Job Search Results for clinical

RCM Denials Specialist (Denial Recovery)

Job SummaryInsight Global is seeking a fully remote Denials Specialist for our client specializing in orthopedic denials recovery. The RCM Denials Specialist is responsible for recovering revenue... More lost to denied and underpaid orthopedic medical claims by executing payer-specific denial recovery workflows with a high level of accuracy and efficiency. This role focuses on post-payment denials and unpaid claims, managing appeals from initial denial through final resolution. The specialist works within standardized playbooks and performance metrics to directly impact client cash flow and recovered revenue.This is a production-driven, outcomes-focused role suited for professionals who thrive in structured, KPI-driven environments and take ownership of financial results.Key Responsibilities: Denial Recovery & Appeals- Work assigned denial and underpayment claim queues, including post-pay denials, medical necessity, bundling, timely filing, and workers? compensation claims- Prepare, submit, and track appeals in accordance with payer- and CPT-specific guidelines- Follow up with insurance payers via phone, online portals, and written correspondence until final resolution- Ensure timely progression of claims and avoid preventable delays in follow-upDocumentation & Accuracy:- Accurately document all claim actions, appeal submissions, and payer communications- Upload, organize, and maintain required clinical and billing documentation- Maintain clean, complete, and audit-ready records suitable for internal leadership and client review- Meet high accuracy standards while maintaining daily and weekly productivity targetsWorkflow Execution & Collaboration- Adhere to standardized recovery playbooks and escalation thresholds- Escalate complex or unusual denial patterns appropriately- Collaborate with leadership, QA, and strategy teams to improve recovery outcomes- Identify and report payer trends, denial patterns, and workflow improvement opportunitiesWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Epic Beaker Consultant

Insight Global is seeking an Epic Beaker Consultant to support a large healthcare implementation. This role is heavily focused on Beaker build, troubleshooting, fixes, configuration, development, and... More testing, with active involvement in Build Wave 4 and implementation testing. Responsibilities include day-to-day support and optimization of the Beaker application, system upgrades and enhancements, workflow assessments, and test plan development and execution. The consultant will work closely with cross-functional teams and end users to ensure implementation success and go-live readiness. Prior Epic Beaker implementation experience and relevant Epic certification(s) are required.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Healthcare IT Project Manager

Insight global is looking for a candidate to join our healthcare consulting client as a full-time employee. This person should come from a medical technologist background and have a medical... More technologist degree. We are looking for someone who has IT Project management experience in a lab environment and experience working in laboratory information systems. You will be running multiple small projects or 1 large project at a time. This person will be responsible for maintaining a budget, scope, and helping to rescope and add projects. This person will mainly be on client and project meetings 90% of the time. You should be confident, sharp, and client-facing.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Epic Willow Analyst

A premier healthcare client in Houston, Texas is looking to add an Epic Willow Analyst to their team. This person will spend their days doing 3 major tasks: working through break/fix tickets,... More optimization tickets, or doing new builds for the 4 new retails stores that will be opening in the near future.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Epic Beaker CP Analyst

Insight Global is looking for a candidate to join our LIS consulting client to support their clients implementations as a fulltime employee. The candidate should have two years of experience working... More with Epic beaker CP in a laboratory information system environment with an CP certification and come from a medical technologist background. This candidate will take on a very structured and regimented implementation by building milestones, testing and adhering to the timelines. You will work with the end users to troubleshoot, diagnose and correct problems related to the application. The candidate will be a part of performing system customizations including development of alerts/hard stops. Data integrations, order generation and automations. This person will be working directly under the Chief Services Officer. Up to 25% travel may be required with the expectation of being on call one week out of the month. This position is full time and looking to start ASAP.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

REMOTE Pharmacy Data Product Owner

Insight Global is hiring a Pharmacy Product Owner for a payer/provider. The Product Owner drives the delivery of high-quality analytic products by prioritizing work, shaping user stories, and... More ensuring alignment with business objectives. Acting as the primary liaison to sponsor, the PO ensures clear communication of goals, trade-offs, and progress. They collaborate with developers, analysts, and engineers in Agile teams to build scalable data solutions, maintain domain expertise, and provide consultative support for strategic decisions. Key responsibilities include managing the product roadmap, planning sprints, validating deliverables, and championing data accuracy, security, and compliance?all while driving adoption and measurable business value.ACCOUNTABILITIES:? All team members must champion and model our values of partnership, curiosity, compassion, integrity, and excellence, and must contribute to a culture of continuous learning? Acts as domain experts, partnering with business groups, and data engineers to frame problems, model, clean and integrate data, and determine the best way to leverage that data in service of a goal ? Works with business partners to understand and create their ?user stories;? they identify and clarify opportunities to leverage data analytics in service of customer or business value ? Independently creates, deploys, monitors, and maintains highly interactive data visualizations and analytic services ? Leads and participates in strategic measurement activities, including Return on Investment (ROI) analyses, Key Performance Indicator (KPI) development, risk assessment and indexing, as well as domain-specific measurements (example: readmission rates) ? Works with their teams to ensure data accessibility, accuracy, and quality, and may act as data stewards by contributing to management of central data stores and metadata? Provides consultative, data-driven support on product and business strategy development ? Defines, sets up, and executes test cases to validate that analytic and software solutions meet the business acceptance criteria ? Communicates solution tradeoffs to business partners to frame and influence project decisions? Leverages internal and external sources to validate data accuracy and benchmark resultsPromotes and champions our security and de-identification standards, while they handle sensitive administrative data (medical and pharmacy claims, clinical data, and other sensitive organizational data assets).We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Contracts Paralegal

