Business Solution Manager

4 weeks, 1 day ago
Full-time
Mid Level
Data Science and Analytics
Abacus Insights

Abacus Insights

Abacus Insights simplifies healthcare data with intelligent solutions, unlocking data value and empowering health plans, consumers, and providers.

Insurance
51-250
Founded 2017
$82M raised

Description

  • Lead discovery sessions with client subject matter experts to understand use cases, pain points, outcomes, and success criteria.
  • Translate business needs into clear, testable requirements with traceability to the original intent.
  • Document requirements and convert them into source-to-target data designs, transformation logic, and business rules.
  • Determine dataset grain and structure based on business context and downstream use.
  • Map dependencies across workstreams, reports, and client use cases before finalizing designs.
  • Apply systems thinking to identify reusable patterns across clients, states, and use cases.
  • Write and execute SQL to analyze data, test assumptions, and prototype solutions.
  • Drive client requirements-gathering and clarification conversations throughout the engagement.
  • Serve as the client-facing point of contact and represent client intent through delivery.
  • Partner with Solution Architects, Product, QA, Account Management, and Program Management to ensure clean handoffs and avoid rework.

Requirements

  • Bachelor's degree or equivalent relevant experience.
  • 3+ years of experience in the US healthcare domain and with healthcare data.
  • Direct payer experience working with or for a US health plan in Medicare, Medicaid, or Commercial.
  • Working knowledge of core payer concepts such as membership/enrollment, provider, claims, and authorizations.
  • Ability to write and execute SQL; exposure to Databricks or Snowflake is desirable.
  • Experience eliciting and authoring business requirements in complex, data-driven environments.
  • Confident client-facing communication and facilitation skills.
  • Comfort operating with ambiguity and frequent reprioritization across multi-workstream engagements.
  • Demonstrated systems thinking and experience designing for reuse and scale across states, clients, or use cases.
  • Background that blends business analysis with hands-on data work, such as Business Analyst or Business Data Analyst experience (preferred).
  • Familiarity with HEDIS and Stars quality reporting, risk adjustment, payment integrity, value-based care analytics, provider data management, or CMS interoperability (CMS-0057) (preferred).
  • Working knowledge of data modeling concepts, including dataset grain and downstream impact (preferred).
  • Familiarity with Medicaid data or PBM platforms (preferred).

Benefits

  • Unlimited paid time off.
  • Remote work from anywhere.
  • Comprehensive health coverage with multiple plan options.
  • Base salary plus eligibility for performance bonuses and equity grants.
  • Equity for every employee.
  • Growth-focused environment with development support.
  • Home office setup allowance.
  • Monthly cell phone allowance.

Interested in this position?

Apply directly on the company website

Apply Now

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