Job Search Results for clinical

Remote - DRG Auditor

Insight Global is seeking a Remote DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the salary ranges anywhere from $80,000-$95,000. This... More person should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role:?Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.?Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.?Maintains production goals set by the audit operations management team.?Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing).?Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc.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

Laboratory Information Systems Analyst

A client is seeking an experienced Laboratory Information Systems (LIS) Analyst to support, maintain, and optimize laboratory technology systems critical to clinical operations, patient care, and... More laboratory efficiency. This individual will serve as the bridge between laboratory operations and IT, ensuring reliable system performance, seamless instrument integration, accurate result reporting, and compliance with healthcare regulations.Key Responsibilities:? Configure, support, maintain, and optimize Laboratory Information Systems (LIS) and related applications? Manage interfaces between laboratory instruments, middleware, LIS platforms, and EHR systems? Design, test, implement, troubleshoot, and support LIS enhancements, upgrades, and integrations? Analyze laboratory workflows and develop technology solutions to improve operational efficiency? Collaborate with laboratory leadership, pathologists, clinical staff, IT teams, and vendors? Provide end-user support, issue resolution, and training for laboratory personnel? Maintain system documentation, change control records, and operational procedures? Manage LIS test environments and coordinate vendor support activities? Participate in system implementations, upgrades, and optimization initiatives? Ensure compliance with healthcare regulations and accreditation standardsTechnical Environment:? Laboratory Information Systems (LIS)? Laboratory instrument integration and middleware? HL7 messaging and interface management? EHR/LIS interoperability? SQL and database management? Workflow analysis and process improvement? Healthcare data management and regulatory compliance? Reporting and analytics tools? Microsoft Office SuiteWe 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

PACs Project Manager

A large healthcare provider in Philadelphia, PA is seeking a remote PACs Project Manager to support a strategic initiative focused on migrating clinical imaging applications from on-premises... More environments to Microsoft Azure. This individual will serve as the bridge between clinical imaging vendors, internal application owners, cloud infrastructure teams, and implementation partners to assess migration strategies, validate future-state architecture, and drive execution planning. This role is ideal for someone with deep experience managing or implementing PACS (Picture Archiving and Communication Systems) and a strong understanding of clinical imaging workflows, data flows, dependencies, integrations, and operational impacts within a healthcare environment.Responsibilties:- Lead assessments of clinical imaging applications to determine the appropriate application disposition strategy as part of the Azure migration initiative.- Facilitate discussions between imaging vendors, Azure architects, and implementation teams to evaluate whether applications should be rehosted, upgraded, replaced, retired, or deplatformed.- Analyze application dependencies, integrations, data flows, infrastructure requirements, and clinical workflow impacts to support disposition recommendations.- Confirm future-state architecture and migration methodologies for imaging platforms.- Develop migration and activation plans based on approved disposition decisions.- Drive project execution and serve as the primary PM throughout the migration lifecycle.- Identify risks, dependencies, and operational impacts to clinical imaging workflows.- Ensure migration plans are validated, documented, and aligned with business and technical requirements.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 Physician Reviewers

We are seeking a Physician Reviewer to support utilization management and appeals processes by reviewing medical records and denial determinations to identify opportunities for appeal. This is an... More excellent opportunity for recent medical school graduates, including foreign-trained medical graduates, looking to leverage their clinical knowledge in a non-clinical physician review role. They will review medical records, denial letters, and supporting clinical documentation to determine if denied claims are medically necessary and appealable. They will draft and submit approximately 5-6 appeal letters per day using evidence-based clinical rationale. Conduct peer-to-peer reviews with insurance carriers and providers as needed (approximately 1-2 calls per week, up to one hour per call).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

Advanced Epic ClinDoc Application Analyst

-building, supporting, and testing and implementation efforts related to Epic Clinical Documentation and other related Inpatient Systems -analyzing clinical workflows and recommending improvements... More for efficiency and accuracy -collaborating with clinicians and end users of the system to design, build, test, train, and implement Epic-analyzing business problems and provide effective solutions -providing oversight and guidance to more junior Epic analysts on the team and actively collaborating with other analyst to optimize the application's configuration, function, and access-staying up to date with Epic integrations and optimizationsWe are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, 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 Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. 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

