- Pay
- $90–120k
- Where
- Dallas, TX · New York City, NY · week, · week, · Hybrid
- Level
- Mid
About Lantern
Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com.
Job Overview
As an Operations Automation Specialist, you will personally resolve provider inquiries — and then build the tools that make resolving them one-by-one unnecessary.
Today, resolving a provider's question well requires detailed manual auditing and review across multiple systems. It's careful work, and it doesn't scale. The data needed to answer these questions faster and more accurately already exists across our data sources — and modern AI tools give us the opportunity to bring that work together and scale it in a way we haven't yet.
You'll start by doing the job as it exists today: working real provider inquiries, learning the systems, and building the judgment that comes from firsthand experience with the problem. From there, your job shifts toward building — using AI-assisted workflows to resolve inquiries faster, surface patterns worth fixing at the root, and move providers toward getting their answers without needing to contact us at all. This is a new kind of role for Lantern, built specifically because this problem is ready for it.
This is a technical role in the lowercase-t sense: you don't need to arrive as a software engineer, and this isn't the data-analyst track either — it's for people with the instinct to spot patterns and automate them away, even without the formal technical background yet to do it at scale. For the right person, it's a deliberate stepping stone toward more technical roles at Lantern over time.
We're deliberately not writing this as a data-engineering job. Someone who already codes fluently can thrive here, but so can a business-minded person with real communication skills and the drive to build — the second profile is just as much the target as the first.
We're not narrowing this to one experience level. A recent grad with the right instincts is a big part of who we want in the pipeline — but so is someone with five or ten years of practical business experience who has been deliberately building toward exactly this kind of role. More time doing the work often means sharper pattern recognition, not a worse fit. We'll teach you the domain — you don't need to know claims or healthcare going in. What we won't do is teach you SQL or Claude Code step by step; the expectation is that you go figure new tools out largely on your own, the same way people have always picked up new tools on the job.
What You'll Do:
Resolve, hands-on
Work a live queue of provider claims inquiries — status, payment amount, denial and rejection questions, aged-claim batches — through to accurate resolution
Audit individual claims across systems to confirm they were submitted, validated, priced, and paid correctly
Escalate genuine pricing or appeals determinations, and document what you learn so the pattern can eventually be automated
Understand the problem at scale
Query claims, pricing, and provider data directly using SQL — you'll pick up our specific tools (including Databricks) on the job — to characterize inquiry volume, root causes, and cost to serve — much of which isn't measured today
Separate inquiries caused by real payment problems from inquiries caused by providers simply lacking visibility — they…