Abacus Insights · 2 days ago
Client Solutions Manager- CMS Interoperability
United States
Full-time
Remote
Mid, Senior Level
5+ years exp
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Responsibilities
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.
Qualification
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Required
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.
Company
Abacus Insights
Abacus Insights offers a data management solution to help healthcare providers improve costs and member outcomes for customers.
51-200 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
2023 (3)
2022 (5)
2020 (2)
Funding
Current Stage
Growth StageTotal Funding
$94.52MKey Investors
MultiPlanCRVAssurance 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
Gokul Varadharaj
VP Client Solutions
Recent News
SEC
2024-05-02
Company data provided by crunchbase
