Growth Analytics Manager, Payment Integrity

This is a fully remote position, open to applicants in Massachusetts.

📋 Description

• Monitor market dynamics, competitor activities, and regulatory developments related to Abacus’ payment integrity solutions, providing valuable insights to the Product team.

• Collaborate across various departments to enhance performance measurement, analytical tools, and reporting capabilities.

• Develop healthcare analytics offerings and demo materials focused on payment integrity, medical cost management, value-based care, population health, risk adjustment, and HEDIS/Star ratings.

• Conduct product demonstrations with the Sales team and support Requests for Proposals (RFPs) and proposals backed by comprehensive data.

• Evaluate the sales pipeline to project revenue and identify market opportunities.

• Create executive-ready dashboards and Key Performance Indicators (KPIs) to align leadership and sales efforts.

• Manage analytics related to deal margins, which include revenue and cost models.

• Contribute to the pricing strategy using insights from cost and implementation data.

• Engage with clients and prospects to translate payer reimbursement methodologies, claims trends, and medical cost drivers into actionable insights.

• Identify client challenges that Abacus can address to deliver value.

⛳️ Requirements

• 5–10+ years of experience in a healthcare-related organization (payer, provider, vendor, or consulting), with extensive, hands-on expertise in payment integrity.

• Strong understanding of the healthcare industry and financial reporting, particularly payer reimbursement methodologies, claims data, and medical cost trends.

• In-depth knowledge of payment integrity concepts, including pre-pay and post-pay audits, DRG validation, coordination of benefits, and detecting fraud, waste, and abuse.

• Subject matter expertise in healthcare data and analytics utilized by payers.

• Experience in creating and presenting executive-ready dashboards, KPIs, and performance reports.

• Ability to manage multiple priorities in a fast-paced, high-growth setting.

• Exceptional, polished, and empathetic communication skills.

• Self-motivated with the capacity to excel in ambiguous situations.

• Confidence in engaging external customers and prospects during high-stakes sales discussions, including RFPs and executive-level presentations.

• Experience in Payment Integrity is essential.

• Hands-on experience with SQL, Tableau, or PowerBI is not mandatory.

• A curiosity about healthcare technology and startups is also not required.

🏝️ Benefits

• Unlimited paid time off – recharge whenever you need it.

• Work from anywhere – flexibility that accommodates your lifestyle.

• Comprehensive health coverage – a variety of plan options to choose from.

• Equity for every employee – participate in our success.

• Growth-oriented environment – your development is important to us.

• Home office setup allowance – one-time support to help you get started.

• Monthly cell phone allowance – stay connected effortlessly.

• Eligibility for performance bonuses.

• Equity grants.