Abacus Insights

Solutions Engineer

• Support ongoing and new implementations
• Partner with customers and internal teams to craft scalable, flexible, and resilient cloud architectures
• Solve customer business problems and accelerate adoption of Abacus offerings
• Demonstrate best practices for advanced cloud solutions and healthcare payer systems
• Support solutions involving claims processing, clinical informatics, provider systems such as EHR, and CMS Interoperability mandates
• Guide successful client adoption of Abacus core data management offerings
• Author project architecture design documents, data flows, sequence diagrams, and overall system architecture
• Define solutions primarily associated with CMS Interoperability and other data solutions
• Assess current business and system capabilities and define technology strategy roadmaps
• Collaborate with business experts, technical business analysts, project managers, sales/account executives, and data engineers on client projects
• Collaborate with Product Management on client-specific requirements and product roadmap features
• Define solution architecture visions for designated components
• Mentor internal teams and provide ongoing implementation support

Explore Solution Architect at Abacus Insights. Review requirements and application details.

Solution Architect

Full-stack Engineer

• Set the technical vision for building, securing, and scaling Abacus’s healthcare data and data applications platforms
• Translate business and customer needs into target-state architectures across data, applications, cloud, and agent-assisted engineering
• Create reusable application foundations, including application blueprints, integration contracts, and production-readiness gates
• Own or contribute to reference architecture for data ingestion, transformation, distribution, and serving
• Define architecture standards for scalability, high availability/disaster recovery, serverless patterns, and multi-tenant SaaS across AWS and Azure
• Design for HITRUST and GovRamp compliance in partnership with Security and Compliance
• Design scalable architectures for healthcare data solutions and analytical and operational serving layers
• Apply FHIR-based interoperability patterns and healthcare data standards
• Establish data contracts, lineage, quality controls, metadata, and integration patterns
• Define reusable user-management, tenant, role, permission, and administration patterns
• Partner with UX/Design on front-end and design-system standards
• Convert architecture standards into skills, rules, templates, and evaluation rubrics for agent-assisted development
• Evaluate agent-generated code and designs and help build quality scoring and review mechanisms
• Partner with AI Engineering on semantic/context layers, MCP and A2A agent interfaces, retrieval patterns, AI gateways, evaluation, traceability, and governed model access
• Contribute to Architecture and Data Guilds, hackathons, architecture reviews, pairing, pilots, and knowledge sharing
• Mentor engineers and Solution Architects as the role grows
• Establish lightweight architecture review mechanisms and measure adoption through reuse, exception volume, and escaped design defects
• Ensure architecture packages include deployment topology, support model, rollback strategy, and operational telemetry
• Partner with DevOps/Platform and Security on CI/CD, infrastructure as code, observability, and DORA metrics
• Deliver reference architectures, API/data contracts, starter implementations, architecture decision records, non-functional requirements, and operational-readiness checklists

Explore Software Architect at Abacus Insights. Review requirements and application details.

Software Architect

QA Engineer

• Build and ship production-grade automated validation frameworks, test harnesses, and evaluation pipelines across the AI lifecycle
• Design and evolve an AI testing platform integrated with Databricks and MLflow
• Create large-scale scenario-based test suites to validate agentic workflows, edge cases, long-tail scenarios, and failure modes
• Validate orchestration behavior, including tool use, memory, and decision logic
• Stress-test non-deterministic system behavior before production
• Define system contracts, guardrails, and safe-degradation patterns
• Define measurable LLM quality signals such as grounding, hallucinations, relevance, latency, and cost
• Integrate automated quality gates into CI/CD pipelines
• Ensure AI validation runs automatically on model, prompt, and code changes
• Build reusable libraries and components for consistent AI quality practices
• Own aspects of AI release readiness and define go/no-go criteria
• Partner with AI, platform, security, and delivery teams to establish quality criteria, tradeoffs, and confidence levels

Explore Senior AI Systems Quality Engineer at Abacus Insights. Review requirements and application details.

Senior AI Systems Quality Engineer

Consultant

• Own workstreams on client engagements from scoping and hypothesis development through analysis, recommendation, and implementation
• Lead client discovery sessions, workshops, steering committee updates, and executive readouts
• Diagnose issues, present data-backed recommendations, and secure buy-in from executives and payer sponsors
• Serve as Abacus’ internal subject matter expert and trusted advisor for payment integrity strategy, claims accuracy, and policy
• Investigate market, industry, and regulatory trends in payment integrity
• Analyze compliance with federal, state, and ERISA regulations
• Research contracts and design tailored payment integrity strategies, policies, and roadmaps
• Create and maintain payment integrity policy for external communication
• Lead cross-functional teams through implementation
• Manage client relationships and expectations, including scope, timelines, risks, and value realization
• Bring client and market insights to Product, Engineering, and Data/Analytics teams
• Apply interoperability standards to improve audit and record-retrieval workflows
• Configure and validate Payment Integrity accelerators in client Snowflake or Databricks environments
• Contribute to consulting methodologies, reusable frameworks, accelerators, and thought leadership

Explore Senior Consultant, Payment Integrity at Abacus Insights. Review requirements and application details.

