Summary:

SmartLight Analytics was formed by a group of industry insiders who wanted to make a meaningful impact on the rising cost of healthcare. With this end in mind, SmartLight combats fraud, waste, and abuse in healthcare through our proprietary data analysis. Requiring the bare minimum in employer involvement, our process works behind the scenes to save money without interrupting employee benefits or requiring employee behavior changes.

This position is only eligible for legal residents of the United States of America.

In this role, you will develop analytical models to identify payment anomalies in client’s healthcare claims data (fraud, waste, or abuse). The results from your work will be reviewed by clinical analysts for outcome success.  To be successful in the role, you will have sound knowledge and experience Statistical Models, Data Mining, Machine Learning, building analytical solutions to deliver insights, insights communication and presentation, as well as demonstrating the ability to combine advanced analytics skills with exceptional business acumen.

Responsibilities

• Develop a deep understanding of the key initiative of the organization and be able to provide analytical solutions that provides actionable recommendations to drive the success of the key initiatives.
• Lead the development of analytical models for new and ongoing product lines.
• On-going monitoring of product lines including but not limited to the success metrics for each model and dashboards required for executive decision-making.
• Develop analytical insights for the customer’s healthcare information.
• Assist in the accurate and timely preparation of management tools for analyzing clinical, and operational results using enterprise tools.
• Serve as an additional point of contact and resource for analytics.
• Prepare on-demand analyses and ad-hoc reports and insights.
• Research and keep current knowledge of competitive methods in the competitive space.
• Capable of applying the latest technologies and methodologies in machine learning, data mining, and predictive analytics to correlate disparate datasets and events, and derive value.
• Has a proven ability to learn quickly and works well both independently as well as in a team setting.
• Communicate analytical findings and recommendations in a clear and concise way to non-technical audiences, both in oral and written presentations.
• Work closely with Information Management teams to automate recurring tasks and improve processes to continually increase efficiency.

Qualifications 

• Master’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field.
• 3+ years of experience in healthcare analytics, creating strategic plans, and operationalizing functional teams in direct relation to meeting business needs or realizing goals tied to strategic objectives.
• Experience in strategic planning and solutioning preferred. Broad exposure and understanding of statistical, analytical, or data mining techniques and appropriate application of these capabilities in a business performance environment preferred.
• Working knowledge of analytical tools, including R, Python, SAS, Tableau, Hadoop, or related tools preferred.
• SQL programming.
• Understanding of healthcare claims adjudication and claims content preferred.
• Experience with report/dashboard development, data/report automation, self-service capabilities, data design and integration, or data quality and governance preferred.
• Experience working in the healthcare setting and utilizing healthcare data to generate insights.
• Demonstrate good understanding of healthcare data analytics terminology and concept, e.g., ICD, CPT, REV, DRG, etc.
• Must have demonstrated the ability to solve complex problems with minimal direction.
• experienced with languages used to manipulate data and draw insights from large data sets (e.g., Python, R, SQL, etc.)

APPLY HERE

SmartLight Analytics was formed by a group of industry insiders who wanted to make a meaningful impact on the rising cost of healthcare. With this end in mind, SmartLight combats fraud, waste, and abuse in healthcare through our proprietary data analysis. Requiring the bare minimum in employer involvement, our process works behind the scenes to save money without interrupting employee benefits or requiring employee behavior changes.
This position is only eligible for legal residents of the United States of America.

In this role, you will develop analytical insights to identify payment anomalies in client’s healthcare claims data (fraud, waste, or abuse). To be successful in the role, you will have sound knowledge and experience with Statistical Models, Data Mining, and building dashboards to deliver insights, insights communication and presentation, as well as demonstrating the ability to combine advanced analytics skills with exceptional business acumen.

Primary Responsibilities:

• Develop a deep understanding of the key initiative of the organization and be able to provide analytical solutions that provides actionable recommendations to drive the success of the key initiatives.
• On-going monitoring of product lines including but not limited to the success metrics for each model and dashboards required for executive decision-making.
• Develop dashboards using claims and eligibility data with analytical insights to assist in executive decision making.
• Serve as an additional point of contact and resource for analytics.
• Prepare on-demand analyses and ad-hoc reports and insights.
• Has a proven ability to learn quickly and works well both independently as well as in a team setting.
• Communicate analytical findings and recommendations in a clear and concise way to non-technical audiences, both in oral and written presentations.
• Work closely with Information Management teams to automate recurring tasks and improve processes to continually increase efficiency.

Required 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

Experience:

• SQL: 2-3 year (Required)
• Healthcare claims: 2-3 year (Required)

APPLY HERE

SmartLight Analytics was formed by a group of industry insiders who wanted to make a meaningful impact on the rising cost of healthcare. With this end in mind, SmartLight combats fraud, waste, and abuse in healthcare through our proprietary data analysis. Requiring the bare minimum in employer involvement, our process works behind the scenes to save money without interrupting employee benefits or requiring employee behavior changes. 

This position is only eligible for legal residents of the United States of America. 

We are seeking a detail-oriented and critical-thinking Scrum Master who also has some Product Owner responsibilities to join our dynamic team. This dual-role position will be pivotal in ensuring our development processes are efficient and aligned with our product vision.  

The ideal candidate will serve as a liaison between stakeholders and the development team, continuously improving team processes and workflows. They will provide feedback and suggest enhancements to both the product and development process, ensuring the delivery of high-quality software that meets customer needs. 

As part of this role, one will build relationships with other IT professionals, such as developers, data scientists, and business analysts. Collaborate with these professionals to acquire a deep understanding of source systems, able to make decisions quickly, and identify solutions that meet the critical nature of the business. 

This role is contract-to-hire. After a successful 3-month contract, you will be eligible for benefits and will transition to full-time employment. 

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States. 

Scrum Master Responsibilities 

• Facilitate daily stand-ups, sprint planning, sprint reviews and retrospectives. 

• Coach the development team in Agile practices and principles. 

• Remove impediments and blockers to ensure smooth progress. 

• Foster a collaborative and communicative team environment. 

• Monitor and track team performance and agile metrics. 

Product Owner Responsibilities 

• Collaborate with stakeholders to define and prioritize the product backlog. 

• Communicate the product vision and goals to the development team. 

• Write user stories and acceptance criteria. 

• Ensure the team understands the product requirements and user needs. 

• Make decisions on scope and timelines to maximize product value. 

Qualifications: 

• Bachelor’s degree. 

• Certified Scrum Master (CSM) and/or Certified Scrum Product Owner (CSPO). 

• Proven experience as a Scrum Master and/or Product Owner in a SAAS environment. 

• Strong understanding of Agile methodologies and principles. 

• Excellent communication and leadership skills. 

• Ability to manage multiple responsibilities and prioritize effectively. 

• Expertise in Jira and Confluence for project management and documentation 

APPLY HERE