OPEN POSITIONS
Submit resume and cover letter to hr@smartlightanalytics.com.
Business Intelligence Engineer
The SmartLight Analytics team has a new and exciting opportunity for a Business Intelligence Engineer. As a member of our development team, you will support internal clients in their work by designing and improving workflows and frameworks for execution and decision-making. You will also be responsible for providing the day to day support for our primary internal business intelligence application.
Responsibilities
- Interpret existing complex T-SQL queries and stored procedures to reverse engineer existing code.
- Develops, designs, and optimizes complex T-SQL queries.
- Assist in data analysis functions.
- Perform bulk data updates when needed.
- Design and create user-interactive reports.
- Load Data using Stored Procedures.
- Develop deep understanding of the various business processes, data sets and BI deliverables.
- Build dynamic and rich dashboards using out-of-box features, customizations, and visualizations.
- Identify actionable insights, suggest recommendations and influence direction of the business by effectively communicating findings.
- Troubleshoot and resolve production support issues.
- Help with building ad-hoc reports.
- Develop and deliver complex ad hoc reports and business unit specific information. Provide suggestions and recommendations to perform the necessary analytics to ensure requests are complete and accurate.
Some skills you may have:
- Ability to write T-SQL queries by hand without an external tool or query designer.
- Demonstrated ability to juggle multiple tasks for several projects at the same time.
- Ability to achieve short and long-term objectives with minimal direction.
- Known for reliability, responsiveness, attention to detail, and ability to deliver high-quality work product.
- Advanced problem solving, conceptual and organizational skills.
- Ability to anticipate customer needs and guide clients in structuring needed reports.
- Ability to work autonomously with minimal direction.
Qualifications
Required Experience
- Bachelor’s degree in Computer Science or related field.
- Minimum 2 years’ experience as a Data Analyst/Report Writer or other roles heavily utilizing T-SQL.
- Strong understanding of SQL Server databases and queries as well as programmability concepts such as stored procedures and functions.
- Experience with the analysis, architecture and design of data to support business processes.
- Understanding of general CSS principles such as the cascade, inheritance, and specificity.
- Desire to learn and innovate.
Desired Experience
- Health care data experience, HIPPA compliance familiarity is a plus.
- Knowledgeable of modern CSS concepts such as CSS grid, flexbox, and custom properties.
- Fluency in HTML, CSS, JavaScript and a strong knowledge of best practices on the web.
Front-End UI/UX Developer (Internal )
Job Description
The SmartLight Analytics team has a new and exciting opportunity for a Front-End UI/UX Developer. As a member of our development team, you will develop effective user interfaces for data and metrics that directly support internal user experiences. The successful candidate will work to design and develop the various internal facing applications.
Responsibilities
- Serves as owner for all internal facing user interfaces
- Defines and estimates timelines, costs, and feasibility for UI/UX development projects
- Develops performant and accessible user interfaces using modern web tools
- Creates rapid prototypes of UI layouts and components
- Provides proof-of-concept or minimally viable product prototypes that set examples regarding new technology or design patterns
- Designs and develops solutions using JavaScript and JavaScript Technologies and other related technologies
- Consistently deliver clean, maintainable, and efficient frontend code
- Work closely with a broad range of internal stakeholders
Some skills you may have:
- Fluency in HTML, CSS, JavaScript and a strong knowledge of best practices on the web.
- Understanding of general CSS principles such as the cascade, inheritance, and specificity.
- Focused on web accessibility and building with inclusive front-end design patterns.
- Ability to collaborate, think creatively, and solve problems.
- Knowledgeable of modern CSS concepts such as CSS grid, flexbox, and custom properties.
- Ability to craft custom JavaScript
Qualifications
Required Experience
- Bachelor’s degree in Computer Science or related field
- 2 years software experience in UI
- Work in a dynamic, fast-paced team
- Ability to adapt and adjust priorities based on changing needs
- Desire to learn and innovate
- Ability to work autonomously with minimal direction
Desired Experience
- Health care data experience, HIPPA compliance familiarity is a plus
- Full stack development experience
Job Description
The SmartLight Analytics team has a new and exciting opportunity for a Front-End UI/UX Developer. As a member of our development team, you will develop effective user interfaces for data and metrics that directly support internal and external user experiences and our digital experience initiatives. The successful candidate will work to design and develop the various external facing applications. This is a great opportunity for the right applicant to design and build out a new UI from the ground up.
