Full-Time

Client Success Director

Posted on 9/3/2026

Abacus Insights

Abacus Insights

201-500 employees

Cloud-based payer data integration platform

No salary listed

Remote in USA

Remote

Travel approximately 5–10% to client locations is required.

Bachelor's

Category
Sales & Account Management (1)
Required Skills
LLM
Product Management
Data Engineering
Financial analysis
Risk Management
Data Analysis

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Requirements
  • Minimum 10 years of experience in senior, client-facing roles across SaaS, professional services, or healthcare technology, with a proven track record of personally owning client outcomes.
  • Demonstrated portfolio or P&L accountability as the clear owner responsible for revenue retention, expansion, profitability, and client satisfaction for a defined book of business.
  • Ability to build trust and credibility with C-suite and VP-level stakeholders and represent decisions, tradeoffs, and outcomes internally and externally.
  • Ability to lead through influence in complex, matrixed environments by mobilizing cross-functional teams without direct management authority.
  • Strong financial acumen and risk-management judgment, including data-driven decision-making and the ability to anticipate commercial and delivery risks.
  • Healthcare payer domain expertise, including understanding how health plans operate and how data informs care management, member experience, and operational performance.
  • SaaS and data-platform fluency, including understanding how modern data products are built and delivered and translating technical capabilities into measurable client value.
  • Bachelor’s degree in Healthcare Administration, Computer Science, Business, Analytics, or equivalent relevant professional experience.
  • Willingness to travel approximately 5–10% to client locations.
Responsibilities
  • Own client outcomes, including retention, satisfaction, and measurable business value delivered through the Abacus platform.
  • Build and sustain C-suite and VP-level relationships with clients as a credible consultative partner.
  • Identify whitespace and expansion opportunities and partner with Sales to grow client accounts.
  • Anticipate client and commercial risks, raise them early, and drive resolution across teams.
  • Mobilize Client Data Engineering, Product, PMO, and Analyst teams to deliver client outcomes without direct reporting authority.
  • Translate client needs, feedback, and market context into actionable insight for internal teams.
  • Maintain high client satisfaction and loyalty and create conditions for clients to expand their partnership with Abacus.
  • Own all client escalations, including resolution, communication, and end-to-end follow-through.
Desired Qualifications
  • Prior experience operating as a General Manager, P&L owner, or franchise-style leader for a client portfolio or business unit.
  • Familiarity with healthcare interoperability standards such as CMS-0057, FHIR, and HL7 and the regulatory landscape affecting health plans.
  • PBM domain knowledge, including rebates, formularies, networks, claims adjudication, utilization, and operations.
  • Experience with cloud technologies and modern data platforms, including data lakes and GenAI-enabled workflows.
  • Track record of growing accounts through consultative selling, upselling, and cross-selling in partnership with Sales teams.
  • Exposure to healthcare payer operations, including claims, enrollment, provider networks, quality programs, or value-based care models.

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

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Simplify Jobs

Simplify's Take

What believers are saying

  • August 5, 2026 Payment Integrity Suite expands Abacus into a large payer spend category.
  • Tech Mahindra's September 2025 CMS interoperability partnership opens implementation-led sales.
  • Revelio shows 495 employees and 71 openings in March 2026, signaling expansion.

What critics are saying

  • Health plans already use two-to-seven PI vendors, making Abacus a replaceable layer.
  • Its 35 customers and 65 million lives create painful concentration if one flagship payer leaves.
  • CMS-0057-F standardization commoditizes interoperability, turning Abacus into a thin middleware layer.

What makes Abacus Insights unique

  • Abacus unifies claims, clinical, and non-claims data into payer-controlled infrastructure.
  • Its 150-plus connectors and 2026 AI-ready platform reduce custom integration work.
  • Blue Cross Blue Shield of Massachusetts gets updates in 15 minutes, proving operational depth.

