Business Solution Manager
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Job Location:
Monthly Salary:
Posted on:
10 hours ago
Vacancies:
1 Vacancy
Job Summary
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
We are seeking an experienced Business Solution Manager with deep operational and business analysis experience in Pharmacy Benefit Management (PBM) operations and datasets to join our Client Solutions this role you will lead requirements gathering analysis and solution definition to support payor clients across a range of PBM use cases including:
- Pharmacy Benefit Management data acquisition and payor integrations
- Pharmacy benefit utilization analysis
- Cost analysis and financial insights
- Rebate tracking and analysis
- Benefit structures and configuration
- Claims and payment reconciliation
- Operational processes supporting the above domains
This role requires a strong analytical thinker with hands-on experience in healthcare operations and a solid understanding of the pharmacy data domain. The successful candidate will have a proven track record of leading business requirements development in a client-facing environment and will excel at cross-functional collaboration and client engagement.
We are seeking an experienced Business Solution Manager with strong operational business analysis experience in Pharmacy Benefit Management (PBM) to join the Client Solutions team. This role leads requirements definition solution validation and client collaboration to support payor implementations and data-driven solutions.
Your day to day
Client Solutions & Requirements Management
- Lead client requirements gathering and analysis with subject matter experts
- Author clear Business Requirements Documents (BRDs) including acceptance criteria and non-functional requirements
- Translate client needs into reports dashboards data extracts and analytical views
Operational & Domain Expertise
- Apply hands-on PBM and healthcare operations experience including:
- Pharmacy data and payor integrations
- Utilization and cost analysis
- Rebate tracking and benefit structures
- Claims payment reconciliation and operational workflows
Solution Validation & UAT
- Validate delivered solutions against documented requirements
- Support and coordinate client User Acceptance Testing (UAT) in partnership with QA teams
Cross-Functional Collaboration
- Partner with Product Engineering Account Management Program Management and Sales
- Contribute client insights to product roadmap and feature prioritization
Client Relationship & Enablement
- Support client engagement and serve as a trusted solutions partner
- Assist with training internal teams and supporting client implementations
Process Improvement
- Identify opportunities to improve processes solution quality and client satisfaction
What You Bring to the Team
- Bachelors degree in Healthcare Administration Computer Science or equivalent relevant professional experience
- 5 years of experience working with healthcare administration software
- Demonstrated experience in requirements gathering and documentation
- Strong ability to communicate clearly and concisely with both technical and non-technical audiences
- Proven ability to build and manage effective working relationships with internal and external stakeholders
- High level of organization attention to detail and time management
- Ability to multitask and adapt positively to shifting priorities
- Strong problem-solving mindset with the ability to anticipate and address emerging issues
- Experience contributing to process improvement and operational efficiency initiatives
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.
Required Experience:
Manager
Key Skills
- Organizational Management
- Presentation Skills
- Agile
- SAFe
- AWS
- Solution Architecture
- Conflict Management
- Data Management
- Scrum
- Team Management
- Pre-sales
- Management Consulting
About Company
Abacus Insights simplifies healthcare data with best-in-class data management solutions that improve data quality and drive valuable insights. We provide our customers with an intelligent platform that unlocks the value of data and removes the burden of maintaining legacy data managem ... View more