Responsibilities
- Serves as owner for all external facing user interfaces
- Defines and estimates timelines, costs, and feasibility for application development projects
- Develops performant and accessible user interfaces using modern web tools
- Creates rapid prototypes of UI layouts and components
- Provides proof-of-concept or minimally viable product prototypes that set examples regarding new technology or design patterns
- Designs and develops solutions using JavaScript and JavaScript Technologies and other related technologies
- Consistently deliver clean, maintainable, and efficient frontend code
- Work closely with our product and backend data teams
Some skills you may have:
- Fluency in HTML, CSS, JavaScript and a strong knowledge of best practices on the web.
- Understanding of general CSS principles such as the cascade, inheritance, and specificity.
- Focused on web accessibility and building with inclusive front-end design patterns.
- Ability to collaborate, think creatively, and solve problems.
- Knowledgeable of modern CSS concepts such as CSS grid, flexbox, and custom properties.
- Ability to craft custom JavaScript
Qualifications
Required Experience
- Bachelor’s degree in Computer Science or related field
- 3 years software experience in UI
- Experience creating mockups/wireframes
- UX/UI experience with responsive dashboards
- Work in a dynamic, fast-paced team
- Ability to adapt and adjust priorities based on changing needs
- Desire to learn and innovate
- Ability to work autonomously with minimal direction
Desired Experience
- Health care data experience, HIPPA compliance familiarity is a plus
- Full stack development experience
- Strong T-SQL Skills (SQL Server)
SQL Server Application Engineer (Senior)
The SQL Server Application Engineer is responsible for providing leadership regarding application design, as well as support and develop subject matter knowledge for internally developed applications. They will ensure the effective design, build, deployment, documentation, and maintenance of relational and multidimensional databases to support end-user processes.
As part of this, this role is expected to acquire a deep understanding of source systems, knowledge of business processes, and thorough business unit knowledge through the interaction with subject matter experts, developers, architects and other relevant stakeholders.
Candidates must have an inclination to understand existing processes and systems as well as possess strong interpersonal and communication skills. They should be able to make decisions quickly in consultation with team members and subject matter experts, be able to build relationships and understand the dynamics and critical nature of the business.
Responsibilities
- Designing system workflow, architecture to meet business requirements.
- Maintains a multitude of complex relational database reports supporting executive dashboards, ongoing operations analysis, management decisions, process and quality improvement.
- Devising possible solutions to anticipated problems.
- Reacting to problems and correcting the application as necessary.
*This position is a hybrid position allowing for in-person and remote work.
Sr. Data Scientist – Health Informatics
The SmartLight Analytics team has a new and exciting opportunity for a Sr. Data Scientist. As a data scientist on our team, you’ll apply programming and quantitative techniques to health care claims data using SQL. Utilizing statistical and mathematical methods, you’ll develop analytic models for new and ongoing solutions to meet customer deliverables. In addition, you’ll assist in finding and presenting creative solutions for a variety of business and financial-related questions.
