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Abacus Insights is a mission-driven, growth-stage technology company focused on transforming the healthcare 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. 

With our deep expertise in cloud-enabled technologies and knowledge of the healthcare industry, we are transforming healthcare as the US leader in usable data for payers.  We have built an innovative data integration and management platform that allows healthcare payers access to data that has been historically siloed and inaccessible. As a result, these payers can ingest and manage all the information they need to transform their business by supporting their analytical, operational, and financial needs through our platform. In addition, 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.

Since our founding in 2017, Abacus has built a highly successful business, raising more than $80 Million by leading VC firms with profound expertise in the healthcare and technology industries. We are solving massive complex problems in an industry ready for disruption. We have powerful momentum and would love for you to be a part of it!

About the Role:

Come join our team! Help us tackle the data usability challenge for payers. Your expertise and experience will help drive meaningful performance outcomes. You'll also have the chance to advance your career, acquire new skills, and collaborate with some of the most innovative minds in payer data management.

We are seeking an experienced Senior Product Manager with Business Analyst with Health Data and AI subject matter expertise to join our growing team. You will act as a liaison between business stakeholders, data modeling, and technical teams, ensuring compliance with healthcare regulations, seamless data exchange, and efficient data integration between formats and systems. You will contribute expertise and experience in health data interoperability, AI use case solutioning, and technical requirements gathering in an effort to build AI solutions that drive business value for payers in critical program areas like Payment Integrity, Total Cost of Care, Risk Adjustment, HEDIS/Stars, Care Management, and related programs.  This role will help translate business requirements into actionable, documented technical requirements and strategies for hand-off to Implementation and Engineering teams for client onboarding and product development.  In addition, there will be an element of as analysis to help optimize internal work process coordination and implementation/deployment efficiency, helping our teams scale for the future.

You Will Be Responsible for:

• Drive product strategy, development and execution of Abacus AI/GenAI Solution(s) and ensure timely delivery and alignment with the market needs.
• Ensure smooth integration of external solutions (i.e. payer, 3^rd party vendor, etc.) in service of AI/GenAI and other offerings.
• Own the product roadmap for your domain and ensure its value delivery is optimized through ruthless quantified prioritization of features by balancing input from the market, customers, and internal stakeholders.
• Ensure product backlog is “shovel-ready” and presents Product Engineering with a clear problem statement and definition of done before their work can begin.
• Be the voice of the customer through regular client engagement, evaluating their needs against current product capabilities and potential future enhancements.
• Understand key Abacus technologies and partner with Product Engineering to effectively guide the enhancement of existing solutions and relentlessly evaluate emerging tech that enables Abacus to maintain its competitive edge and meet evolving customer needs.
• Collaborate closely with product engineering, delivery, support, sales and marketing to inform holistic perspective on product roadmap and ensure successful product launches.
• Conduct market research and analysis to identify trends, competitive landscape, and customer needs to inform product strategy and development.
• Actively engage with clients and key stakeholders (internal and external) to gather feedback, understand pain points, and drive continuous product improvements and innovation.
• Effectively connect with Executive Leadership to provide updates on product priorities, articulate the product strategy and direction, and solicit input to improve value delivery to clients and the market.
• Partner with client enablement to ensure new products and features are supported by an effective documentation collateral (e.g., user guides, implementation guides, etc.) to ensure their smooth implementation and optimized utilization.
• Collaborate with the product marketing team to create go-to-market strategies, product messaging, and marketing collateral to drive adoption and usage of the platform.
• Provide mentorship and guidance to junior product team members, fostering a culture of learning and growth within the team.

Must-Have Qualifications:

• Bachelor's degree in Computer Science, Engineering, Business, or related field.
• Minimum of 8 years of product management experience leveraging US healthcare data (claims, clinical, member, provider, CMS files, etc.) and standards (e.g., HL7, FHIR, EDI, CDA) as well as data platforms and analytics solutions, with hands-on experience in AI/GenAI, including LLMs, MCP and related technologies and best practices.
• Experience with integrating or implementing healthcare-related workflows and use cases involving critical payer operations such as Payment Integrity, Total Cost of Care, Risk Adjustment, HEDIS/Stars, Care Management, and related programs
• Proven track record of successfully launching and managing cloud-native products and services to support healthcare organizations.
• Strong overall experience in Databricks, AWS and/or Azure and related cloud infrastructure.
• Demonstrated ability to understand complex technical systems and experience working closely with engineering teams as well as vendor partners.
• Previous experience working with international teams (preference for India and / or Nepal) and proven track record of successful delivery in this environment.
• Excellent communication and presentation skills, with the ability to effectively communicate complex ideas to both technical and non-technical stakeholders.
• Experience with Agile and Scrum methodologies, and familiarity with product management tools (e.g., Jira, Confluence, ProductBoard).
• Exceptionally strong client / prospect acumen with the ability to both communicate product features and roadmap and listen empathetically to understand their needs/problems and how Abacus can solve their problems.
• Proficiency in SQL and/or other technology for data analysis and incorporating into AI use cases
• Strong project management skills with the ability to provide leadership in cross-functional teams to ensure on-time / on-budget delivery of commitments.
• A highly proactive get-it-done attitude and the skills to back it up.
• Self-starter with demonstrated ability to drive workstreams independently and manage risks with strong compass on when to escalate issues.
• Demonstrated ability to thrive in a fast-paced, dynamic startup environment.

Nice-to-Have Qualifications:

• Significant experience working at a healthcare payer in an operational role to support healthcare payers.
• Depth of expertise in CMS Compliance solutions (i.e. CMS-9115 or CMS-0057) and interoperability with experience bringing related products to market.
• Deep familiarity with cloud platforms (e.g., AWS, Azure, Databricks, Snowflake, etc) for hosting healthcare applications and data storage.
• Experience with programming languages (e.g. Python) and data visualization tools (e.g., Power BI, Tableau)

Equal Opportunity Employer

As a mission-led technology company that is 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 proudly dedicate extensive time and resources to building diverse teams and providing equal employment opportunities to all applicants. Abacus prohibits discrimination and harassment of any type 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.