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Benefits

Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

4%

1 year growth

2%

2 year growth

0%
Associated Press
Aug 5th, 2026
Abacus Insights launches payment integrity suite with AI-powered claims auditing for health plans

Abacus Insights has launched its Payment Integrity Suite, comprising three modular solutions designed to help health plans modernise payment integrity through unified data management. The suite addresses challenges faced by health plans, which typically use between two to seven vendors and rely on disconnected data silos across claims, member, provider, contract, and vendor information. The suite includes a Payment Integrity Data Foundation that unifies PI data across internal programmes and external vendors, the CoverSelf Platform for configurable pre-pay and post-pay claim editing, and an AI-enabled complex claim audit solution that helps reviewers identify payment errors more efficiently. "Payment integrity is about far more than recovering improper payments after they occur," said Minal Patel, founder and CEO of Abacus Insights. The platform serves 35 customers covering 65 million lives.

Business Wire
Aug 5th, 2026
Abacus Insights launches Payment Integrity Suite built on trusted data.

Abacus Insights launches Payment Integrity Suite built on trusted data. A unified data foundation helps health plans improve payment integrity and prepare for AI innovation BOSTON-(BUSINESS WIRE)-Abacus Insights today announced the launch of its Payment Integrity Suite, three modular solutions that help health plans modernize payment integrity (PI) through trusted data, payer-controlled visibility, and AI-enabled innovation. For most health plans, PI processes are complex and labor intensive. Health plans use between two to seven vendors for their PI programs and rely on disjointed data siloes across claims, member, provider, contract, and vendor data. This set up is time-consuming, labor intensive, and makes it difficult to measure performance, much less to improve payment accuracy. The Abacus Payment Integrity Suite addresses these challenges by helping plans build a unified PI data foundation. Without disrupting existing vendor relationships, this solution lets plans own, see and work with all their data. Additional solution modules include transparent claims editing and AI-powered complex claims auditing. "Payment integrity is about far more than recovering improper payments after they occur," said Minal Patel, MD/MPH, Founder and CEO of Abacus Insights. "Health plans need full visibility across the entire PI lifecycle so they can identify issues earlier, improve program performance, and confidently move forward with AI. "When it comes to AI, payers can have confidence with our data solution," added Patel. "It is governed, trustworthy, and relies on human-in-the-loop supervision, so you can believe in and verify the results." The Abacus Payment Integrity Suite includes: The Payment Integrity Data Foundation Finally, a single source of truth for PI. This data foundation helps health plans unify PI data across internal programs, external vendors, and operational workflows. As a result, PI leaders can see and measure how their programs and vendors are performing. They also gain a trusted data foundation for analytics, automation, and AI initiatives. Payment Policies and Claim Editing on the CoverSelf Platform CoverSelf is a unified payment integrity platform that brings payment policies, clinical policies, and claim edits together in one place. Any policy or edit can be configured to run pre-pay, post-pay, or both. Within the Abacus Payment Integrity Suite, the CoverSelf platform delivers self-service pre-pay and post-pay PI capabilities, built on its built-in Concept Library, one of the industry's most extensive libraries of continuously updated, clinically validated content. AI-Enabled Complex Claim Audit The complex claim audit solution combines AI-powered capabilities with trusted PI data to help reviewers identify, investigate, and resolve complex claim payment errors more efficiently. By accelerating research and surfacing supporting information, the solution makes reviewers more productive while allowing humans to make final determinations. Together, the three modular solutions help health plans improve payment accuracy, streamline operations, reduce administrative burden, and establish a scalable framework for future innovation. "Our vision is to provide plans with a PI platform that grows alongside their needs," Patel added. "Whether an organization is focused on improving program visibility, increasing payment accuracy, expanding operational control, or exploring new AI-enabled opportunities, the Payment Integrity Suite provides a foundation they can build on over time." About Abacus Insights At Abacus Insights, Business Wire, Inc. believe the right information, in the right hands, at the right time, improves health. And that for too long, health payer data has been disconnected and unusable. As data is now health plans' most strategic asset, Abacus Insights' AI data platform for payer intelligence quickly transforms their messy, disconnected data into a reliable, AI-ready infrastructure. A data infrastructure that powers business-critical analytics, agents, and real-world workflows. Building this infrastructure in-house takes long implementation cycles and highly skilled teams. Its clients skip that work, instead getting a proven platform, 150+ pre-built connectors, and deep payer expertise, backed by 35 customers and 65 million covered lives. Working with Abacus lets payers transform their business and power better health.

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.