Business Solution Manager

Role Overview

• Own the Requirements-to-Design Arc
• Lead discovery sessions with client subject matter experts to understand the why and what behind each use case: the business context, pain points, expected outcomes, and success criteria, rather than just the surface-level data ask.
• Translate each use case into a set of clear, testable requirements, with the success criteria and non-functional requirements that define what done looks like, keeping full traceability from business need to requirement.
• Document the requirements unambiguously for the client and downstream teams, then translate them into a design the developers can build from: the source-to-target data flow, transformation logic, and business rules that produce the intended output.
• Determine the appropriate grain and structure of a dataset given the business context, so the design answers the real question rather than an approximation of it — and trace how that grain decision ripples into every downstream report, model, or program that consumes the data.
• Map the dependencies before finalizing a design: which other workstreams, reports, or client use cases touch this same data, and how a change here could break or benefit them.
• Apply systems thinking as a default habit, not an exception: recognize when a design built for one client, state, or use case can become a reusable pattern, and actively design toward that reuse rather than discovering it in hindsight.
• Work Hands-On With Data
• Write and execute SQL to analyze and probe data, test assumptions, and prototype throughout requirements and design. Hands-on data work is core to this role, not occasional.
• Be the Client-Facing Anchor
• Drive requirements-gathering and clarification conversations with clients, since incomplete or poorly elicited requirements undermine everything built downstream.
• Represent client intent throughout the engagement and remain an active point of contact through delivery.
• Translate fluently between business and technical audiences, so both sides share the same understanding.
• Collaborate Across Delivery
• Be the central node connecting the client and the internal team, holding the business context and design drivers that shape the build.
• Act as the client's SME for Solution Architects, Product, QA, Account Management, and Program Management, giving them clean hand-offs with the context, business rules, and logic they need to execute without rework or reinterpretation.
• Hold the wider view across a multi-workstream engagement: understand how a decision made for one workstream affects the others, and flag those ripple effects before they surface as rework.

Requirements

• Bachelor's degree, or equivalent relevant experience.
• 3+ years working in the US healthcare domain and with healthcare data (claims, provider, membership/eligibility, benefits, prior authorization, or PBM).
• Payer experience required — direct experience working with or for a US health plan (Medicare, Medicaid, or Commercial), whether in-house or through healthcare consulting.
• Working command of core payer concepts such as membership/enrollment, provider, claims, and authorizations, enough to reason about business context rather than specialize narrowly in any one area.
• Able to write and execute SQL to explore, probe, and prototype against data. SQL is required; exposure to Databricks or Snowflake is desirable. This is distinct from a software or data engineering background.
• Experience eliciting and authoring business requirements in complex, data-driven environments.
• Confident client-facing communication; able to drive a conversation and elicit requirements clearly.
• Comfort operating with ambiguity and re-prioritizing frequently across a large, multi-workstream engagement.
• Demonstrated systems thinking: a track record of designing for reuse and scale across states, clients, or use cases rather than solving each case in isolation — able to trace how a single requirement or data model decision affects other parts of a larger data ecosystem, and to weigh those second-order effects when making design trade-offs.

Tech Stack

• Node.js
• SQL

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