Job Search Results for clinical
Jun 04, 2026
Nashville, TN
|
Medical Coder
|
Contract,Perm Possible
|
$34 - $42 (hourly estimate)
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In this role, you will review patient medical records to ensure clinical documentation accurately supports diagnoses, procedures, and DRG assignment in alignment with coding guidelines and regulatory... standards. You will identify documentation gaps or inconsistencies that could impact reimbursement and work directly with physicians and care teams to obtain clarification through compliant queries and follow-up reviews. You will partner closely with coding teams to reconcile documentation with final coding outcomes, resolve DRG discrepancies, and ensure an accurate representation of patient severity of illness and level of care. Throughout your work, you will support documentation improvement initiatives, contribute to quality and compliance efforts, and leverage independent judgment to drive accuracy, reduce denials, and improve overall revenue cycle performance.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/.
Jun 24, 2026
Eden Prairie, MN
|
Data Warehousing
|
Contract
|
$29 - $36 (hourly estimate)
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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\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"REMOTE Data Scientist","City":"Eden Prairie","ExpirationDate":null,"PriorityOrder":0,"Requirements":"-Advanced degree in Applied Mathematics, Physics, Computer Science, Statistics, or a related technical field.Proficiency in traditional machine learning and statistical modelling, including regression, classification, sampling design.-Strong coding skills in Python, SQL, and related languages.Demonstrated systems-level thinking and a track record of creative problem-solving, including non-standard approaches to complex challenges.-Proven experience in transitioning projects from proof-of-concept (PoC) to production, with a focus on scalability, reliability, and performance.-Exposure to LLM technologies","Skills":"The team is made up of 6 AI engineers - lots of good experience in Agentic AI/LLMs and the person will be well supported by a mature team for the duration.The client is seeking a Senior Data Scientist for a sharp, high-impact focused on delivering practical AI/ML solutions that improve efficiency, prioritization, and medical cost savings within Payment Integrity operations.This is an ideal opportunity for a contractor who enjoys stepping into a well-defined piece of work, moving quickly, and partnering with a mature, collaborative team. You?ll work on meaningful problems with modern tooling, including LLMs, RAG, GenAI, predictive modelling, and agentic workflows, in an environment that values autonomy, technical depth, and low-friction delivery.What you?ll be doing in this engagement:-Design and deploy intelligent models by applying advanced statistical techniques, traditional machine learning algorithms, deep learning architectures, and modern approaches such as Large Language Models (LLMs), Retrieval-Augmented Generation (RAG), and Agentic AI. -Leverage state-of-the-art libraries and frameworks to ensure scalable, production-grade solutions aligned with enterprise deployment standards.-Lead cross-functional discovery sessions with Data Scientists and Payment Integrity Operations leadership to translate business challenges into actionable analytical objectives. Drive alignment between statistical rigor and emerging AI capabilities to maximize operational impact.-Deliver robust statistical analyses that frame business scenarios with clarity and precision, integrating classical inference methods with generative and agentic reasoning to inform critical decisions and enhance process outcomes.-Collaborate with data stewards and engineering teams to curate high-quality datasets for model development. Ensure data integrity and readiness for both traditional predictive modelling and autonomous agent workflows.-Develop end-to-end modelling pipelines encompassing sampling design, data and selection of appropriate statistical and AI methodologies. Document processes and results with transparency, supporting reproducibility and auditability across both ML and LLM-based systems.Communicate insights and model outputs effectively to stakeholders, translating complex statistical and AI-driven findings into actionable business narratives.Monitor and refine model performance through continuous evaluation, incorporating feedback loops and adaptive learning mechanisms. Recommend enhancements to algorithms and agentic workflows that unlock new insights and drive measurable improvements.","Industry":"Data Warehousing","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":36.0000,"SalaryLow":28.8000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
-Knowledge of work with US healthcare data (claims, clinical records, authorization, provider contracts)-Proficiency in deep learning frameworks PyTorch, Tensorflow or other-Experience with Agentic... AI frameworks such as LangChain, LlamaIndex, and other orchestration tools for autonomous agents.-Hands-on experience implementing/adapting published academic research into tangible solutions.-Ability to understanding emerging prompting strategies/research and evaluate benefits/trade-offs.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/.
Jun 08, 2026
North York, ON
|
Sales
|
Perm
|
$75k - $130k (estimate)
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Insight Global is looking for a Sales Product Specialist to support a large Medical Technology and Devices company located in Montreal, CAN. This is a full time permanent position that will require... consistent travel (dependent on location) to Montreal, Quebec, and Ottawa. This person will be working remotely outside of travel. There will be required long distance travel within the US and Nova Scotia once a month. This person will be the main point of contact for all account management considerations at each hospital in their territory. The will need to build relationships with key opinion leaders and decision makers within their territory and provide professional clinical support to physicians on safe and effective us of product portfolio.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/.
