SmartLight reduce costs and improves healthcare by reducing waste from low- or no-value care, abusive or improper billing, and claims errors.
Through our AI process and enhanced by clinical, data and investigative experts, we identify situations like low-income participants being taken advantage of by bad actor providers, substance abuse patients falling victim to opportunistic rehab networks, and improper over-treatments found throughout the system. Identifying and correcting atypical, inappropriate, and even dangerous care means better care for your employees.
We know the best care is evidence-based and driven by healthcare experts, which is why we collaborate with plan sponsors and administrators to move members toward high-quality care.
Asha George co-founded SmartLight Analytics in 2016 and serves as Chief Executive Officer. With 23 years of experience in healthcare data analysis and an academic background in epidemiology and biostatistics, Mrs. George expertly interprets statistical and clinical data with unique insight. She has assembled a team of professionals from the healthcare, data science, fraud investigation and insurance industries to craft innovative and effective solutions to decrease employer healthcare spending. Under her leadership, SmartLight Analytics has grown into one of the fastest-growing private companies in America, according to the 2022 Inc. 5000 list, where it ranked No. 148 on the annual list overall and No. 16 among software companies. Prior to launching SmartLight Analytics in 2016, Mrs. George worked as an independent statistical consultant for multiple health care IT companies and directed the Statistical Analytics team at Emdeon, developing and implementing a predictive analytics product for Payment Integrity using prepay claims data. She also managed data intelligence for HCSC (Blue Cross Blue Shield of TX/IL/OK/NM).
Mrs. George holds a master’s degree in public health from the University of Texas Health Science Center at Houston, with a focus in biostatistics. She lives in Dallas with her husband and two children.
Dr. Franklin Baumann brings a wealth of medical and industry experience to SmartLight Analytics as co-founder and chief medical officer. For more than eleven years, Dr. Baumann served as a medical director for United Healthcare, one of the largest insurance carriers in the country, where he acted as a Care Guidelines Specialist (Utilization Management) as well as an MD expert in post-service pre-payment claim reviews. He also served as the CMO of Emdeon (now Change Healthcare) overseeing all clinical activities of the medical fraud and abuse Special Investigations Unit. He has extensive experience as a consultant who focuses on all aspects of medical oversight.
Additionally, Dr. Baumann spent several years in practice as a surgeon performing general, vascular, thoracic, and trauma surgery in the Chicagoland area. He has worked directly with patients and review boards seeing both sides of what it means to be responsible for the care and well-being of a sick individual as well as the system delivering that care. Dr. Baumann completed his general surgery residency at Rush Presbyterian-St. Luke’s Medical Center in Chicago. Before completing medical school at Rush Medical College he earned an MS in medical physics from Rush Graduate College and a BS in physics from Illinois Institute of Technology.
Bill Young brings a wealth of knowledge, including 20 years of federal health care fraud investigative experience, to the SmartLight Analytics mission of helping self-funded employers reduce health care spending by identifying and eliminating fraud, waste, and abuse in claims. Young spent 21 years with HHS/OIG supervising and conducting criminal and civil investigations of waste, fraud and abuse in Medicare and Medicaid programs. He has comprehensive knowledge of investigative techniques, best practices and HHS Compliance Guidance.
He has a law degree from Saint Louis University and served as an adjunct instructor at the Federal Law Enforcement Training Center in Glynco, GA. He served as Lead Special Agent assigned to white-collar/healthcare fraud investigations for HHS for seven years. He spent 13 years as Assistant Special Agent in Charge of the HHS Office of Inspector General Office of Investigations supervising and conducting criminal, civil and administrative investigations of waste, fraud, and abuse related to HHS programs including Medicare and Medicaid. His team of investigators produced 357 criminal convictions and civil monetary recoveries in excess of $334 million. He also served eight years as a Judge Advocate in the Army Reserves and Missouri Air National Guard.
Julia Posacki serves as Chief Strategy Officer. Ms. Posacki spent more than 20 years as a healthcare technology executive and finance professional before joining the SmartLight Analytics team. With a unique combined background in statistics, quantitative modeling and analysis, process optimization, and fast-moving financial markets where information access drove successful decision-making, Ms. Posacki was astounded by the asymmetrical information in the self-insured healthcare ecosystem. For the last six years, Ms. Posacki has passionately formed strategic partnerships and created highly effective channels to educate and equip key healthcare decision-makers and influencers.
Ms. Posacki has over 18 years of experience in the financial services industry, where she worked in a corporate advisory capacity, guiding companies through capital-raising, risk management, and debt and equity repurchase strategies and execution. She began her career at Goldman Sachs, where she helped companies raise over $10B through the public capital markets, structured and implemented interest rate and currency risk management strategies for large corporations, guided companies through associated accounting and counterparty risk considerations, and advised on capital structure optimization and liability management. She has also served in a corporate risk management advisory capacity, and has managed capital strategy, investor relations and communications. Ms. Posacki graduated Cum Laude from Cornell University’s College of Engineering and received a Master of Engineering from Cornell University with a Finance concentration.
B2B Technology Chief Executive Officer Ernie Cote serves as the SmartLight Analytics Advisory Chair helping guide the company and its mission.
Vispi Jilla is the founder and CEO of an independent consulting & advisory firm serving companies in the energy space. Mr. Jilla serves as principal advisor to SmartLight Analytics.
Chintan Sutaria is the Founder and CEO of CalcuQuote, a B2B SaaS business. He serves as a principal advisor to SmartLight Analytics.
SmartLight Analytics ranks No. 148 on the 2022 Inc. 5000 list of the fastest-growing private companies in America. The list represents a one-of-a-kind look at the most successful companies within the economy’s most dynamic segment — independent businesses. For the 2022 list, SmartLight ranks 9th in Texas and 6th in Dallas. In the category of software companies, SmartLight ranked 16th nationally.