Solution Architect

About Us

Abacus Insights is transforming how data works 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.
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 were tackling big challenges in an industry thats ready for change. Our platform enables GenAI use cases by delivering clean connected and reliable healthcare data that can support automation prioritization and decision workflowsand its why we are leading the way.

Our innovation begins with people. We are bold curious and collaborativebecause the best ideas come from working together. Ready to make an impact Join us and lets build the future together.

About the role

Our Solution Architecture team is looking to bring on an experienced Solution Architect to support both ongoing and new implementations. We see significant growth in our future and would love for you to be a part of it! You will partner with customers and numerous internal teams to craft highly scalable flexible and resilient cloud architectures that provide solutions to solve customer business problems and accelerate the adoption of Abacus offerings. As a Solutions Architect you will demonstrate best practices around advanced cloud solutions and healthcare payer systems including claims processing (i.e. Medical Vision Prescription claims) clinical informatics (e.g. Lab Results) provider systems such as EHR and CMS Interoperability mandate solutions. As a trusted customer advocate you will have the opportunity to guide a clients successful adoption of Abacus core data management offerings.

Your day to day

• Author the project architecture design documents including data flows sequence diagrams and overall system architecture that will drive the technical implementation of the solutions. This role will primarily focus on defining solutions associated with CMS Interoperability but may also work on other data solutions.
• Work across business and IT teams to understand the current business and system capabilities and determine the desired state to define the overall technology strategy roadmap
• Work closely with cross-functional teams including business experts technical business analysts project managers sales / account executives and data engineers to successfully implement client projects which reduce technology costs and solution redundancy.
• Collaborate with Product Management to identify client-specific requirements that may translate into an existing standard product feature or a future feature on the Abacus product roadmap.
• Define the solution architecture visions for designated components that describe the long-term goals as well as near-term needs of the client.
• Provide mentorship to internal teams on business needs and use cases for seamless client implementation. Provide ongoing support to address questions and issues raised by the implementation team.

What you bring to the team

• Understanding and passion for healthcare data and systems including payer provider and integration partners. Strong working knowledge of US healthcare data including but not limited to Medical Claims Pharmacy Claims Membership / Enrollment Provider and Clinical.
• Domain expertise in CMS Interoperability Mandate (9115 / 0057) - including the technology used to serve the mandated APIs as well as the data structures (FHIR) required to be compliant.
• Ability to define the solution architecture vision in architecture design documents
• Broad and general technical knowledge as well as competencies in infrastructure data models databases service orientation programming frameworks standards and technical modeling. Strong experience with one or more cloud vendors (AWS / Azure / GCP) and data platforms (Databricks / Snowflake) desired.
• Strong understanding of healthcare industry trends regulations and customer needs with preference for previous payer / Interoperability vendor experience
• Experience translating business needs into technology solutions that enable delivery of the Abacus platform.
• Strong communicator who can leverage their domain and technical expertise effectively with the client and build working relationships with internal and external team members. Ability to communicate succinctly and clearly both verbally and written across technical and non-technical audiences at multiple levels including business leaders.
• Experience working in the payer / healthcare data space and understanding of the historical data architecture needs of our clients.
• Understanding of client services or experience working for a cloud-based data management provider to large clients.

What we would like to see but not required:

• Working knowledge of Provider (EHR) Data formats and topics including FHIR X-12 HL-7 V2.3 and CCDA/CDA - as well as the general system architecture required to consume and make use of this data.
• Working knowledge of Utilization Management / Care Management / Disease Management.

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 cultureone 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 theres anything we can do to support thatbig or smallplease let us know.