Business Solution Manager
Abacusinsights
Pune, IndiahybridPosted 19d ago
Domain
Requirements
- *Bachelor's degree in Healthcare Administration, Computer Science, or equivalent relevant professional experience
- *5+ years of experience working with healthcare administration software
- *Demonstrated experience in requirements gathering and documentation
- *Strong ability to communicate clearly and concisely with both technical and non-technical audiences
- *Proven ability to build and manage effective working relationships with internal and external stakeholders
- *Deep operational and business analysis experience in Pharmacy Benefit Management (PBM) operations
- *Hands-on experience in healthcare operations
- *Solid understanding of the pharmacy data domain
Nice to Have
- -High level of organization, attention to detail, and time management
- -Ability to multitask and adapt positively to shifting priorities
- -Strong problem-solving mindset with the ability to anticipate and address emerging issues
- -Experience contributing to process improvement and operational efficiency initiatives
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
We are seeking an experienced Business Solution Manager with deep operational and business analysis experience in Pharmacy Benefit Management (PBM) operations and datasets to join our Client Solutions team. In this role, you will lead requirements gathering, analysis, and solution definition to support payor clients across a range of PBM use cases, including:
Pharmacy Benefit Management data acquisition and payor integrations
Pharmacy benefit utilization analysis
Cost analysis and financial insights
Rebate tracking and analysis
Benefit structures and configuration
Claims and payment reconciliation
Operational processes supporting the above domains
This role requires a strong analytical thinker with hands-on experience in healthcare operations and a solid understanding of the pharmacy data domain. The successful candidate will have a proven track record of leading business requirements development in a client-facing environment and will excel at cross-functional collaboration and client engagement.
We are seeking an experienced Business Solution Manager with strong operational business analysis experience in Pharmacy Benefit Management (PBM) to join the Client Solutions team. This role leads requirements definition, solution validation, and client collaboration to support payor implementations and data-driven solutions.
Your day to day
Client Solutions & Requirements Management
Lead client requirements gathering and analysis with subject matter experts
Author clear Business Requirements Documents (BRDs) including acceptance criteria and non-functional requirements
Translate client needs into reports, dashboards, data extracts, and analytical views
Operational & Domain Expertise
Apply hands-on PBM and healthcare operations experience, including:
Pharmacy data and payor integrations
Utilization and cost analysis
Rebate tracking and benefit structures
Claims payment reconciliation and operational workflows
Solution Validation & UAT
Validate delivered solutions against documented requirements
Support and coordinate client
User Acceptance Testing (UAT)
in partnership with QA teams
Cross-Functional Collaboration
Partner with Product, Engineering, Account Management, Program Management, and Sales
Contribute client insights to product roadmap and feature prioritization
Client Relationship & Enablement
Support client engagement and serve as a trusted solutions partner
Assist with training internal teams and supporting client implementations
Process Improvement
Identify opportunities to improve processes, solution quality, and client satisfaction
What You Bring to the Team
Bachelor’s degree in Healthcare Administration, Computer Science, or equivalent relevant professional experience
5+ years of experience working with healthcare administration software
Demonstrated experience in requirements gathering and documentation
Strong ability to communicate clearly and concisely with both technical and non-technical audiences
Proven ability to build and manage effective working relationships with internal and external stakeholders
High level of organization, attention to detail, and time management
Ability to multitask and adapt positively to shifting priorities
Strong problem-solving mindset with the ability to anticipate and address emerging issues
Experience contributing to process improvement and operational efficiency initiatives
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
Work arrangements
Standard hours: 8 hours/day, 5 days/week
Location: Pune, Hybrid (3 days a week in office)
Shift: 12pm-9pm IST
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.