Client Solutions Manager - Medicaid - Remote

Overview

Abacus Insights is a mission-driven technology company focused on transforming the healthcare data 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. 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.

In Short

• Seeking an experienced professional with operational and business analysis experience in healthcare quality operations.
• Lead requirements gathering, analysis, and definition for solutions to support payer clients.
• Expertise in Medicaid regulations and best practices.
• Understanding of MCO operations, member management, and care management.
• Focus on health equity and improving health outcomes.
• Knowledge of quality measures, HEDIS measures, and CMS data sources.
• Experience in client engagement and cross-functional collaboration.
• Strong analytical thinking and problem-solving skills.
• Ability to manage client relationships and deliver business requirements.
• Thrive in a fast-paced, dynamic startup environment.

Requirements

• Bachelor’s degree in Health Care Administration, Computer Science, Business, Analytics, or equivalent experience.
• 5+ years operational experience in quality management programs focused on Medicaid processes.
• Strong working knowledge of US healthcare data, including Medical Claims and Pharmacy Claims.
• Demonstrated success in client-facing roles and navigating payer organizations.
• Strong communicator with ability to engage with technical and non-technical audiences.
• Analytical thinker with ability to document business processes and extract insights.
• High level of project organization, attention to detail, and time management.
• Ability to de-escalate customer complaints.
• Experience in process improvement and client satisfaction initiatives.

Benefits

• Work with a mission-driven technology company.
• Opportunity to impact healthcare outcomes.
• Collaborative and innovative work environment.
• Professional development opportunities.
• Flexible working arrangements.