Solution Architect at Abacus Insights

Kathmandu Metropolitan City, Bagamati Province, Nepal -

Full Time

Start Date

Immediate

Expiry Date

14 Jun, 26

Salary

0.0

Posted On

16 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Cloud Architectures, Claims Processing, Clinical Informatics, EHR Systems, CMS Interoperability Mandate, Data Management Offerings, HEDIS, Payment Integrity, Technology Strategy Roadmap, Data Flows, System Architecture, GenAI Strategies, Agentic AI Strategies, Cloud Vendors, Data Platforms, Architecture Design Documents

Industry

Software Development

Description

About Us Abacus Insights is transforming how data works 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. 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 that can 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. 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 as well as data solutions such as CMS Interoperability, HEDIS and Payment Integrity. Your day to day Collaborate with customers’ business and IT teams to understand the current business and system capabilities and determine the desired state to define the overall technology strategy roadmap Author the project architecture design documents, including data flows, sequence diagrams and overall system architecture, that will drive the technical implementation of the solutions. Work closely with cross-functional Abacus 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. What you bring to the team 5 – 7 years of experience in the healthcare IT space, including prior experience in a customer-facing technical role 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. Strong communication skills to 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. Working knowledge of GenAI and agentic AI strategies, implementation and governance with a focus on leveraging for efficiency improvements. Working knowledge of CMS Interoperability Mandate (9115 / 0057). Broad technical knowledge as well as competencies in infrastructure, data models, databases, programming, frameworks, standards, and technical modeling. Strong experience with one or more cloud vendors (AWS / Azure / GCP) and data platforms (Databricks / Snowflake) desired. Ability to define the solution architecture vision in architecture design documents Experience translating business needs into technology solutions that enable delivery of the Abacus platform. Experience working in the payer / healthcare data space and understanding of the historical data architecture needs of our 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. Utilization Management / Care Management / Disease Management business processes / data structures. Medicaid data sets, specifically T-MSIS (Transformed Medicaid Statistical Information System) and how it is used by Medicaid plans. Master Data Management (MDM) processes, tools and strategies. What you’ll get in return Competitive Leave & Benefits Comprehensive health coverage Equity for every employee – share in our success Growth-focused environment – your development matters here Working Arrangements Standard hours: 9 hours/day, 5 working days Location: Onsite Shift: 10 AM – 7 PM local time 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.

Responsibilities

The Solution Architect will partner with customers and internal teams to design highly scalable, flexible, and resilient cloud architectures that solve customer business problems and accelerate the adoption of Abacus offerings. Responsibilities include authoring project architecture design documents, defining solution architecture visions, and collaborating with cross-functional teams for successful client project implementation.