About the company 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. Responsibilities 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. Requirements 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. Ability to define the solution architecture vision in architecture design documents Broad and general technical knowledge as well as competencies in infrastructure, data models, databases, service orientation, programming, frameworks, standards, and technical modeling. Strong experience with one or more cloud vendors (AWS / Azure / GCP) and data platforms (Databricks / Snowflake) desired. Strong understanding of healthcare industry trends, regulations, and customer needs with preference for previous payer / Interoperability vendor experience Experience translating business needs into technology solutions that enable delivery of the Abacus platform. Strong communicator who can leverage their domain and technical expertise effectively with the client and build working relationships with internal and external team members. Ability to communicate succinctly and clearly, both verbally and written, across technical and non-technical audiences at multiple levels, including business leaders. Experience working in the payer / healthcare data space and understanding of the historical data architecture needs of our clients. Understanding of client services or experience working for a cloud-based data management provider to large clients. What we would like to see, but not required Working knowledge of Provider (EHR) Data formats and topics – including FHIR, X-12, HL-7 V2.3, and CCDA/CDA - as well as the general system architecture required to consume and make use of this data. Working knowledge of Utilization Management / Care Management / Disease Management. 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 Our Commitment as an Equal Opportunity Employer As a mission-led technology company helping to drive better healthcare outcomes, Abacus Insights believes that the best innovation and value we can bring to our customers comes from diverse ideas, thoughts, experiences, and perspectives. Therefore, we dedicate resources to building diverse teams and providing equal employment opportunities to all applicants. Abacus prohibits discrimination and harassment regarding race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. At the heart of who we are is a commitment to continuously and intentionally building an inclusive culture—one that empowers every team member across the globe to do their best work and bring their authentic selves. We carry that same commitment into our hiring process, aiming to create an interview experience where you feel comfortable and confident showcasing your strengths. If there’s anything we can do to support that—big or small—please let us know. AI Use in Recruitment We use AI-powered tools throughout our recruitment process. This includes Greenhouse's Real Talent Matching Technology, which helps prioritize applications based on job-related criteria, as well as additional AI tools used to support sourcing, interview preparation, and other recruiting tasks. We do not remove the human element—our recruiters and hiring teams review all applications and make all decisions related to candidate progression and hiring, regardless of which tools are used to support that process. Identity and Location Verification To protect the integrity of our hiring process, all interviews are conducted by live video with your camera on. Virtual or blurred backgrounds and headsets are not permitted absent an approved accommodation, and you should be in a well-lit, private space where your face and surroundings are clearly visible. Candidates who advance may also be asked to complete identity and location verification, which may include verifying your identity, work history, and confirming that you are located where your application states. Applications containing knowingly false or materially misrepresented information, including identity, location, or credentials, may be disqualified, and any offer may be rescinded if a material misrepresentation is discovered at any point in the process. If you need an accommodation for any part of the interview process, please let your recruiter know in advance. By applying, you acknowledge that we will collect and process your personal information for recruiting purposes in accordance with applicable data protection laws, including for the verification steps described above. Please review our Applicant Privacy Notice for more information, including your rights.
