Payer Analytics Consultant

The role

You will serve as a dedicated data and analytics partner for health plans. You will turn client questions into data models, dashboards, and analyses while traveling onsite to client locations to gather requirements and present findings.

What you will do

• Own the analytics workstream on client engagements from scoping to delivery.
• Partner with Payment Integrity and Payer Business Domain consultants.
• Travel onsite to client locations to gather requirements and build relationships.
• Present data findings, dashboards, and analyses to client stakeholders.
• Design and manage queries and data pipelines in Snowflake or Databricks environments.
• Perform deep-dive analyses on utilization trends, cost drivers, quality metrics, and provider performance.
• Leverage AI and automation to accelerate analysis and reduce manual work.
• Ensure data accuracy and technical rigor across deliverables.
• Partner with Product, Engineering, and Data teams to scale analytics workflows.
• Contribute reusable analytics frameworks and templates to consulting methodologies.

Required qualifications

• Consulting background at a top-tier global firm or leading healthcare-focused advisory or analytics firm.
• 3+ years of consulting experience, including client-facing analytics delivery within a healthcare payer practice.
• 7-10+ years of total hands-on experience in healthcare data analytics.
• Demonstrated consulting craft in hypothesis-driven analysis and structured problem solving.
• Deep proficiency in SQL and Power BI and/or Tableau.
• Experience analyzing medical/pharmacy claims, provider performance, or payment integrity data.
• Strong client-facing communication and presentation skills.
• Comfort using AI-powered tools.
• Willingness and ability to travel onsite to client locations.
• Working familiarity with payer domain concepts.
• Bachelor’s Degree required.

Nice to have

• MBA, MHA, MPH, master’s in a quantitative field, or comparable advanced degree from a leading institution
• Experience with Python or another scripting language for data manipulation and automation
• Exposure to payment integrity specifically, including claims auditing and fraud/waste/abuse detection
• Exposure to provider performance or network analytics
• Experience with cloud data warehouses (e.g., Snowflake, Databricks, Redshift, BigQuery)
• Experience building reusable analytics accelerators or client-ready analytics products

Benefits

• Unlimited paid time off
• Work from anywhere flexibility
• Comprehensive health coverage with multiple plan options
• Equity for every employee
• Growth-focused environment
• One-time home office setup allowance
• Monthly cell phone allowance

Before you apply

• Requires current authorization to work in the United States without the need for employer sponsorship.
• Interviews are conducted via live video with camera on.
• Candidates may be asked to complete identity and location verification.

About the company

Abacus Insights is an AI and Data Platform for Payer Intelligence that helps health plans break down data silos. The company aims to make healthcare data usable to improve outcomes, reduce waste, and deliver better experiences.