Boston, Massachusetts, United States · Remote OK
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…
Skills: DRG Audit, ICD-10-CM/PCS, Payment Integrity, Clinical Coding, Product Requirements Definition
Boston, Massachusetts, United States · Hybrid
$137k–$257k/yr
Description The Specialty Product Design and Modeling Team are the team behind the science of pricing for Liberty Mutual's Specialty Lines products (Landlord, Umbrella, Condo, Renters, Specialty Vehicles). Using advanced…
Skills: Predictive Analytics, Statistical Modeling, Python, SAS, Emblem
Boston, Massachusetts, United States · On-site
$89k–$136k/yr
Company Description Digitas is the Networked Experience Agency, built on the vision that we create magnetic experiences that earn the right for brands to exist in human networks. Today, and tomorrow. We deliver Networked…
Skills: Generative AI, Product Management, Agile Methodology, Prompt Engineering, BDD
Cambridge, Massachusetts, United States · On-site
Company Description By working at Harvard University, you join a vibrant community that advances Harvard's world-changing mission in meaningful ways, inspires innovation and collaboration, and builds skills and expertise…
Skills: Data Analysis, Econometrics, Python, Stata, R
Leominster, Massachusetts, United States · On-site
$94k–$130k/yr
#WeAreIn for driving decarbonization and digitalization. As a global leader in semiconductor solutions in power systems and IoT, Infineon enables game-changing solutions for green and efficient energy, clean and safe mob…
Skills: Process Optimization, Root Cause Analysis, 8D Problem Solving, Lean Manufacturing, Six Sigma
Lynn, Massachusetts, United States · On-site
$110k–$130k/yr
GENERAL SUMMARY The Forward Deployed Platform Application Developer builds, configures, tests, and supports user-facing solutions within Skypoint, Salesforce Nonprofit Cloud, and other approved enterprise platforms. This…
Skills: Salesforce Administration, Low-code Development, No-code Development, Workflow Automation, AI Agent Development
Cambridge, Massachusetts, United States · On-site
$147k–$211k/yr
Minimum qualifications: Bachelor’s degree or equivalent practical experience. 2 years of experience programming in C++. 2 years of experience with developing large-scale infrastructure, distributed systems or networks, o…
Skills: C++, Distributed Systems, Large-scale Infrastructure, Data Structures, Algorithms
Boston, Massachusetts, United States · Hybrid
$109k–$141k/yr
Bevi is on a mission to transform how beverages are delivered and consumed. Our connected beverage platform eliminates the need for single-use bottles and cans, making it easy, fun, and sustainable to stay hydrated. As t…
Skills: PCBA Design, Circuit Design, Altium Designer, EMI/EMC Compliance, Root Cause Analysis
Devens, Massachusetts, United States · On-site
$79k–$118k/yr
About Us: SMC Ltd. is a globally recognized premium supplier to the medical market with locations throughout the world. People committed to speed, technology, and exceptional performance are the cornerstone of our organi…
Skills: Automated Machinery Design, Programming, Simulation, ERP Systems, IQMS
Mountain View, California, United States · Hybrid
$175k–$210k/yr
Lightmatter is leading the revolution in AI data center infrastructure, enabling the next giant leaps in human progress. The company invented the world’s first 3D-stacked photonics engine, Passage™, capable of connecting…
Skills: Embedded Software Development, Firmware Development, Device Driver Development, Kernel Development, Hardware-Software Integration
Boston, Massachusetts, United States · Remote OK
$97k–$148k/yr
Who We Are PathAI's mission is to improve patient outcomes with AI-powered pathology. Our platform promises substantial improvements to the accuracy of diagnosis and the efficacy of treatment of diseases like cancer, lev…
Skills: Python, Vue.js, Django, Docker, AWS
Boston, Massachusetts, United States · On-site
$105k–$115k/yr
The Brattle Group, a privately held, global economics consulting firm, is looking for a Data and AI Engineer to join our Boston, MA office. The Data & AI Engineer is an early-career role within Brattle’s Data & AI Engine…
Skills: Python, SQL, Machine Learning, Generative AI, Data Engineering
Hanscom AFB, Massachusetts, United States · On-site
Position Summary Odyssey Systems has an exciting opportunity for a Senior Systems Engineer providing support to the Air Force Life Cycle Management Center/PEO Electronic Systems Directorate (AFLCMC/ES). The Air Force Pro…
Skills: Modular Open Systems Architecture, Systems Architecture Development, System Modeling, Interface Control Documentation, Requirements Development & Management
Boston, Massachusetts, United States · Hybrid
$119k–$221k/yr
Insurance touches people during some of the most challenging moments in their lives. Hi Marley is on a mission to transform how the P&C industry communicates, making those moments faster, easier, and more empathetic for …
