Solutions Architect- 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:

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 client’s successful adoption of Abacus’ core data management offerings.

You Will:

• 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 We're Looking For:

• 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.

Nice to Have:

• 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.

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.