responsibilities
- Write and execute SQL to analyze and probe data, test assumptions, and prototype throughout requirements and design. Hands-on data work is core to this role, not occasional.
- Drive requirements-gathering and clarification conversations with clients, since incomplete or poorly elicited requirements undermine everything built downstream.
- Be the central node connecting the client and the internal team, holding the business context and design drivers that shape the build.
- In this role, you'll be the connective tissue between a client's business need and the design that delivers it.
- Own the Requirements-to-Design Arc
- Apply systems thinking as a default habit, not an exception: recognize when a design built for one client, state, or use case can become a reusable pattern, and actively design toward that reuse rather than discovering it in hindsight.
- Collaborate Across Delivery
- Therefore, we dedicate resources to building diverse teams and providing equal employment opportunities to all applicants.
- At the heart of who we are is a commitment to continuously and intentionally building an inclusive culture-one that empowers every team member across the globe to do their best work and bring their authentic selves.
- We carry that same commitment into our hiring process, aiming to create an interview experience where you feel comfortable and confident showcasing your strengths.
Requirements
- Familiarity with HEDIS and Stars quality reporting, risk adjustment, payment integrity, value-based care analytics, provider data management, or CMS interoperability (CMS-0057).
- Working knowledge of data modeling concepts, including how the grain and structure of a dataset shape its downstream use.
- Familiarity with Medicaid data or PBM platforms.
- Bachelor's degree, or equivalent relevant experience.
- SQL is required; exposure to Databricks or Snowflake is desirable.
Compensation
- Compensation for this role is based on experience, skills, and location, and includes base salary plus eligibility for performance bonuses and equity grants.
Benefits
- 3+ years working in the US healthcare domain and with healthcare data (claims, provider, membership/eligibility, benefits, prior authorization, or PBM).
- Payer experience required - direct experience working with or for a US health plan (Medicare, Medicaid, or Commercial), whether in-house or through healthcare consulting.
Company info
- Abacus Insights is transforming how data works for health plans. Our mission is simple: make healthcare data usable, so the people responsible for care and cost decisions can act faster, with confidence.
- We help health plans break down data silos to create a single, trusted data foundation. That foundation powers better decisions-so plans can improve outcomes, reduce waste, and deliver better experiences for members and providers alike. Backed by $100M from top investors, we're tackling big challenges in an industry that's ready for change. Our platform enables GenAI use cases by delivering clean, connected, and reliable healthcare data to support automation, prioritization, and decision workflows-and it's why we are leading the way.
- Our innovation begins with people. We are bold, curious, and collaborative-because the best ideas come from working together. We embrace the thoughtful use of AI and automation to drive innovation and efficiency, and we look for individuals who are curious and adaptable-those excited to leverage emerging technologies to enhance how we work-while keeping human insight, connection, and our clients at the center of every decision.
- Ready to make an impact? Join us and let's build the future together.
- Abacus Insights is transforming how data works for health plans.
- Our mission is simple: make healthcare data usable, so the people responsible for care and cost decisions can act faster, with confidence.
- We help health plans break down data silos to create a single, trusted data foundation.
- That foundation powers better decisions-so plans can improve outcomes, reduce waste, and deliver better experiences for members and providers alike.
- Backed by $100M from top investors, we're tackling big challenges in an industry that's ready for change.
- Our platform enables GenAI use cases by delivering clean, connected, and reliable healthcare data to support automation, prioritization, and decision workflows-and it's why we are leading the way.
- Our innovation begins with people.
- We are bold, curious, and collaborative-because the best ideas come from working together.
- We embrace the thoughtful use of AI and automation to drive innovation and efficiency, and we look for individuals who are curious and adaptable-those excited to leverage emerging technologies to enhance how we work-while keeping human insight, connection, and our clients at the center of every decision.
- Ready to make an impact?
Equal opportunity
- Our Commitment as an Equal Opportunity Employer
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This listing is sourced directly from Abacus Insights's careers page and normalized into a canonical job model.