SmartLight Analytics

QA Engineer

• Perform quality reviews of Quality Analyst work products
• Review claims data and confirm proper referral case presentation including referral reason, logic for the reason and proposed corrective action
• Compare work with client SPD and industry best practices and validate identified savings values
• Provide feedback to analysts on errors, omissions, or opportunities for improvement
• Contribute to QA standards documentation and serve as a resource for Quality Analysts
• Analyze trends in quality issues and implement root cause/corrective actions
• Support creation of a "culture of quality" among the clinical operations team
• Collaborate with healthcare professional consultants, clinical teams, business analysts, data scientists and engineers to refine analytics tools and understand stakeholder data needs
• Present findings and insights to internal teams, clients, and stakeholders
• Ensure quality, accuracy, and integrity of clinical data by conducting data validation, cleaning, and preparation
• Identify and resolve issues related to data discrepancies, missing data, or inconsistencies within clinical datasets
• Act as final checkpoint before findings are released to clients and carriers; report to Manager of Payment Integrity

Senior Quality Assurance Analyst