Abacus Insights · 16 hours ago
Data Solutions Product Manager, Payment Integrity
United States
Full-time
Remote
Mid Level
3+ years expAbacus Insights is transforming how data works for health plans, aiming to make healthcare data usable for better decision-making. The role seeks an experienced Data Solutions Product Manager to lead the strategy and development of payment integrity data products, focusing on improving claims accuracy and preventing improper payments for US healthcare payers.
SaaSBig DataHealthcareAnalyticsData IntegrationData ManagementHealth Care
Responsibilities
Develop and execute the product strategy for assigned pre‑pay and post‑pay payment integrity data products, aligned with company objectives and payer business needs
Define and prioritize product roadmaps and features that deliver measurable business outcomes
Apply expertise in US healthcare payer data, payment integrity operations, and pre‑pay and post‑pay analytics to oversee the full product development lifecycle
Ensure solutions address real‑world payer challenges across claims accuracy, improper payment prevention, and recovery
Partner closely with Subject Matter Experts, Data Modeling, Data Quality, Engineering (Data & AI), Sales, and Customer Success teams to deliver high‑quality data products on time and within scope
Foster collaboration and ensure clear communication across functions
Engage internal and external stakeholders to gather requirements, understand payer workflows, and align product capabilities to unmet buyer needs
Clearly communicate product vision, progress, and performance metrics
Define and track KPIs to measure the success of pre‑pay and post‑pay payment integrity solutions
Use data‑driven insights to inform prioritization, optimize performance, and drive continuous improvement
Qualification
Required
3-5 years of experience in product management, including product strategy execution, data analytics, agile delivery, and relevant technologies and tools
Strong knowledge of US healthcare payer data, payer operations and/or analytics, and experience across Medicare, Medicaid, Marketplace, and Commercial insurance programs
Hands-on experience with payment integrity pre-pay and post-pay approaches, including relevant datasets such as claims, provider, member, enrollment, contracts/fee schedules, and clinical or adjustment notes
Experience applying advanced analytics and/or AI to operational or analytical payment integrity use cases
Excellent written and verbal communication skills with the ability to clearly explain complex concepts, influence stakeholders, and tell a compelling product story
Demonstrated ability to lead cross-functional teams and coordinate efforts across multiple roles to achieve product objectives
Proven ability to independently drive workstreams, lead through influence, manage risk, and escalate issues appropriately
Comfort operating in a fast-paced, evolving startup environment
Bachelors Degree in a relevant field (e.g., Data Science, Business Administration, Healthcare Management) or equivalent relevant professional experience
Preferred
Relevant certifications (e.g., Product Management, Data Analytics, Scrum Product Owner)
Experience with analytics and visualization tools (SQL, Power BI, Tableau)
Familiarity with Agile methodologies and product management tools
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.
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