IG's client is a healthcare technology company that makes value-based care actually work. Their platform sits between health plans and providers, translating complex quality contracts into real-time,... More actionable incentives for clinical teams. When a medical assistant closes a care gap or a front desk staffer schedules a screening, they see the impact immediately. They help practices get paid for doing the right thing, and we help health plans see results from their quality investments.Role Overview:This Healthcare Contracts Paralegal will work directly with the Lead Attorney to support a value-based care technology platform and their risk-bearing entities (ACO, MSO, and IPA), handling first-pass drafting on commercial contracts that range from straightforward to complex.Their agreements are diverse. They contract upstream with health plans and ACOs and downstream with physician practices. Their deal structures include SaaS vendor arrangements, aggregator models, physician services agreements, and sophisticated partnership agreements. If you like variety and want to understand how all the pieces fit together, you'll enjoy this work.D2D:Commercial Contracting:Draft, review, and prepare first-pass redlines for commercial contracts, including health plan service agreements, provider network and participation agreements, vendor contracts, and data use and business associate agreements.Identify and flag key issues, unusual terms, and risk areas for attorney review.Support negotiations by preparing comparison charts, tracking open issues, and maintaining version control across deal threads.Serve as a responsive point of contact for the sales team on routine contract questions and status updatesLegal Operations & Systems:Own and improve the contract lifecycle in SpotDraft: intake workflows, template libraries, clause banks, approval routing, renewal tracking, and building robust reporting.Maintain and refine the contract obligations of inventory, including key dates, notice requirements, and renewal terms.Run and optimize the legal intake process through Jira.Build playbooks, FAQs, and self-service resources that reduce repetitive questions and let the business move faster.Corporate Records & Governance:Maintain corporate records, entity documents, resolutions, and governance materials for the parent company and subsidiaries.Handle corporate housekeeping: annual filings, registered agent coordination, minute book maintenance.Cross Functional Support:Partner with business teams to gather deal terms and ensure contracts reflect commercial intent.Coordinate with compliance on regulatory research, policy updates, and documentation.External Counsel Coordination:Manage document flow, scheduling, and information exchange for outside counsel engagements.Track outside counsel spend and flag budget variances.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Lead Platform Salesforce Developer

The Salesforce Developer / Platform Lead is a senior, hands-on individual contributor responsible for the design, delivery, and long-term stewardship of Salesforce solutions using a configuration-... More and Flow-first, code-when-necessary approach. This role blends deep declarative expertise with strong Apex and integration capabilities to ensure solutions are scalable, secure, maintainable, and aligned with Salesforce platform best practices. The Developer Lead partners directly with business stakeholders and end users to understand business processes, clarify requirements, and translate needs into well-architected Salesforce solutions across Sales Cloud, Service Cloud, and Health Cloud. In addition to delivery, this role plays a key part in shaping automation strategy, setting platform standards, reducing technical debt, and modernizing existing functionality to support longterm organizational growth. Provide technical mentorship and guidance to Salesforce administrators and developers, promoting platform best practices and raising overall team capability without direct people management responsibility.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

IS Delivery Leader

The IS Delivery Leader is accountable for the different initiatives of the dedicated service lines. The Leader partners with the Portfolio Partners to ensure initiatives are delivered with the... More intended business outcomes through the means of project implementation and operational support by the PMO team. The ideal candidate is a strong leader and critical thinker who excels at driving clarity, mitigating risk, and enabling teams to deliver business outcomes.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Atlassian Reporting Specialist

An employer in the Seattle area is looking for a Atlassian Reporting Consultant. The consultant will partner closely with the teams Reporting Lead and Product Owner to design a structured, repeatable... More approach to Atlassian reporting. This role focuses on defining reporting requirements, recommending Jira and tool configurations, and developing illustrative dashboards to support budgeting, effort, cost, and timeline visibility. The consultant will also advise on best practices, governance, and sustainment while progressively shifting from delivery to enablement to build internal reporting capability.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less