
51 - 200 employees
đ„ Healthcare
đŒ Consulting
đŠ Logistics
Healthcare âą Consulting âą 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.
đ„ 1 hour ago
đ Massachusetts â Remote
â° Full Time
đĄ Mid-level
đ Senior
đ» Solutions Engineer
đŠ H1B Visa Sponsor
đ» Ghost score 10%
Where this job comes from
Posted on Abacus Insights's careers page, not through a job board
First seen by Remote Rocketship 1 hour ago
Still open on Abacus Insights's site. Checked 6 minutes ago.

51 - 200 employees
đ„ Healthcare
đŒ Consulting
đŠ Logistics
Healthcare âą Consulting âą 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.
âą Support ongoing and new implementations âą Partner with customers and internal teams to craft scalable, flexible, and resilient cloud architectures âą Solve customer business problems and accelerate adoption of Abacus offerings âą Demonstrate best practices for advanced cloud solutions and healthcare payer systems âą Support solutions involving claims processing, clinical informatics, provider systems such as EHR, and CMS Interoperability mandates âą Guide successful client adoption of Abacus core data management offerings âą Author project architecture design documents, data flows, sequence diagrams, and overall system architecture âą Define solutions primarily associated with CMS Interoperability and other data solutions âą Assess current business and system capabilities and define technology strategy roadmaps âą Collaborate with business experts, technical business analysts, project managers, sales/account executives, and data engineers on client projects âą Collaborate with Product Management on client-specific requirements and product roadmap features âą Define solution architecture visions for designated components âą Mentor internal teams and provide ongoing implementation support
âą Understanding and passion for healthcare data and systems, including payer, provider, and integration partners âą Strong working knowledge of US healthcare data, including Medical Claims, Pharmacy Claims, Membership / Enrollment, Provider and Clinical data âą Domain expertise in CMS Interoperability Mandate (9115 / 0057), including mandated APIs and FHIR data structures âą Ability to define solution architecture vision in architecture design documents âą Broad technical knowledge across infrastructure, data models, databases, service orientation, programming, frameworks, standards, and technical modeling âą Strong experience with one or more cloud vendors (AWS, Azure, or GCP) desired âą Experience with data platforms such as Databricks or Snowflake desired âą Strong understanding of healthcare industry trends, regulations, and customer needs âą Previous payer / Interoperability vendor experience preferred âą Experience translating business needs into technology solutions âą Strong verbal and written communication skills across technical and non-technical audiences âą Experience working in the payer / healthcare data space âą Understanding of client services or experience working for a cloud-based data management provider to large clients âą Working knowledge of Provider (EHR) data formats and topics, including FHIR, X-12, HL-7 V2.3, and CCDA/CDA, not required âą Working knowledge of Utilization Management / Care Management / Disease Management, not required
âą Unlimited paid time off âą Work from anywhere âą Comprehensive health coverage with multiple plan options âą Equity for every employee âą Growth-focused environment âą Home office setup allowance âą Monthly cell phone allowance
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