About Us

Abacus Insights is transforming how data and AI work 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.

As the AI and Data Platform for Payer Intelligence, 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, we're tackling big challenges in an industry that's ready for change. Our platform enables GenAI use cases by delivering clean, connected, and reliable healthcare data to support automation, prioritization, and decision workflows—and it's why we are leading the way.

Our innovation begins with people. We are bold, curious, and collaborative—because the best ideas come from working together. We embrace the thoughtful use of AI and automation to drive innovation and efficiency, and we look for individuals who are curious and adaptable—those excited to leverage emerging technologies to enhance how we work—while keeping human insight, connection, and our clients at the center of every decision.

Ready to make an impact? Join us and let's build the future together.

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.

Your day to day

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 you bring to the team

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.