Business Solution Manager

Write and execute SQL to analyze and probe data, test assumptions, and prototype throughout requirements and design. Hands-on data work is core to this role, not occasional.

Drive requirements-gathering and clarification conversations with clients, since incomplete or poorly elicited requirements undermine everything built downstream.

Represent client intent throughout the engagement and remain an active point of contact through delivery.

Translate fluently between business and technical audiences, so both sides share the same understanding.

Be the central node connecting the client and the internal team, holding the business context and design drivers that shape the build.

Act as the client's SME for Solution Architects, Product, QA, Account Management, and Program Management, giving them clean hand-offs with the context, business rules, and logic they need to execute without rework or reinterpretation.

Hold the wider view across a multi-workstream engagement: understand how a decision made for one workstream affects the others, and flag those ripple effects before they surface as rework.

Bachelor's degree, or equivalent relevant experience.

3+ years working in the US healthcare domain and with healthcare data (claims, provider, membership/eligibility, benefits, prior authorization, or PBM).

Payer experience required — direct experience working with or for a US health plan (Medicare, Medicaid, or Commercial), whether in-house or through healthcare consulting.

Working command of core payer concepts such as membership/enrollment, provider, claims, and authorizations, enough to reason about business context rather than specialize narrowly in any one area.

Able to write and execute SQL to explore, probe, and prototype against data. SQL is required; exposure to Databricks or Snowflake is desirable. This is distinct from a software or data engineering background.

Experience eliciting and authoring business requirements in complex, data-driven environments.

Confident client-facing communication; able to drive a conversation and elicit requirements clearly.

Comfort operating with ambiguity and re-prioritizing frequently across a large, multi-workstream engagement.

Demonstrated systems thinking: a track record of designing for reuse and scale across states, clients, or use cases rather than solving each case in isolation — able to trace how a single requirement or data model decision affects other parts of a larger data ecosystem, and to weigh those second-order effects when making design trade-offs.

Background that already blends business analysis with hands-on data work, such as a Business Analyst or Business Data Analyst role.

Familiarity with HEDIS and Stars quality reporting, risk adjustment, payment integrity, value-based care analytics, provider data management, or CMS interoperability (CMS-0057).

Working knowledge of data modeling concepts, including how the grain and structure of a dataset shape its downstream use.

Familiarity with Medicaid data or PBM platforms.

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 #LI-SB1 #LI-Remote

Our Commitment as an Equal Opportunity Employer

As a mission-led technology company helping to drive better healthcare outcomes, Abacus Insights believes that the best innovation and value we can bring to our customers comes from diverse ideas, thoughts, experiences, and perspectives. Therefore, we dedicate resources to building diverse teams and providing equal employment opportunities to all applicants. Abacus prohibits discrimination and harassment regarding race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

At the heart of who we are is a commitment to continuously and intentionally building an inclusive culture—one that empowers every team member across the globe to do their best work and bring their authentic selves. We carry that same commitment into our hiring process, aiming to create an interview experience where you feel comfortable and confident showcasing your strengths. If there’s anything we can do to support that—big or small—please let us know.

AI Use in Recruitment

We use AI-powered tools throughout our recruitment process. This includes Greenhouse's Real Talent Matching Technology, which helps prioritize applications based on job-related criteria, as well as additional AI tools used to support sourcing, interview preparation, and other recruiting tasks. We do not remove the human element—our recruiters and hiring teams review all applications and make all decisions related to candidate progression and hiring, regardless of which tools are used to support that process.

By applying, you acknowledge that we will collect and process your personal information for recruiting purposes in accordance with applicable data protection laws. Please review our Applicant Privacy Notice for more information, including your rights.