Growth Analytics Manager, Payment Integrity

🔥 2 hours ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data Analyst

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Abacus Insights

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Abacus Insights is a leader in health plan data solutions that empowers healthcare payers by providing usable and interoperable data. The company offers a comprehensive suite of data solutions designed to address complex government mandates and improve payer readiness. Abacus Insights' platform is capable of consolidating and normalizing diverse data sources into comprehensive patient records, ensuring data accuracy, and facilitating timely data updates. Their solutions support multiple use cases, including risk adjustment, clinical data exchange, cost management, and performance reporting. With a focus on technology and healthcare, Abacus Insights helps payers manage costs and improve member experiences through enhanced data management capabilities.

📋 Description

• 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

🎯 Requirements

• 5–10+ years in a healthcare-related company (payer, provider, vendor, or consulting), with deep, hands-on experience in payment integrity • Sharp understanding of healthcare industry and financial reporting, including payer reimbursement methodologies, claims data, and medical cost trends • Deep knowledge of payment integrity concepts such as pre-pay and post-pay audit, DRG validation, coordination of benefits, and fraud, waste, and abuse detection • Subject matter expertise in healthcare data and analytics used by payers • Experience building and presenting executive-ready dashboards, KPIs, and performance reporting • Ability to juggle multiple priorities in a fast-paced, high-growth environment • Clear, polished, and empathetic communication style • Self-starter mentality and ability to thrive in ambiguity • Confidence engaging external customers and prospects in high-stakes sales conversations, including RFPs and executive-level presentations • Payment Integrity experience is required • Hands-on experience with SQL, Tableau, or PowerBI is listed as not required • Curiosity about healthcare tech and startups is listed as not required

🏖️ Benefits

• Unlimited paid time off – recharge when you need it • Work from anywhere – flexibility to fit your life • Comprehensive health coverage – multiple plan options to choose from • Equity for every employee – share in our success • Growth-focused environment – your development matters here • Home office setup allowance – one-time support to get you started • Monthly cell phone allowance – stay connected with ease • Eligibility for performance bonuses • Equity grants

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