Jobs at SmartLight Analytics

Lead modernization efforts for data infrastructure as a Senior Data Engineer, focusing on ETL pipeline development and Snowflake implementation while mentoring peers and ensuring data security.

Lead end-to-end healthcare claims data initiatives: design and optimize SQL-based data models, develop claim adjustment sequencing and utilization metrics, apply transaction/standards expertise (837, 834, 820, HL7, CCDA), assess disparate data sources, identify data gaps, and partner with product, analytics, and engineering to deliver scalable, high-performance claims analytics with strong ownership and minimal oversight.

Lead product vision, roadmap, and lifecycle for healthcare-focused B2B SaaS products. Collaborate across stakeholders to discover needs, define requirements, prioritize backlog, support delivery with engineering and QA, and measure product performance to drive continuous improvement and business impact.

The Senior Lead of Payment Integrity manages the company's carrier network, ensuring operational excellence, fostering carrier relationships, and enhancing payment operations through analytics and continuous improvement.

Lead detailed audits of hospital/facility claims (UB-04, itemized bills, medical records) to identify DRG/coding errors, overpayments, and high-cost claim issues; negotiate with TPAs/carriers and stop-loss carriers to secure adjustments and recoveries; analyze claims data for trends; prepare client-facing documentation and savings reports; partner with analytics teams to improve claim-flagging.

Lead relationships with large self-insured employers to deliver healthcare data analytics solutions. Act as primary client contact, translate analytics into actionable recommendations, coordinate cross-functional teams, manage implementations and deliverables, present insights to executives, and identify opportunities to improve client programs and drive business growth.

Lead carrier engagement and payment integrity operations, delivering analytics-driven insights to clients and carriers. Oversee payment processes, quality assurance, escalations, cross-functional improvement initiatives, and team development to improve outcomes, transparency, and carrier experience.