SmartLight Analytics is a company focused on reducing healthcare costs through data analysis. In this role, you will develop analytical insights to identify payment anomalies in healthcare claims data and collaborate with cross-functional teams to provide actionable recommendations.
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
- Collect, clean, and analyze data from multiple sources to identify trends, patterns, and insights
- Apply statistical methods and advanced analytical techniques to solve business challenges and provide forecasts or predictive models
- Monitor data integrity by conducting regular audits and ensuring accuracy and completeness of datasets
- Develop dashboards using claims and eligibility data with analytical insights to assist in executive decision making
- Work with business stakeholders to understand their goals, challenges, and opportunities, and translate their needs into analytical projects
- Prepare on-demand analyses and ad-hoc reports and insights
- Present findings to stakeholders and translate insights into strategic recommendations
- Identify opportunities to automate data processes, streamline workflows, and improve reporting efficiency
- Document analytical methodologies, data workflows, and insights to ensure transparency and knowledge sharing across the organization
- 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
Requirements:
- Bachelor's degree in business, economics, finance, mathematics or related field
- A minimum of five (5) years of analytical work experience with healthcare claims data
- Experience and understanding of data analysis and appropriate application of these capabilities in a business performance environment
- SQL: 5+ years (Required)
- Healthcare claims: 5+ years (Required)
- Proficiency in SQL and experience with data querying and database management
- Experience with data visualization tools such as Tableau, Power BI, or QlikView
- Familiarity with statistical software or programming languages (e.g., R, Python, SAS, or SPSS)
- Working knowledge of ETL processes and data pipelines
- Demonstrated ability to analyze data and synthesize findings into clear insights
- Experience with statistical analysis, forecasting, regression models, and predictive analysis
- Strong attention to detail and a commitment to accuracy
- Proven ability to work independently and collaboratively in a fast-paced, team-oriented environment
- Curiosity, adaptability, and eagerness to learn and apply new technologies or methods
- Strong written and verbal communication skills
- Ability to present complex information in a clear, concise, and actionable manner