Jul 01, 2026
Coral Gables, FL
|
EMR ? Electronic Medical Records
|
Contract
|
$76 - $95 (hourly estimate)
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Insight Global is seeking an Epic Cogito Manager for a large healthcare system undergoing an enterprise-wide Epic implementation. This individual will provide leadership and support to the... organization's existing Cogito team and manager as they prepare for a major Epic go-live in 2027. The ideal candidate will have prior experience managing Cogito teams, leading analytics strategy, and supporting Epic implementations within complex healthcare environments.This person will serve as a mentor and leader for analysts and reporting resources while helping establish best practices, governance processes, and reporting standards across the Epic Cogito suite. They will partner closely with operational, clinical, and executive stakeholders to ensure analytics and reporting initiatives align with implementation goals and organizational priorities.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/.
Jun 19, 2026
Jacksonville, FL
|
Accounting / Finance
|
Contract-to-perm
|
$44 - $55 (hourly estimate)
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?Modeling reimbursement rates, analyzing payer performance, and delivering financial insights that directly influence contract negotiations and revenue optimization across the health system.?This... position requires advanced analytical skills, deep knowledge of healthcare reimbursement methodologies, and proficiency in multiple financial and clinical systems.?The analyst serves as a key advisor to leadership, providing data-driven recommendations that shape payer strategy and financial planning.?Quantify payer issues and policies, monitor payer behavior, and provide analytic support during payer negotiations.?The Senior Payer Strategy Analyst will conduct ad hoc analysis and modelling, including: proposals and counter-proposals during payor negotiations, modeling new payer rates, validating incoming rate changes from payersWe 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/.
Jul 07, 2026
Los Angeles, CA
|
Sales
|
Perm
|
$150k - $175k (estimate)
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The Head of Sales is responsible for leading the U.S. commercial sales organization to achieve revenue growth, market expansion, and profitability objectives. This role develops and executes the... national sales strategy, builds a high-performing sales organization, and collaborates closely with Marketing, Clinical Affairs, Operations, and Executive Leadership to drive sustainable business growth. The ideal candidate has a proven track record of leading medical device sales teams, developing commercial strategies, and consistently exceeding sales targets within a highly regulated healthcare environment.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/.
Jun 16, 2026
Oakland, CA
|
Architect (Engineering)
|
Perm
|
$136k - $151k (estimate)
{"JobID":542128,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-122.27,"Longitude":37.8,"Distance":null},"State":"California","Zip":"94612","ReferenceID":"OCC-9c8c59b8-19b0-4713-a2ef-1f68830a49b7","PostedDate":"\/Date(1781632372000)\/","Description":"The Platform Engineer serves as a technical subject matter expert (SME) for enterprise contact center platforms, including NICE CXone and associated telephony, routing, and integration components. This role is responsible for resolving complex incidents, leading root cause analysis (RCA), and ensuring platform reliability across a 24/7 support environment. This position operates as the final escalation point following Tier 1 and Tier 2 triage, focusing on high-impact P0/P1 issues, platform engineering, and continuous improvement initiatives to improve system stability and reduce incident recurrence. This role is critical to supporting a large-scale CCaaS transformation enabling reliable, scalable, and integrated contact center services across the enterprise, directly impacting member access, clinical workflows, and customer experience 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\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Senior Platform Engineer (Nice CXone)","City":"Oakland","ExpirationDate":null,"PriorityOrder":0,"Requirements":"7+ years of hands-on experience in IT engineering, contact center platforms, or voice engineering Strong, hands-on NICE CXone experience across configuration, administration, and advanced troubleshootingDeep experience with contact center technologies: IVR design and routing, Omnichannel (voice, chat, SMS, email), Workforce Management (WFM)Proven experience working in Tier 3 / escalation environments, owning P0/P1 incidentsSolid understanding of telephony and networking fundamentals: SIP, VoIP, PSTN, call flows3+ years scripting experience using PowerShell scripting languagesHands-on experience working within ITIL-based incident management environments (Incident, Problem, Change)Strong ability to identify, diagnose, and resolve performance, reliability, and scalability issuesExperience with API/integration troubleshooting and data flow debuggingBachelor?s degree in Computer Science, Information Systems, or related field (or equivalent experience)","Skills":"Experience supporting omnichannel environments (voice, chat, SMS, email)Exposure to WFM tools (IEX, etc.)Experience with cloud/SaaS platforms (AWS, Azure)Experience with ServiceNow or similar ITSM toolAny of the following certifications: NICE CXone (NCIE or similar), ITIL, Cloud certifications (AWS/Azure), Voice/networking certifications (Cisco, CCNP, etc.)","Industry":"Architect (Engineering)","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":151000.0000,"SalaryLow":136000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
The Platform Engineer serves as a technical subject matter expert (SME) for enterprise contact center platforms, including NICE CXone and associated telephony, routing, and integration components.... This role is responsible for resolving complex incidents, leading root cause analysis (RCA), and ensuring platform reliability across a 24/7 support environment. This position operates as the final escalation point following Tier 1 and Tier 2 triage, focusing on high-impact P0/P1 issues, platform engineering, and continuous improvement initiatives to improve system stability and reduce incident recurrence. This role is critical to supporting a large-scale CCaaS transformation enabling reliable, scalable, and integrated contact center services across the enterprise, directly impacting member access, clinical workflows, and customer experience 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/.
