Senior Business and Data Analyst

The role

You will act as the analytical engine between client business needs and data solutions. You will turn business questions into testable requirements and use SQL to profile and validate data.

What you will do

• Write and execute SQL daily to profile source data and test assumptions
• Analyze source data for field population, integrity, and gaps
• Reconcile and validate outputs against source systems and client benchmarks
• Define and document business metrics and KPIs
• Perform exploratory and root-cause analysis on client questions and data anomalies
• Summarize findings through data profiling reports and visualizations
• Lead discovery sessions to understand business context and success criteria
• Translate use cases into clear, testable requirements
• Document source-to-target mappings, transformation logic, and business rules
• Drive requirements-gathering conversations with client SMEs

Required qualifications

• Bachelor's degree, or equivalent relevant experience
• 5+ years working in the US healthcare domain and with healthcare data
• Payer experience required: direct experience working with or for a US health plan
• Working command of core payer concepts such as membership/enrollment, provider, claims, and authorizations
• Strong, hands-on SQL
• Demonstrated analytical rigor
• Experience defining metrics, mentoring junior analysts, and eliciting and authoring business requirements
• Confident client-facing communication
• Comfort operating with ambiguity and re-prioritizing frequently

Nice to have

• Exposure to Databricks or Snowflake
• Experience with BI and visualization tools (e.g., Tableau, Power BI, or similar)
• Familiarity with HEDIS and Stars quality reporting, risk adjustment, payment integrity, value-based care analytics, provider data management, or CMS interoperability (CMS-0057)
• Working knowledge of data modeling concepts
• Familiarity with Python or similar for analysis and automation

Benefits

• Competitive Leave & Benefits
• Comprehensive health coverage
• Equity for every employee
• Growth-focused environment

Before you apply

• All interviews are conducted by live video with your camera on
• Candidates may be asked to complete identity and location verification

About the company

Abacus Insights is transforming how data and AI work for health plans. They provide an AI and Data Platform for Payer Intelligence to help health plans create a single, trusted data foundation.