Teams at SmartLight Analytics

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.

Lead a team of clinical analysts to review claims and medical records for billing/coding accuracy, apply NCCI and clinical guidelines, provide analytics and dashboards, resolve escalations, partner with carriers and cross-functional teams, and drive process improvements to improve payment integrity, quality metrics, and operational efficiency.

Deliver healthcare claims analytics and high-touch client success: build and automate dashboards/reports, translate data into actionable insights, run ad hoc analyses, present to clients, support account managers, and collaborate with internal teams to drive program performance and account growth.