Product Manager, Interoperability

About this role

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 to 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. We embrace the thoughtful use of AI and automation to drive innovation and efficiency, and we look for individuals who are curious and adaptable—those excited to leverage emerging technologies to enhance how we work—while keeping human insight, connection, and our clients at the center of every decision.

Ready to make an impact? Join us and let’s build the future together.

About the Role

Interoperability is no longer a compliance checkbox for health plans — it's fast becoming the operating model for how payers, providers, members, and other plans move data between them, and the requirements behind that shift are real. We are looking for a Product Manager to help lead our Interoperability portfolio: the point where regulation, clinical and claims data, and payer operations meet, and one of the most demanding, highest-stakes product problems in healthcare today.

Our platform delivers the APIs, data pipelines, portals, and consent capabilities that health plans and state programs depend on to meet CMS mandates and exchange data reliably across wildly different states, plan types, and technology environments. Our clients are counting on us to get this right, which is exactly why this role carries real weight from day one.

In this role, you will work alongside our existing Interoperability product lead and take real ownership of a substantial part of the portfolio — not a queue of someone else's decisions to execute, but genuine senior scope. You will set direction for the capabilities you own, interpret regulation, shape requirements, and drive open questions to closure yourself, on a team that treats your judgment as the reason you were hired.

The work spans the full interoperability picture rather than a single API or a single mandate. That includes Patient Access, Provider Access, Payer-to-Payer exchange, electronic prior authorization, consent and member attribution, the FHIR data and platform layer underneath all of it, and the portals, identity, and reporting capabilities that make it usable and auditable. It also includes what comes next: drug electronic prior authorization, provider directory requirements, and evolving HL7 and USCDI standards.

Within a few months, you're the person Engineering, Delivery, and Client Success come to for the capabilities you own. Within a year, you're setting the roadmap for those areas, not just running it.

Your day to day

• Own interoperability capabilities end to end. Take direct ownership of defined product areas across Patient Access, Provider Access, Payer-to-Payer exchange, electronic prior authorization, consent and attribution, or the platform capabilities that support them. Set strategy and roadmap priorities for your areas and partner with the existing product lead on the portfolio as a whole.

• Translate regulation into product. Read CMS rules and HL7 FHIR implementation guides closely, work out what they actually require of a payer platform, and turn that into product direction our teams and clients can act on. Distinguish what is mandated from what is a client preference, and document the reasoning so decisions hold up later.

• Define the work clearly. Produce PRDs, epics, user journeys, workflows, requirements, user stories, and acceptance criteria that engineering can build from and QA can test against. Write for people who were not in the room.

• Make the call and unblock people. Triage questions from Engineering, Delivery, QA, Sales, Client Success, clients, and external partners. Separate genuine product gaps from configuration, data quality, testing, and education issues, then either decide or drive the decision to closure quickly.

• Partner with Engineering and Architecture. Work with technical teams on API design, bulk data performance, FHIR mapping and validation, identity and authorization, observability, audit logging, and error handling. You do not need to write the code, but you do need to reason about the tradeoffs.

• Protect the standard product. Evaluate enhancement and customization requests for product fit, reuse potential, compliance implications, and commercial value. Guide implementation teams toward configurable, reusable solutions and push back on one-off work that weakens the platform.

• Support delivery through go-live and beyond. Contribute to release planning, implementation readiness, UAT, go-live, and stabilization. Stay engaged after launch to learn what worked, what did not, and what the next release should fix.

• Improve how we all work. Strengthen implementation playbooks, testing guidance, product documentation, FAQs, and internal enablement for Product, Engineering, Delivery, Sales, QA, and client-facing teams.

• Look ahead. Track changes across CMS rulemaking, HL7 FHIR, Da Vinci, CARIN, and the wider interoperability market. Use API usage data, implementation insights, support trends, and client feedback to guide where we invest next, and grow into ownership of emerging mandates as the portfolio expands. Build upon this strong foundation, and look for novel ways to introduce new value to payers including complementing high

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