Senior Consultant, Payment Integrity

Data Analyst

• Write and execute SQL daily to profile source data, test assumptions, quantify data quality, and prototype logic
• Analyze source data for field population, distributions, key integrity, duplicates, outliers, and gaps
• Reconcile and validate outputs against source systems and client benchmarks, investigate variances to root cause, and document findings
• Define and document business metrics and KPIs, including numerator, denominator, inclusion/exclusion logic, time basis, and grain
• Perform exploratory and root-cause analysis and provide quantified recommendations
• Produce data profiling reports, analysis readouts, and visualizations
• Lead discovery and requirements-gathering sessions for use cases
• Translate use cases into clear, testable requirements and maintain traceability from business need through testing
• Document source-to-target mappings, transformation logic, business rules, test conditions, and expected results
• Recommend dataset grain and structure and assess downstream impacts
• Identify dependencies and cross-workstream impacts; escalate them to the Business Solution Manager
• Recognize and shape reusable patterns across clients, states, and use cases
• Present analysis results, data quality findings, and recommendations to client stakeholders
• Represent client intent through delivery and serve as day-to-day point of contact for assigned use cases
• Translate between business and technical audiences
• Connect clients and internal delivery teams on assigned workstreams
• Serve as the business and data analysis SME for Solution Architects, Product, QA, Account Management, and Program Management
• Support QA and UAT with validation queries, expected results, variance analysis, and defect triage
• Maintain awareness of wider engagement impacts and flag ripple effects

Explore Senior Business and Data Analyst at Abacus Insights. Review requirements and application details.

Senior Business and Data Analyst

• Serve as the Payer Business Domain SME and consulting lead on client engagement teams
• Own workstreams from scoping and hypothesis development through analysis, recommendation, and implementation
• Structure ambiguous client problems, test hypotheses, and deliver data-backed recommendations to health plan executives
• Advise clients on HEDIS, STAR ratings, provider performance management, cost, quality, access, and network metrics
• Advise on contracting, network strategy, payment models, provider performance reviews, and regulatory compliance
• Analyze medical, pharmacy, financial, and provider performance data to identify insights, cost drivers, and trends
• Build and maintain BI reporting tools, dashboards, and AI-enabled analytics
• Design reporting strategies that streamline and automate payer operations workflows
• Manage client relationships, scope, timelines, risks, and value realization with the Engagement Manager
• Partner with Product, Engineering, and Data/Analytics teams to translate payer requirements into technical specifications
• Feed client and market insights into Product roadmap priorities
• Contribute to consulting methodologies, reusable frameworks, accelerators, and thought leadership

Explore Senior Consultant, Health Plan Performance at Abacus Insights. Review requirements and application details.

Senior Consultant, Health Plan Performance

Product Manager

• Own the technical product strategy, roadmap, and delivery for the Data Cloud and AI platform
• Build, lead, and scale the technical product management organization within Engineering
• Define the multi-year technical product strategy and roadmap for the cloud-native data platform and AI/ML infrastructure
• Own the technical product portfolio spanning FHIR, HL7, claims, EHR data ingestion, Databricks Lakehouse architecture, and AI/ML infrastructure
• Make investment, sequencing, and build-versus-buy-versus-partner decisions
• Own platform adoption, reliability, performance, unit economics, cloud costs, and FinOps outcomes
• Establish and report executive-level KPIs, including adoption, DORA metrics, data product SLAs, FinOps, and ROI
• Set technical direction for cloud infrastructure, distributed systems, APIs, and AI infrastructure across AWS, Azure, and GCP
• Establish standards for data quality, AI governance, HITRUST/HIPAA compliance, authentication/authorization, federation, and observability
• Champion Responsible AI, including AI gateways, evaluations, traces, drift detection, bias mitigation, FinOps, and clinical validation
• Drive an Agentic Driven Development operating model
• Lead complex cross-functional initiatives from conception to production and manage dependencies, risk, and technical debt
• Serve as the technical voice with enterprise health plan customers and strategic technology partners
• Partner with Sales, Marketing, and Client Success on go-to-market, pricing, packaging, briefings, and new products
• Lead, coach, and develop Directors and Technical Product Managers; own talent strategy, succession, organizational design, hiring standards, leveling, career ladders, and operating mechanisms
• Report to the CTO and collaborate with executive leaders across Engineering, Client Success, Legal, Security, and Finance

Explore Head of Technical Product Management at Abacus Insights. Review requirements and application details.

