# Senior Consultant, Payment Integrity at Abacus Insights

- Company: Abacus Insights
- What the company does: Abacus Insights offers a data management solution that standardizes data across the healthcare ecosystem by providing a highly secure unified data infrastructure that minimizes change management and maximizes analytics enablement to help healthcare providers... Backed by BlueCross BlueShield Venture Partners.
- Company website: https://abacusinsights.com
- Type: Startups
- Level: Senior
- Location: United States
- Work setup: On-site
- Posted: 2026-10-09
- Apply by: 2026-11-23
- Apply: https://boards.greenhouse.io/abacusinsights/jobs/8881394002?gh_jid=8881394002&utm_source=1752vc&utm_medium=careers
- Page: https://www.1752.vc/careers/jobs/abacus-insights-senior-consultant-payment-integrity/

## About the role

Payment Integrity is one of the highest-stakes problems in healthcare, and you’ll be Abacus’ internal authority on it: the trusted advisor and go-to Subject Matter Expert who helps us solve it right. The Senior Consultant, Payment Integrity is an individual-contributor role for a seasoned management consultant with deep payment integrity expertise, bringing the structured problem-solving, executive presence, and client-delivery discipline of a top-tier consulting firm. Found on 1752vc Careers, the job board for startup and VC roles.

## What they're looking for

- 10+ years of total experience in healthcare payment integrity, claims auditing, or reimbursement analysis (consulting or industry), with comfort working across clinical, operational, and data domains
- Demonstrated consulting craft: hypothesis-driven problem solving, structured analysis, executive-ready storytelling, and the ability to lead workstreams and influence senior client stakeholders without formal authority
- Deep, hands-on knowledge of complex claims auditing workflows and claim types (Inpatient/DRG validation, Outpatient modifiers, Post-Acute Care, Medical Necessity, Specialty/High Cost Drugs)
- Familiarity with provider risk arrangements (delegated risk, capitation, risk panels) and how payment integrity policy applies to them
- Working knowledge of federal, state, and ERISA regulations, and experience identifying and mitigating fraud, waste, and abuse, including reviewing contracts for compliance and responding to audits and escalated appeals
- Proven experience leading client relationships and engagements, including discovery sessions, workshops, and executive presentations, with comfort traveling to client sites as needed

Tags: Engineering

Source: 1752vc Careers, https://www.1752.vc/careers/jobs/abacus-insights-senior-consultant-payment-integrity/