Data Scientist

Insight Global's healthcare client is seeking a mid-level Data Scientist to support healthcare initiatives focused on maternity, musculoskeletal, care paths, and clinical navigation. This role will... More focus on analyzing and modeling healthcare data to build and evaluate data-driven clinical journeys, applying statistical measurement and experimentation to improve outcomes across Medicare and commercial populations. The Data Scientist will design and analyze A/B tests to inform product and clinical decisions, work closely with other data scientists and business stakeholders to translate business problems into analytical solutions, and participate in weekly problem-solving sessions across data science sub-teams.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

DRG Auditor - October Class

Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation,... More and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role: Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently. Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters. Maintains production goals set by the audit operations management team. Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing). Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc. The salary is 95K.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

Product Business Analyst

Insight Global is seeking a Business Analyst for a leading healthcare technology client supporting Clinical Engineering initiatives. This individual will serve as the bridge between Commercial and... More Implementation teams, partnering closely with Product Managers, Business Analysts, and operational stakeholders to evaluate opportunities and solve business challenges through data. The ideal candidate is highly analytical, enjoys investigating complex problems, and can determine whether new tools, features, and process improvements are worth pursuing based on measurable business impact. Leveraging Snowflake, SQL, and stakeholder insights, this person will research opportunities, analyze operational performance, measure ROI and adoption, develop business recommendations, and support product roadmap decisions that improve technician workflows and overall operational efficiency. This is an excellent opportunity for someone looking to grow within a product-focused environment while making a direct impact on healthcare operations and Clinical Engineering initiatives.Partner with Product Managers, Business Analysts, and business stakeholders to identify operational challenges and opportunitiesAnalyze operational and business data using SnowflakeResearch and evaluate new products, features, tools, and workflow enhancementsBuild SQL queries and perform data analysis to determine business value, ROI, adoption potential, and cost savings opportunitiesDevelop recommendations based on data findingsIdentify process improvement, automation, and workflow optimization opportunities for Clinical Engineering teamsGather and document business requirementsTranslate business needs into user stories and product recommendationsSupport roadmap planning and feature prioritization effortsEstablish and track success metrics, adoption measurements, and ROI for product initiativesAnalyze utilization and operational performance dataValidate proposed solutions before development investments are madeSupport ongoing Clinical Engineering product initiatives across Commercial and Implementation teamsWe 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 Pharmacist (Bilingual - Spanish)

Insight Global is seeking a Remote Pharmacist who is bilingual in English/Spanish and licensed as a pharmacist to join a strong team of clinicians, analysts, and clinical support staff at a... More healthcare startup. The purpose of this position is to provide an expert level medication therapy consultation and med reconciliation to the patients and providers and to help supervise the Clinical Care support team. This candidate will have a direct impact on patient care and the delivery of our core clinical services, stay continuously up to date on developments in the fast-moving drug field, and be aware of emerging patterns, treatment guidelines, and best practices. The Clinical Pharmacist receives assignments and functions under the supervision of the Head of Operations to carry out and supervise direct patient care responsibilities and perform a range of functions that include the maintenance and review of patient medication profiles; counseling patients on appropriate drug use; promoting adherence; developing clinical recommendations; reviewing completed medication reviews by other Virtual Pharmacist users; as well as interacting with other health professionals to help improve patient 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

Oracle Fusion HCM Reporting Lead

We are seeking an experienced Oracle Fusion HCM Reporting Lead to optimize our human capital analytics ecosystem following a recent Oracle Cloud HCM go-live. This role bridges HR operations, IT, and... More clinical/administrative leadership to design, build, and maintain operational reports, executive dashboards, and workforce analytics tailored to a fast-paced healthcare environment.Primary ResponsibilitiesReport & Dashboard Development: Design, build, and optimize complex reports and dashboards using OTBI, BI Publisher (BIP), HCM Extract, and ORC (Oracle Recruiting Cloud) Reporting.Post-Go-Live Support: Address post-implementation reporting backlogs, resolve complex data discrepancies, and optimize query performance for high-volume healthcare datasets.Healthcare Workforce Analytics: Develop specialized reports for healthcare operational needs, including nurse-to-patient ratio tracking, license/certification monitoring, PRN shift usage, union pay rules, and clinical turnover metrics.Stakeholder Engagement: Partner with HR business partners, clinical management, and payroll teams to translate operational requirements into technical reporting solutions.Knowledge TransferWe 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