The posting
About Us
Abacus Insights is transforming how data and AI work for health plans. Our mission is simple: make healthcare data usable, so the people responsible for care and cost decisions can act faster, with confidence.
As the AI and Data Platform for Payer Intelligence, we help health plans break down data silos to create a single, trusted data foundation. That foundation powers better decisions—so plans can improve outcomes, reduce waste, and deliver better experiences for members and providers alike. Backed by $100M from top investors, we're tackling big challenges in an industry that's ready for change. Our platform enables GenAI use cases by delivering clean, connected, and reliable healthcare data to support automation, prioritization, and decision workflows—and it's why we are leading the way.
Our innovation begins with people. We are bold, curious, and collaborative—because the best ideas come from working together. We embrace the thoughtful use of AI and automation to drive innovation and efficiency, and we look for individuals who are curious and adaptable—those excited to leverage emerging technologies to enhance how we work—while keeping human insight, connection, and our clients at the center of every decision.
Ready to make an impact? Join us and let's build the future together.
About Us
Abacus Insights is transforming how data and AI work for health plans. Our mission is simple: make healthcare data usable, so the people responsible for care and cost decisions can act faster, with confidence.
As the AI and Data Platform for Payer Intelligence, we help health plans break down data silos to create a single, trusted data foundation. That foundation powers better decisions—so plans can improve outcomes, reduce waste, and deliver better experiences for members and providers alike. Backed by $100M from top investors, we’re tackling big challenges in an industry that’s ready for change. Our platform enables GenAI use cases by delivering clean, connected, and reliable healthcare data to support automation, prioritization, and decision workflows—and it’s why we are leading the way.
Our innovation begins with people. We are bold, curious, and collaborative—because the best ideas come from working together. We embrace the thoughtful use of AI and automation to drive innovation and efficiency, and we look for individuals who are curious and adaptable—those excited to leverage emerging technologies to enhance how we work—while keeping human insight, connection, and our clients at the center of every decision.
Ready to make an impact? Join us and let’s build the future together.
About the Role
Abacus Insights is looking for a Manager, Business and Data Analysis to lead a distributed team of Business and Data Analysts within Client Solutions. This is a hands-on people leadership role requiring prior experience as a manager with direct responsibility for leading, developing, and managing teams. The Manager will lead team members based in Pune as well as other delivery locations, requiring the ability to effectively manage distributed teams across locations and time zones.
You will bring strong experience working with US healthcare payer data, healthcare administration systems, and complex healthcare use cases, with demonstrated exposure to areas such as HEDIS and quality measures, CMS interoperability, risk adjustment, prior authorization, claims, provider, membership and eligibility, and other payer-focused analytics or implementation use cases. You will be accountable for both people leadership and delivery excellence, ensuring the quality of requirements, data analysis, solution design, mapping, and supporting documentation critical to successful client implementations.
This is a working-manager role. You will stay close to client delivery and technical analysis while coaching the team, managing capacity and priorities, resolving escalations, and partnering with Business Solution Managers, Solution Architects, Data Engineering, QA, Product, and Program Management.
Your day to day
Lead the Team
- Lead, coach, and develop a geographically distributed team of Business and Data Analysts, ensuring strong performance, engagement, and career development.
- Manage day-to-day people leadership, including performance management, workload allocation, development planning, and succession readiness.
- Establish clear expectations, operating rhythms, and accountability across locations and time zones to drive consistent communication and delivery.
- Manage and balance team capacity and priorities across multiple client programs, adjusting resources as business and engagement needs evolve.
- Establish and reinforce standards, templates, review mechanisms and best practices for requirements gathering, data analysis, source-to-target mapping, solution documentation, and validation.
- Review and guide team deliverables to ensure requirements and analysis are clear, complete, technically sound, and implementation-ready.
Deliver Client Outcomes
- Lead complex US healthcare payer data and implementation engagements, providing senior-level oversight across client requirements, analysis, solution design, and delivery.
- Apply deep payer domain expertise across claims, membership/eligibility, provider, clinical, authorization, benefits, and encounters to guide solutions aligned with broader business objectives.
- Lead and support healthcare use cases including HEDIS/Stars, CMS interoperability, FHIR, risk adjustment, prior authorization, payment integrity, value-based care, and other payer data initiatives.
- Translate client business, regulatory, and operational needs into clear business and data requirements, solution designs, mappings, acceptance criteria, and implementation-ready documentation.
- Guide analysts in data profiling, data-quality analysis, reconciliation, and root-cause investigations, translating complex findings into actionable recommendations and ensuring solutions address the end-to-end business use case.
- Serve as a senior client-facing domain and analysis lead, facilitating complex requirements discussions, resolving healthcare data and implementation questions, and managing sensitive conversations and delivery escalations.
