Carrier Relations Analyst

6 days ago

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Logo of SmartLight Analytics

SmartLight Analytics

SmartLight Analytics is a healthcare analytics company that provides independent and ongoing monitoring of employee healthcare claims data. They focus on identifying and eliminating wasteful spending within health plans, ultimately lowering healthcare costs for self-funded employers without requiring changes in employee behavior. With a team of experts in data analysis, healthcare, and fraud investigation, SmartLight Analytics aims to improve healthcare benefits and promote high-value care for its clients while ensuring compliance with healthcare regulations.

inferential analytics • claims data review • healthcare data analysis

2 - 10 employees

Founded 2016

⚕️ Healthcare Insurance

💳 Fintech

📋 Description

• The Carrier Relations Analyst will play a key role in managing relationships with carrier partners and analyzing data to optimize carrier cooperation and performance. • The role will involve leveraging data-driven insights to enhance the efficiency, cost-effectiveness, and reliability of carrier networks. • Develop and maintain relationships with key carrier partners, acting as the main point of contact for day-to-day operations. • Collaborate with carriers to resolve issues and manage service level agreements (SLAs).

🎯 Requirements

• 4 – 6 years of experience in carrier relations, or a data-driven role • 4 - 6 years working in a health insurance organization’s payment integrity area or employer group relations team

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