Sr. Clinical Analyst
SmartLight AnalyticsUnited States
Posted October 22, 2025
Full Time
About the Company
SmartLight Analytics is a leading provider of healthcare cost reduction solutions for self-funded employers. Utilizing proprietary inferential analytics and expert clinical review, they analyze medical claims data to identify and eliminate wasteful spending without employee involvement. SmartLight's low-touch approach consistently delivers higher ROI compared to other market solutions.
Job Description
The Senior Clinical Analyst role at SmartLight Analytics focuses on clinical data expertise and relationship management to address improper claims processing, billing discrepancies, and carrier performance. The analyst will identify and investigate payment issues, present findings to carriers, and drive resolution through data analysis. They also analyze claims resulting from overpayments and potential savings.
Requirements
- Possess a clear understanding of issues and billing activities leading to improper payments.
- Utilize claims data to accurately present findings to carriers.
- Analyze claim information and identify trends in complex data sets.
- Communicate and document findings.
- Review and analyze medical records.
- Strong critical-thinking, communication, and attention to detail skills.
