Abacus Insights
Senior Consultant, Health Plan Performance
United States · Senior
Sponsorship not specifiedDetected 9 days ago
SQLSnowflakeDatabricksData EngineeringData VisualizationCompliancePerformance ManagementLeadershipCommunicationProblem SolvingAdaptability
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odds of building a lasting career here
37Risky
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
Thin sponsorship signal and lottery-bound. A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.
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About the role
- Note: This role requires travel to and from client sites, estimated at around 25%.
- Advise clients on quality improvement (HEDIS, STAR ratings) and provider performance management, identifying gaps, root causes, and improvement plans across cost, quality, access, and network metrics
- Analyze medical, pharmacy, financial, and provider performance data to surface actionable insights, cost drivers, and trends across clients' books of business
Responsibilities
- Your work spans diagnostics and advisory, through solution design, to hands-on configuration and rollout, while feeding what you learn back into our data engineering Center of Excellence as these new offerings grow.
- Provide advice and counsel on contracting and network strategy (value-based, risk-sharing, fee-for-service, and total-cost-of-care models) and support provider performance reviews, JOCs, and regulatory compliance (state, federal, NCQA)
- Manage client relationships and expectations day to day, including scope, timelines, risks, and value realization, in partnership with the Engagement Manager
- Partner with Product, Engineering, and Data/Analytics teams to translate payer domain requirements into technical specifications, and bring client and market insights back to Product to inform roadmap priorities
- one-time support to get you started
- 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.
- If there's anything we can do to support that-big or small-please let us know.
- This includes Greenhouse's Real Talent Matching Technology, which helps prioritize applications based on job-related criteria, as well as additional AI tools used to support sourcing, interview preparation, and other recruiting tasks.
Requirements
- Proficiency in Power BI, SQL, and/or Tableau (or similar AI-enabled reporting tools), with a track record of building reporting tools that drive measurable business outcomes
- Working knowledge of quality measurement frameworks (HEDIS, STAR ratings) and NCQA, state, and federal regulatory compliance requirements
- What we'd like to see, but not required
Nice to have
- A bachelor's degree required
- an MBA, MHA, MPH, or comparable advanced degree from a leading institution is a plus
Skills
- Contribute to Abacus's consulting methodologies, reusable frameworks, accelerators, and thought leadership as our advisory practice scales
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
- We typically see 4+ years of consulting experience, including client-facing delivery within a healthcare payer or life sciences practice
- Unlimited paid time off:
- Comprehensive health coverage:
- Equity for every employee:
- Home office setup allowance:
Company info
- Abacus Insights is transforming how data and AI work 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.
- As the AI and Data Platform for Payer Intelligence, 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 and AI work 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.
- As the AI and Data Platform for Payer Intelligence, 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.
- Our mission is simple:
- make healthcare data usable, so the people responsible for care and cost decisions can act faster, with confidence.
Equal opportunity
- Our Commitment as an Equal Opportunity Employer
- Virtual or blurred backgrounds and headsets are not permitted absent an approved accommodation, and you should be in a well-lit, private space where your face and surroundings are clearly visible.
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This listing is sourced directly from Abacus Insights's careers page and normalized into a canonical job model.