SmartLight Analytics

Product Manager

• Support change initiatives across the IT organization by helping implement and reinforce agreed-upon ways of working
• Maintain and evolve lightweight delivery processes that improve clarity, consistency, and throughput
• Create, document, and maintain standard templates for epics, user stories, acceptance criteria, retrospectives, and delivery reporting
• Own Jira hygiene, ensuring tickets are well-formed, prioritized, updated, and accurately reflect the current status
• Facilitate retrospectives and working sessions focused on surfacing issues and documenting actionable improvements
• Track, maintain, and report on delivery and operational KPIs such as cycle time, throughput, backlog health, and defect trends
• Coordinate across product, engineering, and QA to ensure handoffs are clear and expectations are aligned
• Identify execution gaps, inconsistencies, or bottlenecks and raise them with the CTO along with practical recommendations
• Provide operational support to the CTO by handling execution details that enable better decision-making
• Own and maintain backlogs for one or more product areas, ensuring work is clearly defined and ready for development
• Translate business needs and technical inputs into user stories with clear acceptance criteria
• Support prioritization discussions by maintaining visibility into dependencies, capacity, and delivery trade-offs
• Continue tracking and reporting relevant metrics to support product and delivery decisions
• Assist with cross-functional initiatives, pilots, or improvement efforts as assigned by the CTO

Product Owner

Analyst

• Identify and investigate healthcare billing activities leading to improper payments
• Review claims data and conduct analysis to look for patterns of potential improper payments
• Conduct data analysis to review claim and case history
• Identify and resolve issues related to data discrepancies, missing data, or inconsistencies within clinical datasets

Lead Pharmacy Payment Integrity Analyst

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.
• Develop and maintain strong, strategic client relationships by understanding their business challenges and objectives, demonstrating exceptional problem-solving skills.
• 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.
• Become fluent in healthcare claims data as relevant to Company’s specific use case.
• Nurture client relationships from infancy and throughout business relationship, including managing implementation process as needed.
• Collaborate with new clients and their respective carrier(s)/data warehouse/PBM/other external constituents on all necessary documentation and other items in order to intake high-quality claims and health Plan data.
• Utilize advanced analytics tools and techniques to create insights that inform decision-making, cost-saving strategies, and enhanced plan management.
• Collaborate with internal teams to ensure the timely and successful delivery of data analytics solutions and insights.
• Review client feedback and performance metrics to ensure solutions meet or exceed expectations.
• Identify business enhancement opportunities that align with client needs and objectives.
• Partner with the sales and solutions teams to develop strategic plans that address client goals.
• Plan and lead client update presentations as well as ad hoc client meetings and written communications.
• Assist the team in developing marketing initiatives, increasing business success, and enhancing sales.
• Translate complex data and analytical insights into clear, actionable reports and presentations for non-technical stakeholders.
• Develop and deliver regular client-facing reports and presentations that highlight key performance metrics, trends, and opportunities.
• Explain technical concepts in a simple, understandable manner for benefits leaders, client executives and other decision-makers with limited technical expertise.
• Coordinate internal resources and timelines to ensure smooth implementation and delivery of projects.
• Troubleshoot client issues in a timely and proactive manner, ensuring client satisfaction.
• Monitor key performance indicators (KPIs) to track the success of initiatives and client satisfaction.
• Delegating tasks effectively and managing team dynamics.
• Work closely with cross-functional teams such as data scientists, project managers, and consultants to deliver cohesive client solutions.
• Contribute to team-wide best practices, sharing insights and strategies to enhance client success.
• Develop and maintain strong executive relationships.

Director of Account Management

Administrative Assistant

• Provide administrative support to C-Suite and other senior executives
• Manage executive calendars, travel arrangements, and meeting logistics
• Coordinate cross-functional team schedules and recurring meetings
• Support marketing and event logistics, including equipment shipments
• Monitor and prioritize CEO’s email inbox
• Conduct research, compile data, and prepare documents for review

Executive Administrative Assistant

Manager

• Provide clinical expertise to support operational workflows
• Review medical records for billing accuracy and coding guidelines
• Manage carrier engagement clinical analyst
• Collaborate with IT on business and reporting requirements

Manager – Carrier Engagement

• Possess a clear understanding of the identification and investigation of issues and billing activities leading to improper payments
• Review medical records and compare to claims data to review for billing accuracy and savings opportunities
• Utilize information from claims data analysis, plan representatives and other sources to accurately present the company’s findings to carriers
• Identify, analyze, and interpret trends or patterns in complex data sets
• Leverage available resources and systems (both internal and external) to analyze claim information and take appropriate action for payment resolution
• Perform review of claims resulting from overpayments related to benefits and policies
• Communicate and document findings, including trends and recommendations
• Ability to review and analyze medical records.

Product Owner

Lead Pharmacy Payment Integrity Analyst

Director of Account Management

Executive Administrative Assistant

Manager – Carrier Engagement

Senior Clinical Analyst