Abacus Insights

Director

• Act as a strategic leader for payment integrity across Abacus, shaping internal approaches to pre‑pay, post‑pay, recovery, and FWA‑related use cases.
• Partner closely with Product, Engineering, Analytics, and Delivery teams to guide the design and evolution of payment integrity‑related capabilities, workflows, and analytical approaches.
• Translate complex payment integrity findings, data patterns, and industry practices into clear insights, narratives, and recommendations for internal stakeholders and leadership.
• Review and guide analytical methodologies to ensure accuracy, relevance, and alignment with payer operational realities.
• Contribute to internal frameworks, playbooks, and documentation that enable consistent, scalable payment integrity practices across teams.
• Serve as a thought partner to senior leaders on industry trends, regulatory considerations, and emerging payment integrity strategies.
• Support internal enablement by sharing expertise, best practices, and lessons learned to raise organizational fluency in payment integrity.

Director, Payment Integrity Strategy

AI Engineer

• Help shape the direction of our applied AI areas and intelligence features in our products.
• Drive the deployment of state-of-the-art AI models and systems.
• Develop novel data collection, fine-tuning, and LLM technologies.
• Design and implement ML/AI pipelines for data preprocessing, feature engineering, model training, hyperparameter tuning, and model evaluation.
• Work closely with cross-functional teams to deliver impactful AI solutions.
• Build scalable, reusable backend systems to support GenAI products across the company.
• Coach and mentor software and AI developers.

Senior AI Engineer, Databricks

QA Engineer

• Partner with clients and implementation teams to understand data distribution needs and expected outputs.
• Perform data analysis, data mapping, and validation of client deliverables.
• Build and maintain data extract scripts with guidance from senior engineers; troubleshoot and improve performance.
• Join client and internal team meetings to understand requirements, context, and timelines.
• Contribute to process improvements, documentation, and workflow efficiency within a collaborative engineering culture.

Data Quality Engineer Intern – Post Grad

Data Analyst

• Participate in consulting engagements with our clients. These engagements generally revolve around improving the operational performance as it relates to their current software platforms and identifying areas where Abacus Insights may be able to develop complementary solutions
• Use your hands-on experience and knowledge in either healthcare claims, provider management, benefits, eligibility, and/or contract management to analyze business requests and develop business requirements and systemic solutions
• Participate in on-site planning and requirements gathering and clarification sessions with customers
• Develop designs for modifications to existing Abacus Insights Platform components or for creating new components that work in concert with the existing Abacus Insights Platform
• Participate in the evaluation of new technologies and platforms as needed, including mobile, tablet and cloud services
• Analyze business requests and develop business requirements, design details, and systemic solutions
• Conduct process analysis, process evaluation and implement process improvements
• Analyze data/reports to validate quality of information, identify trends, highlight patterns, define inconsistencies and summarize/present findings and results
• Communicate and translate concepts to both business and technical personnel
• Assist as needed with QA and application support for clients and our product support group
• Any additional duties as determined by joint agreement between yourself and appropriate Abacus Insights management resources.

Business and Data Analyst – Healthcare

Engineer

• Act as a senior technical escalation point during production incidents
• Lead real-time incident triage, mitigation, and recovery efforts
• Drive root cause analysis (RCA) with a focus on systemic, long-term fixes
• Identify recurring failure patterns and push for architectural or operational improvements
• Partner with Customer Success and Engineering to manage customer impact during incidents
• Own post-launch reliability, stability, and operational quality of core systems
• Investigate and resolve complex field issues and production defects
• Ensure fixes developed during incidents or customer escalations are up streamed into the core product
• Improve operational readiness of services through better runbooks, monitoring, and alerting
• Reduce operational toil by converting repeated manual work into automation
• Engage directly with strategic customers to solve real-world, production-grade technical challenges
• Support complex deployments, integrations, and escalations in customer environments
• Act as a trusted technical partner to customers during high-impact issues
• Translate customer learnings into concrete product, platform, and operational improvements
• Contribute to reusable tools, playbooks, and best practices that accelerate future deployments
• Serve as a subject matter expert for AWS-hosted production systems
• Troubleshoot and resolve issues across:
• AWS compute, storage, networking, IAM, and security
• Databricks jobs, clusters, and Spark-based data pipelines
• Debug performance degradation, scalability issues, job failures, and data correctness problems
• Partner with platform and data teams to harden systems for reliability, scale, and operability
• Write production-quality code to:
• Automate operational workflows
• Improve reliability and observability
• Eliminate manual intervention and reduce incident frequency
• Contribute primarily in Python, with exposure to JVM-based systems as needed
• Review code with a strong emphasis on operability, resiliency, and maintainability
• Provide technical leadership without formal authority, influencing design and operational decisions
• Mentor engineers through pairing, reviews, and incident leadership
• Collaborate closely with Product, Engineering, Data, and Customer teams
• Operate effectively in high-pressure, ambiguous environments, especially during customer-impacting incidents

Principal Sustaining Engineer – Forward Deployed

Solutions Engineer

• Author the project architecture design documents
• Work across business and IT teams to understand current business and system capabilities
• Collaborate with cross-functional teams to implement client projects
• Collaborate with Product Management to identify client-specific requirements
• Define the solution architecture visions for designated components
• Provide mentorship to internal teams on business needs and use cases

Director, Payment Integrity Strategy

Senior AI Engineer, Databricks

Data Quality Engineer Intern – Post Grad

Business and Data Analyst – Healthcare

Principal Sustaining Engineer – Forward Deployed

Solution Architect, Interoperability