Client Solutions Manager- CMS Interoperability

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. 

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 healthcare organizations 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 more than $81 Million from leading VC firms with deep expertise in the healthcare and technology industries. We are solving problems of massive scale and complexity in a sector 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:  

We are seeking an experienced professional with operational and data analysis experience in healthcare data focused on HL7, FHIR, and the CMS Interoperability mandates to join our client solutions team. The successful candidate will be the subject matter expert on HL7, FHIR, and CMS final rules 9115 and 0057. The Client Solutions Manager must have a proven track record in leading the identification and development of requirements in a client-based setting. 

You Will: 

• Client Solutions Requirements Management: Develop requirements in the form of use cases and data mappings that capture the client’s requirements.  Work with client’s designated subject matter expert to understand data requirements and gather into a Business Requirements Document (BRD) or a pre-defined playbook or specification. This may include elaborating on requirements with the client, capturing acceptance criteria, and identifying non-functional requirements. Requirements scope can vary across a broad range of client deliverables including reports, dashboards, data extracts or views into the data used by the client for operations or analytics. 
• Operational Expertise: Use your operational experience and knowledge of CMS mandates and  healthcare data to triage business requests and requirements.
• Requirements Validation: Perform a set of tests against the delivered solution and confirm all acceptance criteria are met before turning over the solution to the client. This is a validation step performed by the author of the business requirements with assistance from other team members to simulate the actual client user acceptance testing (UAT) as a precursor to the client’s actual UAT. This activity compliments core testing performed by the Abacus QA team. 
• User Acceptance Testing: Laise with the client and partner with team members to coordinate and progress the client’s UAT.
• Customer Relationship Management: Partner with Account Management, Program Management, Sales, and Product Management to develop strong customer relationships, resulting in reference customers.
• Collaboration and Coordination: Work closely with cross-functional teams, including business experts, technical business analysts, project managers, account executives and data engineers to successfully implement client projects.  Collaborate with Product Management to identify client-specific requirements that may translate into an existing standard product feature or a future feature on the product roadmap.
• Training and Support: Provide training 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. 
• Cross-Functional Communication: Serve as a bridge between the client and Abacus technical teams, effectively communicating business requirements to team members.  
• Change Management: Own and manage all net new requests from client, tracking resolution using internal project management tool.
• Awareness of Product Capabilities: Become educated and understand the strategy of new product launches, new features, and product upgrades, and how they support the client.
• Process Improvement: Conduct process analysis, process evaluation, and implement process improvements that lead to better solutions and client satisfaction. 

What We’re Looking For: 

• 5+ years’ experience working with healthcare data.  Minimum 2+ years' experience in CMS Interoperability solutions.  Strong working knowledge of US healthcare data, including but not limited to Medical Claims, Pharmacy Claims, Eligibility, Plan, Enrollment, Clinical, and Provider. 
• Strong understanding of healthcare industry trends, CMS regulations, and customer needs with preference for previous payer operational experience.  
• Demonstrated success driving client-facing conversations and navigating payer and payvider organizations to identify requirements.
• Bachelor’s degree in Health Care Administration, Computer Science, Business, Analytics, or equivalent experience.  
• Analytical thinker with the ability to understand and document business processes; elicit and identify implied requirements, extract insights, and translate them into comprehensive and cohesive requirements and requirement plans. 

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. We are dedicated to building diverse teams and providing equal employment opportunities to all applicants. Abacus prohibits discrimination and harassment of any type in regard to 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.