Head of Technical Product Management

• Own the analytics workstream on client engagements from scoping and hypothesis development through data modeling, analysis, and delivery of findings
• Partner with Payment Integrity and Payer Business Domain consultants to translate client questions into data models, reports, and analyses
• Travel onsite to client locations to gather requirements, support live engagements, and build relationships with client stakeholders
• Present data findings, dashboards, and analyses directly to client stakeholders, including steering committee updates and working sessions
• Design and manage queries and data pipelines in client Snowflake or Databricks environments
• Analyze client claims, pharmacy, and provider performance systems
• Perform deep-dive analyses of utilization trends, cost drivers, quality metrics, and provider performance
• Package findings into clear, presentation-ready outputs
• Leverage AI and automation to accelerate analysis, reduce manual reporting, and surface findings
• Ensure accuracy, consistency, and technical rigor across client-facing analytics deliverables
• Partner with Product, Engineering, and Data teams to scale, automate, and productize analytics workflows and tools
• Contribute reusable analytics frameworks, templates, and accelerators to consulting methodologies
• Maintain working knowledge of payer domain concepts

Explore Payer Analytics Consultant at Abacus Insights. Review requirements and application details.

Payer Analytics Consultant

Medical Director

• Drive new business growth by identifying, developing, and closing new health plan customer relationships
• Own the full sales cycle from prospecting and qualification through negotiation and close for new health plan logos
• Build and manage a healthy, accurately forecasted pipeline that delivers against quota
• Navigate complex, multi-threaded sales cycles across business, IT, and data/analytics functions within payer organizations
• Sell Abacus’s broader AI-enabled transformation vision across multiple problem areas
• Develop command of the Abacus platform, value proposition, and competitive landscape
• Deliver tailored presentations to technical and executive audiences
• Build long-term relationships with economic buyers, executive sponsors, and end users
• Partner with Sales Enablement, Product, and Engineering to shape client-specific solutions
• Act as the voice of the customer internally
• Represent Abacus at industry events, conferences, and networking opportunities
• Help shape Abacus’s sales playbook and go-to-market approach

Explore Sales Director, Healthcare Payer at Abacus Insights. Review requirements and application details.

Sales Director, Healthcare Payer

Data Engineer

• Design and implement data models, ETL/ELT pipelines, and integrations for governed, analytics-ready payer data foundations, especially in Snowflake
• Translate business requirements into scalable technical designs from ingestion and standardization through analytics-ready data products
• Serve as a trusted technical advisor to client data, IT, and business stakeholders, including senior leaders
• Work on-site with clients as engagements require
• Lead discovery sessions and workshops, gather requirements, and structure open-ended problems
• Communicate technical tradeoffs, risks, and recommendations to technical and non-technical audiences
• Advise clients on data quality, mapping, and integration approaches across commercial, government, and other lines of business
• Navigate healthcare interoperability standards and exchange patterns including FHIR, HL7, EDI, and APIs
• Partner with healthcare SMEs, AI/product engineers, and core delivery teams
• Preserve and apply Abacus data-modeling standards and best practices
• Capture reusable patterns, accelerators, and lessons learned for scalable service offerings
• Travel approximately 25% to support client engagements

Explore Data Engineer at Abacus Insights. Review requirements and application details.

• Track market, competitor, and regulatory trends for Abacus’ payment integrity solutions and provide insights to Product
• Collaborate across the company to improve performance measurement and analytical tools and reporting
• Build healthcare analytics offerings and demo materials covering payment integrity, medical cost management, value-based care, population health, risk adjustment, and HEDIS/Star ratings
• Deliver product demos with Sales and support RFPs and proposals with robust data
• Analyze the sales pipeline to forecast revenue and identify market opportunities
• Build executive-ready dashboards and KPIs for leadership and sales alignment
• Own analytics for deal margins, including revenue and cost models
• Contribute to pricing strategy using cost and implementation data
• Meet with clients and prospects to translate payer reimbursement methodologies, claims trends, and medical cost drivers into insights
• Uncover client challenges where Abacus can drive value

Explore Growth Analytics Manager, Payment Integrity at Abacus Insights. Review requirements and application details.

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