Job Search Results for healthcare operations

Member Care Navigator

As the Member Care Navigator, you will provide members with exceptional support by delivering high quality, professional, and efficient service. You will also liaise with members and providers to... More assist in the coordination of care related to medical access complexities.? Answer incoming calls and support members in scheduling appointments and accessing appropriate care. ? Maintain open, continuous communication between members and providers. ? Research accepting physicians or facilities based on plan design, member needs, and access barriers. ? Partner closely with Account Management, Contracting, Advocacy, Pre-Neg, and TPA teams to resolve access issues. ? Own the end-to-end member experience?from intake through resolution ensuring timely follow up, documentation, and clear next steps. ? Make outbound calls to providers, clients, and partners to gather information, educate stakeholders, and provide updates. ? Attend training and team meetings to stay current on workflows, tools, and plan updates.Member Advocacy & Support? Deliver a high-empathy, member-first experience in every interaction. ? Acknowledge frustration, build trust, and help members confidently navigate their benefits. ? Explain open-network plans, reference-based pricing, and member benefits in simple, jargon-free language. ? Own each case through resolution with proactive updates and follow-through. ? Document all interactions thoroughly and accurately to ensure continuity of care, compliance, and quality. Provider Communication & Problem Solving? Liaise professionally with providers to clarify plan details, payment processes, and network structure. ? Navigate provider pushback with calm, respectful communication. ? Identify accepting or RBP-friendly facilities and provide alternative options when needed. ? Coordinate Single Case Agreements (SCAs) or escalations based on internal criteria. ? Investigate delays or barriers that threaten timely care and act decisively to overcome them. Operational Excellence? Follow established workflows, boundaries, and escalation protocols with precision. ? Use internal research tools (OnPoint, PON, provider lookup systems) to verify provider options. ? Prioritize inquiries based on urgency, member risk, and available details. ? Collaborate across departments to establish processes that remove barriers to care. ? Uphold compliance standards, including HIPAA and Department of Labor guidelines. ? Maintain confidentiality of all sensitive information. Clinical & Benefit Literacy? Understand key clinical terms, service types, and the implications of delays in care. ? Confidently communicate around pre-authorization processes, diagnosis implications, and provider requirements?without crossing clinical boundaries. ? Recognize scenarios requiring escalation due to potential impact on timelines or safety.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

Finance Oracle Solution Architect

We are seeking a Solution Architect Lead with deep Oracle Fusion experience to support enterprise healthcare provider clients across Finance, Supply Chain, HR, and Payroll domains. This role is... More highly consultative and advisory in nature, partnering closely with clients to guide decision-making and shape best-practice solutions based on real-world healthcare operations experience.This position is ideal for a leader who has come up through healthcare provider operations, led complex Oracle Fusion implementations, and can translate that experience into confident, opinionated guidance?not just presenting options, but recommending the right approach.Note: Candidates must come from a healthcare provider environment. Insurance or payer-only backgrounds will not be considered.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

HR Oracle Fushion Solution Architect

We are seeking a Solution Architect Lead with deep Oracle Fusion experience to support enterprise healthcare provider clients across Finance, Supply Chain, HR, and Payroll domains. This role is... More highly consultative and advisory in nature, partnering closely with clients to guide decision-making and shape best-practice solutions based on real-world healthcare operations experience.This position is ideal for a leader who has come up through healthcare provider operations, led complex Oracle Fusion implementations, and can translate that experience into confident, opinionated guidance?not just presenting options, but recommending the right approach.Note: Candidates must come from a healthcare provider environment. Insurance or payer-only backgrounds will not be considered.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

Supply Chain Oracle Fusion Solution Architect

We are seeking a Solution Architect Lead with deep Oracle Fusion experience to support enterprise healthcare provider clients across Finance, Supply Chain, HR, and Payroll domains. This role is... More highly consultative and advisory in nature, partnering closely with clients to guide decision-making and shape best-practice solutions based on real-world healthcare operations experience.This position is ideal for a leader who has come up through healthcare provider operations, led complex Oracle Fusion implementations, and can translate that experience into confident, opinionated guidance?not just presenting options, but recommending the right approach.Note: Candidates must come from a healthcare provider environment. Insurance or payer-only backgrounds will not be considered.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

SR. Technical Product Manager - Salesforce Service Cloud

Day to Day:A client of Insight Global is looking for a Senior Technical Product Manager to own the vision, strategy, and execution of a mission-critical Salesforce Service Cloud platform. This... More individual will be responsible for defining the platform roadmap, leading omni-channel intake and integration strategy, and ensuring Salesforce functions as a scalable, enterprise-wide service and contact center platform. Day to day, the role will partner closely with engineering, architecture, and business leadership to design and govern case management, routing, SLAs, automations, and integrations with CTI/telephony platforms such as NICE CXone and enterprise systems including Jira. The Product Manager will drive large-scale CRM standardization, lead platform transformations from implementation through maturity, define and track adoption and performance KPIs, and influence senior stakeholders to drive behavioral change and eliminate fragmented or legacy workflowsPay rate starting at $70-75/hrWe 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

