Abacus Insights · 7 hours ago
Solution Architect, Interoperability
United States
Full-time
Remote
Senior LevelAbacus Insights is transforming how data works for health plans, aiming to make healthcare data usable for better decision-making. They are seeking an experienced Solution Architect to support implementations, partner with customers, and craft scalable cloud architectures that address business problems and enhance the adoption of their offerings.
AnalyticsBig DataData IntegrationData ManagementHealth CareSaaS
Responsibilities
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
Qualification
Required
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
Preferred
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
Benefits
Unlimited paid time off – recharge when you need it
Work from anywhere – flexibility to fit your life
Comprehensive health coverage – multiple plan options to choose from
Equity for every employee – share in our success
Growth-focused environment – your development matters here
Home office setup allowance – one-time support to get you started
Monthly cell phone allowance – stay connected with ease
Company
Abacus Insights
Abacus Insights offers a data management solution to help healthcare providers improve costs and member outcomes for customers.
Founded in 2017
201-500 employees
H1B Sponsorship
Abacus Insights has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (8)
2023 (7)
2022 (1)
2021 (1)
2020 (4)
Funding
Current Stage
Growth StageTotal Funding
$94.52MKey Investors
Claritev CorporationCRVAssurance Capital
2022-06-16Series C· $40.92M
2020-06-16Series B· $35M
2019-05-30Series A· $12.7M
Leadership Team
Minal Kumar Patel
CEO and Founder
John Pyhtila
Chief Operating Officer
Recent News
2024-12-11
Company data provided by crunchbase