Data Solutions Product Manager, Payment Integrity

Abacus Insights is transforming healthcare data usability for health plans, aiming to improve outcomes and reduce waste. They are seeking an experienced Data Solutions Product Manager for Payment Integrity to lead the strategy and development of data products that enhance claims accuracy and compliance for U.S. healthcare payers.

Responsibilities:

• Develop and execute the product strategy for assigned pre‑pay and post‑pay payment integrity data products, aligned with company objectives and payer business needs
• Define and prioritize product roadmaps and features that deliver measurable business outcomes
• Apply expertise in US healthcare payer data, payment integrity operations, and pre‑pay and post‑pay analytics to oversee the full product development lifecycle
• Ensure solutions address real‑world payer challenges across claims accuracy, improper payment prevention, and recovery
• Partner closely with Subject Matter Experts, Data Modeling, Data Quality, Engineering (Data & AI), Sales, and Customer Success teams to deliver high‑quality data products on time and within scope
• Foster collaboration and ensure clear communication across functions
• Engage internal and external stakeholders to gather requirements, understand payer workflows, and align product capabilities to unmet buyer needs
• Clearly communicate product vision, progress, and performance metrics
• Define and track KPIs to measure the success of pre‑pay and post‑pay payment integrity solutions
• Use data‑driven insights to inform prioritization, optimize performance, and drive continuous improvement

Requirements:

• 3-5 years of experience in product management, including product strategy execution, data analytics, agile delivery, and relevant technologies and tools
• Strong knowledge of US healthcare payer data, payer operations and/or analytics, and experience across Medicare, Medicaid, Marketplace, and Commercial insurance programs
• Hands-on experience with payment integrity pre-pay and post-pay approaches, including relevant datasets such as claims, provider, member, enrollment, contracts/fee schedules, and clinical or adjustment notes
• Experience applying advanced analytics and/or AI to operational or analytical payment integrity use cases
• Excellent written and verbal communication skills with the ability to clearly explain complex concepts, influence stakeholders, and tell a compelling product story
• Demonstrated ability to lead cross-functional teams and coordinate efforts across multiple roles to achieve product objectives
• Proven ability to independently drive workstreams, lead through influence, manage risk, and escalate issues appropriately
• Comfort operating in a fast-paced, evolving startup environment
• Bachelors Degree in a relevant field (e.g., Data Science, Business Administration, Healthcare Management) or equivalent relevant professional experience
• Relevant certifications (e.g., Product Management, Data Analytics, Scrum Product Owner)
• Experience with analytics and visualization tools (SQL, Power BI, Tableau)
• Familiarity with Agile methodologies and product management tools