Payroll Oracle Fusion Architect

We are seeking a Solution Architect Lead with deep Oracle Fusion experience to support enterprise healthcare provider clients across Finance, Supply Chain, HR, and Payroll domains. This role is... More highly consultative and advisory in nature, partnering closely with clients to guide decision-making and shape best-practice solutions based on real-world healthcare operations experience.This position is ideal for a leader who has come up through healthcare provider operations, led complex Oracle Fusion implementations, and can translate that experience into confident, opinionated guidance?not just presenting options, but recommending the right approach.Note: Candidates must come from a healthcare provider environment. Insurance or payer-only backgrounds will not be considered.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

IT Lab Manager

Insight Global is seeking a IT Lab Manager to join a collaborative team. This role will oversee laboratory technology operations across a large, complex healthcare environment, supporting over 140... More hospitals and more than 2,200 clinical locations. The focus will be on planning and executing laboratory technology initiatives, including new instrument installations, system refreshes, and large scale project deployments, with a significant portion of work tied to 36 hospitals going live. This leader will be responsible for creating and executing a repeatable, standardized approach to lab system rollouts, particularly around integrations, ensuring consistency, scalability, and sustainability across the organization. In parallel, the role will provide standard day to day support for laboratory systems while managing several national initiatives at the same time. Success will be defined by the ability to balance high volume operational support with long term project planning. This is a hands-on leadership role for someone comfortable taking ownership, building a plan, and guiding teams through large-scale change in a demanding healthcare setting.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 Senior Incident Manager - Night Shift

The Senior Incident Manager is a critical member of the Global Operations team, responsible for leading the end-to-end management of major incidents across a SaaS healthcare platform. This role... More operates with a high degree of autonomy, serves as a technical resource and mentor to peers, and drives continuous improvement across incident management processes. The ideal candidate brings deep technical expertise, strong written and verbal communication skills, and a proven ability to lead under pressure ? from initial triage through post-incident review.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

Project Manager (Part-Time/ Pharmacy)

Our healthcare client is looking for a part-time (~ 20 hours/ week) detail-oriented Project Manager to develop and implement a foundational project plan for a Pharmacy initiative under their Health... More Impact and Innovation umbrella. Primary responsibilities include establishing communication channels and standards, stakeholder management and attending and facilitating meetings across leadership, pharmacy operations, real estate, credentialing and technology.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

Chief Technology Officer (Interim)

Insight Global is looking for an Interim Chief Technology Officer (CTO) to serve as a transformational executive leader during a critical period of transition within a $5B+ healthcare system spanning... More 14 hospitals. This is not a caretaker role. Reporting to the Acting CIO, the Interim CTO will lead modernization and organizational change across a large, complex, Epic-driven, multi-hospital environment, while maintaining operational stability. This role requires a hands-on, decisive leader who is comfortable reshaping teams, challenging legacy approaches, and executing at scale in one of the region?s largest health systems. The Interim CTO will have executive oversight of four major functional areas within the system's Technology Services Group, operating across a large, multi-site, highly complex hospital environment supporting 14 hospitals and a broad clinical and administrative user base: infrastructure, network and telecommunications, end-user computing and service delivery/engineering. Scope of ResponsibilityInfrastructureOwn core infrastructure platforms including servers, storage, databases, backups, and backend systemsProvide leadership across cloud architecture and hybrid environments, ensuring scalability, security, and reliabilitySupport a highly complex, mission-critical healthcare infrastructure with stringent uptime and performance expectationsNetwork & Telecommunications (Primary Area for Transformation)Lead all wired and wireless networking, telecom systems, and supporting applicationsAssess current leadership, structure, and performance across the network and telecom organizationDrive modernization of network architecture, operating models, and accountability frameworksElevate outcomes from ?good enough? performance to a best-in-class, resilient enterprise networkEnd-User ComputingOversee all desktops, laptops, mobile devices, and clinical workstationsImprove clinician and employee technology experience across login workflows, device performance, and workflow efficiencyBalance security, usability, and cost in a highly regulated healthcare environmentPartner closely with clinical, operational, and security stakeholders to improve satisfaction and adoptionService Delivery & EngineeringLead technology service delivery and engineering functions across the enterpriseOversee the Microsoft ecosystem (M365, backend platforms), Citrix / VDI, and virtualization technologiesProvide executive oversight to a small in-house AI development team and supporting engineering resourcesEnsure consistent service quality, execution discipline, and alignment with enterprise prioritiesKey Priorities1. Network & Telecom ResetReassess organizational design, leadership capabilities, and performance metricsAddress gaps in accountability, talent, and executionModernize architecture and operating models to support scale, reliability, and growth2. Cloud Strategy ExecutionTake ownership of a newly defined cloud roadmap developed with a preferred third-party partnerTranslate strategy into actionable execution plansDrive adoption, governance, and optimization while aligning with security and compliance requirements3. End-User & Desktop Experience TransformationModernize how clinicians and staff interact with technology on a daily basisImprove login experience, system performance, and workflow efficiencyRe-evaluate legacy approaches to endpoint management, virtualization, and access modelsExperience with Imprivata, VDI, and Windows-based environments is highly valued4. Operational StabilityMaintain uptime, reliability, and performance across all technology domainsEnsure patient care and clinical operations remain fully supported while transformation initiatives are underwayWe 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