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Abacus Insights

Cloud-based payer data integration platform

Growth Analytics Manager - Payment Integrity SME

Pre-Sales Solution EngineeringUpdated on Nov 11
Full-timeRemote in USA

About the Job

Requirements

  • Have 5–10+ years of experience in a healthcare-related company, such as a payer, provider, vendor, or consulting organization, with deep hands-on experience in payment integrity.
  • Understand healthcare industry and financial reporting, including payer reimbursement methodologies, claims data, and medical cost trends, as well as payment integrity concepts such as pre-pay and post-pay audit, DRG validation, coordination of benefits, and fraud, waste, and abuse detection.
  • Have subject matter expertise in the healthcare data and analytics used by payers.
  • Have experience building and presenting executive-ready dashboards, KPIs, and performance reporting that make complex data actionable.
  • Be able to manage multiple priorities in a fast-paced, high-growth environment.
  • Communicate clearly, professionally, and empathetically, and adapt presentations to the audience.
  • Be self-starting and able to work effectively amid ambiguity.
  • Engage external customers and prospects in high-stakes sales conversations, including RFPs and executive-level presentations.
  • Have a bachelor's degree in a related field or relevant professional experience.

Responsibilities

  • Track market, competitor, and regulatory trends related to Abacus payment integrity solutions and share findings with Product to help shape future direction.
  • Work across the company to improve performance measurement and communicate results through analytical tools and reporting.
  • Develop offerings and demo materials showcasing payment integrity, medical cost management, value-based care, population health, risk adjustment, and HEDIS/Star ratings.
  • Deliver product demonstrations with Sales and support RFPs and proposals with substantiated data.
  • Analyze the sales pipeline to forecast revenue and identify market opportunities, and build executive-ready dashboards and KPIs for leadership and the sales organization.
  • Build revenue and cost models to analyze deal margins.
  • Contribute to pricing strategy using cost and implementation data to help price data products.
  • Meet with clients and prospects to explain payer reimbursement methodologies, claims trends, and medical cost drivers, and identify challenges where Abacus can provide value.

Desired Qualifications

  • Have hands-on experience with SQL, Tableau, or Power BI.
  • Have an interest in healthcare technology, startups, and business growth.

About the Company

Abacus Insights

Cloud-based payer data integration platform

Abacus Insights provides a cloud-based data transformation platform for health plans to ingest data from claims, clinical records, and eligibility sources and unify it into a single patient view. The platform decouples data from analytics tools by delivering secure, HIPAA-compliant data feeds that support value-based care, risk adjustment, population health, and member engagement. It differentiates itself with payer-specific data workflows and leadership with deep payer and clinical expertise, turning messy data into clean, usable assets. Its goal is to help health plans improve clinical outcomes, reduce costs, and enhance the member experience through high-quality data for decision making.

Company size
201-500
Company stage
Series D
Total funding
$132.5M
Headquarters
Boston, MA
Founded
2017

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