Responsibilities
- Develop statistical models using health care claims data to solve payment integrity concerns
- Analyze claims data and identify trends and outlier patterns that lead to payment integrity interventions
- Provides advanced-level programming and analysis support using SQL/R
- On-going improvements of existing analytic models based on expected outcome
- Provide data-driven recommendations for model improvement based on given success metrics and/or statistical tests
- Prepare on-demand analyses and ad-hoc reports and insights to support sales, key customers, and/or management
- Research and keep current knowledge of inferential methods and tools
- Present data analyses and key findings to peers and leadership
Qualifications
- Bachelor's degree or higher in a quantitative field of study and a minimum of three years of analytical work experience with healthcare claims data
- Master's degree preferred (Statistics, Biostatistics, Mathematics or related field of study)
- Experience and understanding of statistical, analytical, or data mining techniques and appropriate application of these capabilities in a business performance environment
Knowledge/Skills/Abilities:
- Has extensive experience in relevant industry and area of specialization (experience at one or more insurance carrier or TPA highly preferred)
- Uses professional concepts and company objectives to resolve complex issues in creative and effective ways
- Identifies and implements methods and procedures to achieve results
- Leads or manages the work of others by providing guidance to subordinates or teams based on organizational goals and company policy (based on experience)
- Performs a variety of complicated tasks with a wide degree of creativity and latitude
- Has complete understanding and wide application of statistical principles, theories, concepts and techniques
- Has good general knowledge of healthcare claims adjudication
- Troubleshoots data integrity issues and analyzes data for completeness to meet business goals and trending
Works with minimal guidance and can manipulating and join data from multiple sources into population set for comparative analysis
Extensive computer skills including MS Office – such as Excel, Word, and PowerPoint – with advanced knowledge of spreadsheet functionality, including v-look-up, pivot tables, charts, graphing and macros
Health Care Fraud, Waste and Abuse Analyst
SmartLight Analytics, LLC was formed in 2016 in Dallas, Texas by a group of industry insiders who wanted to make a meaningful impact on the rising cost of health care. With this end in mind, SmartLight uses statistical, clinical, and claims expertise to deliver the most complete cost reduction solution directly to the actual stakeholders – self-funded employers. Since processing claims is outside the core competency of most employers, patterns of error often go unnoticed and result in the unnecessary spend of your health plan dollars. The SmartLight team is uniquely qualified to work alongside claims administrator to resolve issues within the claim approval process. Since its launch, SmartLight has offered an innovative, low touch, proprietary solution that is proven to lower health plan costs.
Our Investigative Analysts are dedicated to identifying, investigating and eliminating health care fraud and other types of wasteful spend. This position is responsible for using medical coding knowledge and critical thinking to determine if a pattern of billing is suspect. The company uses a customized web-portal tool to access claims data. This role is largely remote and is expected to use Microsoft Teams to communicate and coordinate regularly with other team members. Timely deliverables are of paramount importance.
Primary Responsibilities:
- Investigating and resolving instances of healthcare fraud, waste, and / or abusive billing or payment errors that are provider-based, member-based or claim-based.
- Review claims data and conduct analysis to look for patterns of potential fraud, waste and/or abuse
- Utilizing information from claims data analysis, plan members, and other sources to conduct confidential investigations, document relevant findings and report any suspect billing that could result in an overpayment through designated channels
- Conduct data analysis to review claim and case history
- Reviews claims history, medical reviews, provider files, etc. and utilizes data analysis techniques to detect irregularities, billing trends, and financial relationships using state boards, licensing sites, Secretary of State site, etc.
Required qualifications:
- Bachelor's degree or higher
- 3- 5 years work experience related to health care fraud investigations
- Strong critical thinking skills
- Experience with manipulating and analyzing large datasets
- Ability to be concise, independent and provide defensible decisions in writing
- Detail oriented with excellent communication skills (oral presentations and written) and interpersonal skills
- Strong PC knowledge and skills, including all Microsoft Office products
- 3-5 years experience with CPT code terminology
Preferred Qualifications:
- Undergraduate degree in the area of criminal justice or related field
- Must have solid ability to accurately document findings in written form
- 3+ years of experience working in the group health business
- An intermediate level of knowledge with Local, State & Federal laws and regulations pertaining to health insurance (Pharmacy and/or commercial health insurance)
- Professional certification as a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or similar
- Certified Coding Specialist
- Experience with computer research
- Experience with data analysis as it relates to health care claims adjudication
Job Description
The SmartLight Analytics team has a new and exciting opportunity for a sr. statistical analyst. As an analyst on our Inferential Analysis team, you’ll apply programming and quantitative techniques to health care claims data using SQL. Utilizing statistical and mathematical methods, you’ll develop analytic models for new and ongoing solutions to meet customer deliverables. In addition, you’ll assist in finding and presenting creative solutions for a variety of business and financial-related questions.
Responsibilities
- Develop statistical models using health care claims data to solve payment integrity concerns
- Analyze claims data and identify trends and outlier patterns that lead to payment integrity interventions
- Provide advanced-level programming and analysis support using SQL/R
- On-going improvements of existing analytic models based on outcome
- Provide data-driven recommendations for model improvement based on given success metrics and/or statistical tests
- Prepare on-demand analyses and ad-hoc reports and insights to support sales, key customers, and/or management
- Research and keep current knowledge of inferential methods and tools
- Present data analyses and key findings to peers and leadership
Submit resume and cover letter to hr@smartlightanalytics.com.
