Full-Time

Operational Improvement Program Manager

GenAI

Posted on 11/18/2025

Abacus Insights

Abacus Insights

201-500 employees

Cloud-based payer data integration platform

No salary listed

Remote in USA

Remote

US Citizenship Required

Category
Business & Strategy (1)
Required Skills
Risk Management
Data Analysis
Requirements
  • 5+ years in operations, process improvement, or technology-enabled transformation.
  • Proven track record of delivering measurable operational improvements and cost savings.
  • Deep hands-on experience with automation and GenAI technologies at production with quantified impacts.
  • Strong change management and stakeholder engagement skills.
  • Strong analytical skills with a data-driven approach to problem-solving and decision-making.
  • Excellent leadership and cross-functional indirect management skills.
  • Exceptional communication and presentation skills, with the ability to convey complex ideas clearly and persuasively.
  • Strategic thinker with the ability to develop business cases with quantified ROI
  • Collaborative mindset with the ability to work effectively across cross-functional teams.
  • "Roll up your sleeves mentality" working side-by-side with your team.
  • Demonstrated ability to thrive in a fast-paced, dynamic startup environment.
Responsibilities
  • Develop and execute a multi-year operational efficiency strategy aligned with Abacus Insights' growth and margin objectives.
  • Establish governance for intake, prioritization, and execution of efficiency and automation initiatives.
  • Drive high-level business case development to justify investments with clear ROI articulation
  • Define standards for process mapping, value modeling, and benefits realization.
  • Set near-term goals, in partnership with functional leads, and create actionable plans to realize targeted efficiency improvements over near-term time horizons.
  • Lead the identification technology-drive, including GenAI, automation solutions across business functions.
  • Partner closely with functional leaders to deploy solutions at enterprise scale.
  • Partner with Information Security and Engineering to implement custom and off-the-shelf tools.
  • Ensure solutions are secure, compliant, and scalable, with robust monitoring and telemetry, including utilization of tools.
  • Drive structured change management programs to ensure adoption of new tools and processes.
  • Serve as the visible advocate for change, communicating progress and success stories across the organization.
  • Launch and lead an Operational Efficiency Community of Practice to share best practices and reusable assets.
  • Build and maintain a knowledge repository of playbooks, templates, and case studies.
  • Define and maintain an impact scorecard to track efficiency gains and adoption metrics; monitor impact vs. business cases / estimated impact.
  • Partner with Finance to validate benefits and translate them into margin improvement.
  • Report progress to the COO and executive leadership team on a regular cadence.
Desired Qualifications
  • Experience in healthcare technology or payer/provider ecosystems.
  • Lean Six Sigma or similar process improvement certification.

Abacus Insights provides a cloud-based data transformation platform for health plans that ingests data from claims, clinical records, and member eligibility and consolidates it into a unified, usable data set. It creates a 360-degree view of the patient and serves as a data layer that decouples data from analytics tools, delivering secure, HIPAA-compliant data feeds tailored to specific business uses. The company differentiates itself with payer-specific data workflows, a focus on cleaning and unifying siloed data, and leadership with deep payer and clinical expertise, enabling health plans to use their preferred analytics tools. Its goal is to help health plans improve clinical outcomes, reduce costs, and enhance member experiences by providing high-quality, accessible data for decision making.

Company Size

201-500

Company Stage

Series D

Total Funding

$132.5M

Headquarters

Boston, Massachusetts

Founded

2017

Simplify Jobs

Simplify's Take

What believers are saying

  • Databricks partnership accelerates proprietary generative AI products for payer outcome improvements.
  • Tech Mahindra and ZS partnerships de-risk implementations and expand market reach at scale.
  • Stars Performance Data Solution directly addresses Medicare quality metrics driving payer ROI.

What critics are saying

  • CMS TEFCA mandate effective January 2026 commoditizes proprietary data transformation via QHIN networks.
  • Komodo Health's 330M-life Healthcare Map undercuts Abacus' 23M scale with price compression.
  • Optum's Change Healthcare acquisition captures Blue Cross partnerships through bundled claims dominance.

What makes Abacus Insights unique

  • Purpose-built cloud platform exclusively designed for health plan payer data transformation needs.
  • Manages data for 23 million U.S. health insurance members with 15-minute data delivery velocity.
  • Physician-founded by Dr. Minal Patel with deep payer operations and McKinsey consulting expertise.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

-4%

2 year growth

-7%
Abacus Insights
Mar 20th, 2026
What We Heard at HIMSS26: The Payer Perspective (3 Key Shifts)

What Abacus Insights Inc. heard at HIMSS26: the payer perspective (3 key shifts). Manage Cookie Consent To provide the best experiences, Abacus Insights Inc. use technologies like cookies to store and/or access device information. Consenting to these technologies will allow Abacus Insights Inc. to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions. Contact Us

Mahindra Group
Sep 3rd, 2025
Tech Mahindra and Abacus Insights Partner to Simplify U.S. Healthcare Data Compliance

By integrating Abacus Insights' leading platform with Tech Mahindra's delivery capabilities, we are de-risking implementations and helping customers achieve future-ready interoperability at scale.

.406 Ventures
Aug 22nd, 2024
Increase Medicare Star Ratings with Insights-Ready Data(TM) from Abacus Insights' Stars Performance Data Solution

Abacus Insights, the leader in data usability for U.S. payers, is launching its breakthrough Stars Performance Data Solution to equip payers with the insights-ready data[TM] to accelerate improvement in quality outcomes and member and provider experience, which will in turn boost Medicare Star Ratings.

Digital Convergence Technologies
Mar 1st, 2023
Building a Secure Offshore Delivery Center for Healthcare Data Management

DCT partnered with Abacus Insights to build an offshore captive centre in Pune, India.

Business Wire
Nov 29th, 2022
Zs And Abacus Insights Partner To Bring Innovative Data And Analytics To Health Plans

EVANSTON, Ill. & BOSTON--(BUSINESS WIRE)--As ZS continues to help health plans evolve and transform, the firm announced today an investment in and partnership with Abacus Insights, a healthcare technology leader with a groundbreaking offering in data usability that rapidly accelerates the achievement of key health plan goals including efficiency, equity, health services and member outcomes. “At ZS, we believe the future of healthcare is connected, with providers, health plans, pharma companies and other stakeholders working together,” said ZS CEO Pratap Khedkar. “Usable data from Abacus Insights is a key enabler and connecter, and we take seriously our role in helping health plans innovate and excel. Partnerships like this one between ZS and Abacus Insights will be increasingly important in a connected health ecosystem.”

INACTIVE