SmartLight Analytics

Account Manager

• Act as the primary point of contact for self-insured employer clients, ensuring satisfaction and fostering long-term relationships.
• Serve as a trusted advisor, understanding client needs and challenges, and offering strategic solutions to improve their healthcare programs.
• Coordinate and lead regular client check-ins, presentations, and strategic reviews to ensure alignment and satisfaction.
• Collaborate with internal teams (data, data science, clinical and investigative, executives etc.) to ensure optimal service delivery to clients.
• Utilize advanced analytics tools and techniques to create insights that inform decision-making, cost-saving strategies, and enhanced plan management.
• Review client feedback and performance metrics to ensure solutions meet or exceed expectations.
• Develop and deliver regular client-facing reports and presentations that highlight key performance metrics, trends, and opportunities.

Director of Account Management

QA Engineer

• Design, execute, automate, and document tests across engineering products, including web applications, CI/CD pipelines, SSMS & Snowflake databases, Azure Kubernetes Services (AKS), and backend services (APIs, background jobs, etc.).
• Build, maintain, and expand automated test suites using Selenium with Python and other modern automation tools.
• Write and optimize SQL queries for validating data, troubleshooting issues, and supporting test case execution.
• Perform root‑cause analysis to evaluate severity, scope, and validity of reported issues from stakeholders.
• Collaborate with engineering teams to define test strategies, acceptance criteria, and regression coverage.

Software QA Analyst II

Analyst

• Identify Pharmacy billing activities leading to improper payments.
• Review Pharmacy claims, insured members, or the broker community in coordination with the customer’s carrier or third-party administrator
• Review claims data and conduct analysis to look for patterns of potential improper payments
• Utilize information from claims data analysis, plan members, and other sources to conduct confidential claims data reviews, relevant investigative activities, document actionable findings and report any suspect billing that could result in an overpayment through designated channels
• Conduct data analysis to review claim and case history
• Review claims history, provider files, etc. and utilize data analysis techniques to detect irregularities, billing trends, and financial relationships using state boards, licensing sites, Secretary of State sites, etc.
• Identify and resolve issues related to data discrepancies, missing data, or inconsistencies within clinical datasets

Lead Pharmacy Payment Integrity Analyst

Data Scientist

• Develop, train, and deploy ML models for healthcare use cases
• Analyze medical, pharmacy, and dental claims
• Collaborate with clinicians and product managers
• Communicate analytical findings in clear terms

Healthcare Statistical Data Scientist

Data Engineer

• Design, build, and maintain ETL and reverse-ETL pipelines between Snowflake, Azure Data Factory, and legacy SQL Server systems.
• Develop and optimize Snowflake data warehouse models, ensuring performance, reliability, and high availability.
• Implement and maintain row-level and column-level security policies to protect sensitive healthcare data.
• Partner with the existing SQL Server Data Engineering team to plan and execute the migration of legacy ETL processes and warehouse models to Snowflake and the cloud.
• Build and maintain data transformations using dbt.
• Monitor pipeline health, troubleshoot failures, and ensure uptime and data integrity across all data flows.
• Mentor peers and contribute to engineering best practices, code reviews, and documentation.
• Learn and adopt Sigma as the organization’s BI and reporting tool.

Senior Data Engineer

• Review medical claims and related medical records to check for billing accuracy and potential savings opportunities.
• Assist in identifying issues that may lead to improper payments across professional, facility, and member claims.
• Analyze data to identify trends or patterns that may indicate billing or payment concerns.
• Use internal and external systems to research claim information and support payment resolution efforts.
• Document findings clearly, including identified issues, trends, and recommended next steps.
• Support the review of claims associated with possible overpayments based on benefits or policy guidelines.
• Communicate findings to internal teams and carrier partners in a clear and professional manner.

Clinical Analyst

Vice President

• Define and lead SmartLight’s technology strategy, architecture, and roadmap, including build vs. buy decisions, vendor selection, and platform modernization, aligned to company objectives
• Own end‑to‑end technology execution across engineering, data, infrastructure, and IT services, ensuring scalable, reliable, secure, and cost‑effective delivery
• Establish and enforce best practices for software development, data engineering, cloud infrastructure, DevOps, and quality assurance
• Oversee data governance, security, privacy, and compliance programs appropriate for healthcare and regulated data
• Lead, develop, and retain high‑performing technical teams, including hiring, performance management, and leadership development
• Manage the technology budget, resource planning, and risk management to support business priorities
• Partner closely with Product, Operations, and Commercial leaders to translate business priorities into technical outcomes
• Serve as a trusted technical advisor to the executive team, providing clear communication, transparency, and decision support

Vice President of Technology

Proposal Manager

• Lead end‑to‑end coordination of RFPs, RFIs, and RFQ vendor questionnaires, and security assessments for large enterprise healthcare clients
• Develop timelines, assign responsibilities, and ensure all deliverables are completed with accuracy and consistency
• Analyze proposal requirements and develop response strategies, timelines, and content plans
• Write, edit, and tailor clear, compelling responses that align with client needs and evaluation criteria
• Maintain and continuously improve a centralized RFP content library, including product descriptions, case studies, compliance statements, and technical documentation
• Collaborate with subject matter experts across clinical, analytics, product, finance, compliance, and operations teams to gather and refine content
• Ensure all submissions meet payer requirements, brand standards, and regulatory expectations
• Manage multiple concurrent proposals under tight timelines with strong attention to detail
• Conduct post-submission reviews and contribute to continuous improvement of win rates
• Partner with Client Success and Account Management teams to support ongoing client relationships
• Assist in developing client deliverables, including reports, business reviews, and renewal or expansion proposals
• Respond to client requests for information, ad hoc questionnaires, and follow-up documentation
• Support upsell and cross-sell opportunities by creating tailored materials and proposal responses
• Help translate performance results and analytics into client-ready narratives and presentations
• Maintain consistency in messaging and documentation across new and existing client communications
• Serve as a subject matter resource for proposal-related content and documentation
• Identify opportunities to streamline RFP and sales processes, improving speed and quality of submissions
• Implement tools and templates that enhance team efficiency and knowledge sharing
• Partner with marketing to ensure messaging alignment across all external‑facing materials
• Support onboarding and training of sales team members on RFP processes and best practices