Business and Data Analyst- Medicaid

Abacus Insights is a mission-driven, start-up technology company focused on transforming the healthcare payer industry, ultimately creating a more personalized patient experience, improving health outcomes, and lowering the overall cost of healthcare. Abacus Insights provides a flexible, efficient, and secure platform that organizes and exchanges healthcare data from various sources and formats, allowing our customers to uncover differentiated insights that address their clients' needs. Our employees know that they play an active role in keeping our customers' data safe and are responsible for ensuring that our comprehensive policies and practices are met.  

With our deep expertise in cloud-enabled technologies and knowledge of the healthcare industry, we have built an innovative data integration and management platform that allows healthcare payers access to data that has been historically siloed and inaccessible. Through our platform, these health insurance payers can ingest and manage all the data they need to transform their business by supporting their analytical, operational, and financial needs.  

Since our founding in 2017, Abacus has built a highly successful SaaS business, raising $100 Million by leading VC firms who have deep expertise in the healthcare and technology industries. We are solving problems of massive scale and complexity in an industry that is not only ready for disruption. We're growing quickly and would love for you to be a part of it!  

About the Role: 

Abacus Insights is looking for a Business and Data Analyst with 5+ years of experience working with Healthcare Administration software and associated data sets. As a member of the Business and Analysis Team within Client Solutions this role will focus on the decomposition of key requirements and the production of detailed design and analysis documentation that is critical to our client implementation success.  

The Client Solutions team is focused on the effective delivery of both requirements and design definitions so that our clients understand the path to business value realization.  

You Will: 

• Participate in consulting engagements with our clients. These engagements generally revolve around improving the operational performance as it relates to their current software platforms and identifying areas where Abacus Insights may be able to develop complementary solutions
• Use your hands-on experience and knowledge in either healthcare claims, provider management, benefits, eligibility, and/or contract management to analyze business requests and develop business requirements and systemic solutions
• Participate in on-site planning and requirements gathering and clarification sessions with customers
• Develop designs for modifications to existing Abacus Insights Platform components or for creating new components that work in concert with the existing Abacus Insights Platform
• Participate in the evaluation of new technologies and platforms as needed, including mobile, tablet and cloud services
• Analyze business requests and develop business requirements, design details, and systemic solutions
• Conduct process analysis, process evaluation and implement process improvements
• Analyze data/reports to validate quality of information, identify trends, highlight patterns, define inconsistencies and summarize/present findings and results
• Communicate and translate concepts to both business and technical personnel
• Assist as needed with QA and application support for clients and our product support group
• Any additional duties as determined by joint agreement between yourself and appropriate Abacus Insights management resources. 

 
What We're Looking For: 

• Bachelor’s degree in Health Care Administration, Computer Science, or other equivalent work experience or training
• Experience with SQL, databricks and/or snowflake
• Capacity to build and manage working relationships with internal and external team members
• Ability to multi-task and react positively to frequent changes in priorities
• Ability to communicate succinctly and clearly, both verbally and in writing, to technical and non-technical audiences
• Experience with requirements gathering and documentation
• Ability to positively impact process improvement and process management
• High level of project organization, attention to detail, and time management
• High level of motivation to solve existing problems while anticipating new issues
• 5+ years of experience working with Healthcare Administration software 

Nice to Have: 

• Highly organized, self-motivated, and able to complete complex tasks with little supervision
• Strong commitment to remaining current on market needs by participating in educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations
• Experience collaborating with internal and external departments to position company products and services competitively to address market and client needs 

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.