Skills: React Native, Expo, iOS Development, Android Development, Xcode
Boston, Massachusetts, United States · Hybrid
$114k–$268k/yr
Insurance touches people during some of the most challenging moments in their lives. Hi Marley is on a mission to transform how the P&C industry communicates, making those moments faster, easier, and more empathetic for …
Skills: Node.js, TypeScript, React, AWS, Distributed Architectures
Massachusetts, United States · Remote OK
$107k–$159k/yr
Who We Are: Ghost Story Games is a self-publishing game development studio founded by Ken Levine (Creative Director of System Shock 2, Bioshock, and Bioshock Infinite) and former Irrational Games developers. The studio’s…
Skills: Systems Design, Level Design, Gameplay Pacing, Global Balance, Unreal Engine 4
Boston, Massachusetts, United States · Hybrid
$140k–$160k/yr
Northeast Bank is a full-service community bank and a national commercial real estate lender with offices in Maine, Massachusetts, New York, and Connecticut and California. We are looking for motivated and talented indiv…
Skills: IT Leadership, Cloud Administration, Infrastructure Management, Information Security, Automation
Waltham, Massachusetts, United States · On-site
$191k–$253k/yr
Anduril Industries is a defense technology company with a mission to transform U.S. and allied military capabilities with advanced technology. By bringing the expertise, technology, and business model of the 21st century…
Skills: C++, Python, Matlab, Kalman Filters, Particle Filters
Waltham, Massachusetts, United States · On-site
$220k–$292k/yr
Anduril Industries is a defense technology company with a mission to transform U.S. and allied military capabilities with advanced technology. By bringing the expertise, technology, and business model of the 21st century…
Skills: C++, Python, Matlab, Kalman Filters, Particle Filters
Waltham, Massachusetts, United States · On-site
$220k–$292k/yr
Anduril Industries is a defense technology company with a mission to transform U.S. and allied military capabilities with advanced technology. By bringing the expertise, technology, and business model of the 21st century…
Skills: C++, Python, Matlab, NoSQL, Machine Learning
Boston, Massachusetts, United States • Remote OK
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Translate DRG audit expertise into product capabilities by defining audit logic and shaping AI prompt libraries. Partner with engineering and data science teams to validate AI outputs and ensure the defensibility of healthcare payment integrity findings.
Requires an RN with 7+ years of DRG audit experience and an active coding credential such as CCS, CIC, RHIA, or RHIT. Must possess deep mastery of ICD-10 guidelines and experience in payer or vendor-side coding validation.
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.
The DRG Business Solutions Lead is the clinical-coding domain authority who will partner directly with product, AI engineering, and clinical leadership to translate DRG audit expertise into product capability. This is not a traditional auditor seat — this is a builder seat.
You'll sit at the center of how Abacus builds trustworthy AI for healthcare payment integrity — defining the audit logic, shaping the prompt libraries, validating AI outputs, and owning the defensibility standard that every Abacus finding must meet. It's a rare seat for a DRG expert: instead of applying your coding and appeal-defense expertise one claim at a time, you'll encode it into a product used at scale, working shoulder-to-shoulder with product, engineering, and clinical leadership to shape how the next generation of audit technology gets built.
AI / NLP Model Partnership
Compensation: Compensation for this role is based on experience, skills, and location, and includes base salary plus eligibility for performance bonuses and equity grants.
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.
Leader in healthcare data usability for payers
Abacus Insights is a healthcare technology leader with the only data usability platform and solutions built specifically for U.S. payers. We have a particular focus on making data actionable and usable to help payers meet interoperability mandates, improve quality and risk adjustment scores, achieve payment integrity and prepare a reusable, context aware data fabric for AI initiatives. Through our platform, payers gain a new level of control and flexibility with their data through accurate, timely, secure, and robust ecosystems that support broad scale analytics and operations. Managing data for 65+ million members, we partner with payers to deliver scalable solutions that drive strategic initiatives, control costs, and improve member lives and experiences.
Offices: 40 Broad St, Suite 600, Boston, Massachusetts 02109, US · 347 W 36th St, Unit 1100, New York, NY 10018, US
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