Stay Hands-On with Delivery
- Operate as a hands-on working manager, maintaining the technical and delivery depth to review analysis, challenge assumptions, and step into critical workstreams when needed.
- Use SQL and analytical tools to validate findings, investigate complex data issues, and provide technical guidance to the team.
- Review key implementation artifacts, including business and technical requirements, data mappings, validation approaches, and acceptance criteria, ensuring quality and implementation readiness.
- Partner closely with Data Engineering and QA to resolve data mapping, transformation, quality, and implementation challenges.
- Drive root-cause analysis and scalable problem-solving, ensuring solutions address underlying issues and can be reused across clients and use cases.
Partner Across Delivery
- Partner with Business Solution Managers, Solution Architects, Product, Engineering, QA, and Program Management to drive alignment and successful client delivery.
- Ensure seamless hand-offs across requirements, solution design, engineering, QA, UAT, and production support, maintaining clarity and accountability throughout the delivery lifecycle.
- Translate effectively between business and technical stakeholders, while communicating delivery status, risks, dependencies, and outcomes to senior leadership.
- Serve as a senior escalation point for client, domain, requirements, and data-analysis issues, driving timely resolution of complex concerns.
- Drive continuous process improvement across the team and provide support for QA, client delivery, and production/application support as needed.
What you bring to the team
Must Have
- Bachelor’s degree in Healthcare Administration, Computer Science, Engineering, Information Systems, or a related field, or equivalent professional experience.
- 8+ years of experience in Business Analysis, Data Analysis, healthcare consulting/technology, or related roles, with strong exposure to the US healthcare payer domain.
- Proven people management experience, including leading and developing geographically distributed teams and managing team capacity, priorities, and delivery risks.
- Strong knowledge of US payer data and business processes, including claims, provider, membership/eligibility, prior authorization, encounters, clinical, and benefits data across Medicare, Medicaid, and Commercial plans.
- Hands-on experience with payer-focused use cases and regulatory initiatives such as HEDIS/Stars, risk adjustment, prior authorization, CMS interoperability, FHIR, and other healthcare interoperability standards.
- Strong SQL and healthcare data analysis skills, with experience working with large, complex datasets and modern data platforms such as Databricks and/or Snowflake.
- Experience with healthcare data modeling, data profiling, reconciliation, root-cause analysis, and data-quality investigations, including understanding dataset grain, relationships, and downstream implications.
- Strong experience gathering and translating business and data requirements into implementation-ready requirements, mappings, designs, acceptance criteria, and validation approaches.
- Proven client-facing experience, including leading requirements discussions and communicating effectively with senior business and technical stakeholders.
- Strong communication, organization, and attention to detail, with the ability to manage multiple client engagements and competing priorities in a fast-paced delivery environment.
What We’d Like to See, but Not Required
- Experience with additional payer use cases such as payment integrity, value-based care, provider analytics, care management, utilization management, or population health.
- Experience with Python or similar analytical/automation technologies.
- Experience with BI and visualization tools such as Power BI or Tableau.
- Experience growing teams, developing future leaders, and supporting hiring and succession planning.
- Experience working within consulting, client implementation, or SaaS/data-platform delivery organizations.
- Highly organized, self-motivated, and comfortable operating with limited supervision in complex delivery environments.
- Strong commitment to staying current with US healthcare regulations, payer priorities, data standards, interoperability requirements, and emerging technologies.
Compensation
Compensation for this role is based on experience, skills, and location, and includes base salary plus eligibility for performance bonuses and equity grants.
What you’ll get in return
- Competitive Leave & Benefits
- Comprehensive health coverage
- Equity for every employee – share in our success
- Growth-focused environment – your development matters here
Work arrangements
- Standard hours: 9 hours/day, 5 days/week
- Location: Pune, Onsite (1 PM - 10 PM IST)
- Shift: Your standard working hours will be nine (9) hours per day within the Company’s standard working hours. Specific working hours may vary based on business needs.
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.
Identity and Location Verification
To protect the integrity of our hiring process, all interviews are conducted by live video with your camera on. Virtual or blurred backgrounds and headsets are not permitted absent an approved accommodation, and you should be in a well-lit, private space where your face and surroundings are clearly visible. Candidates who advance may also be asked to complete identity and location verification, which may include verifying your identity, work history, and confirming that you are located where your application states. Applications containing knowingly false or materially misrepresented information, including identity, location, or credentials, may be disqualified, and any offer may be rescinded if a material misrepresentation is discovered at any point in the process.
If you need an accommodation for any part of the interview process, please let your recruiter know in advance.
By applying, you acknowledge that we will collect and process your personal information for recruiting purposes in accordance with applicable data protection laws, including for the verification steps described above. Please review our Applicant Privacy Notice for more information, including your rights.