Jan 21, 2026
Farmington, CT
|
Software Engineering
|
Contract
|
$62 - $77 (hourly estimate)
{"JobID":485094,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-72.8374,"Longitude":41.7277,"Distance":null},"State":"Connecticut","Zip":"06032","ReferenceID":"HTD-e239b21e-dc0d-4f9d-8788-5805b3bb932c","PostedDate":"\/Date(1769023906000)\/","Description":"Support and lead data migration from Oracle to GCP of EPIC Clarity production healthcare dataHost ETL operations within cloud database while simultaneously moving Clarity data to the cloudOvercome challenges and articulate best practices to migration operations, partnering with architects to create roadmapMaintain connectivity across databases and into cloud environmentsRaise thoughtful discussion around prioritization and protection of data throughout migrationWork with clinical leadership to migrate data in timely and efficiency-based mannerWe 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\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Remote Healthcare Cloud/Data Engineer","City":"Farmington","ExpirationDate":null,"PriorityOrder":0,"Requirements":"5-7+ years of cloud data migration experience, ideally from Oracle to GCP/Azure, as a Cloud Engineer or Data EngineerEPIC Clarity production data migration experienceExtensive public cloud experience, Azure or GCPLegacy Oracle experience, familiar with on-premise to cloud migrations","Skills":"Oracle DBA backgroundEPIC Clarity certifications","Industry":"Software Engineering","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":77.0000,"SalaryLow":61.6000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
Support and lead data migration from Oracle to GCP of EPIC Clarity production healthcare dataHost ETL operations within cloud database while simultaneously moving Clarity data to the cloudOvercome... challenges and articulate best practices to migration operations, partnering with architects to create roadmapMaintain connectivity across databases and into cloud environmentsRaise thoughtful discussion around prioritization and protection of data throughout migrationWork with clinical leadership to migrate data in timely and efficiency-based mannerWe 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/.
May 29, 2026
Palo Alto, CA
|
Insurance
|
Contract
|
$20 - $25 (hourly estimate)
{"JobID":535504,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-122.13,"Longitude":37.41,"Distance":null},"State":"California","Zip":"94306","ReferenceID":"DGH-1e4d57e9-80ce-4ca5-943f-9e334b15a2ee","PostedDate":"\/Date(1780066186000)\/","Description":"Insight Global is seeking a fully remote Prior Authorization Specialist to support a Healthcare AI client. This is a fully remote, part-time opportunity working 10-20 hours/week where candidates will leverage their prior authorization expertise to evaluate and improve AI-driven authorization strategies. This role is highly analytical and requires a strong understanding of payer policies, documentation strategies, and real-world authorization workflows. Laptop and equipment will be provided.Shift Times: Flexible scheduling within Monday-Friday, 9am-8pm PST (can\u0027t work weekends)(must be available 10-20 hours/week from 9am-8pm PST // ideal for individuals seeking additional income)Duration: 3-month contract (potential to extend)Responsibilities:? Review pending authorization requests and evaluate AI-generated prior authorization recommendations and strategies? Assess the quality, logic, and effectiveness of AI recommendations across multiple payers and clinical policies? Identify gaps where AI recommendations differ from real-world prior authorization best practices and explain discrepancies? Provide detailed insights into payer-specific nuances, including portal workflows, policy requirements, and documentation phrasing strategies? Share operational knowledge with product teams to enhance AI-powered authorization processes? Partner with GTM teams to critique presentations and provide subject matter expertise on prior authorization workflowsWe 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\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Remote Prior Authorization Specialist","City":"Palo Alto","ExpirationDate":null,"PriorityOrder":0,"Requirements":"? 3+ year of prior authorization experience within a hospital or large multi-specialty group? Experience working across multiple payer types (commercial, Medicare Advantage, Medicaid managed care)? Hands-on experience with at least one major payer portal system? Strong understanding of prior authorization workflows, payer rules, and documentation requirements? Ability to think critically and explain reasoning behind authorization decisions","Skills":"? CPC certification or equivalent medical coding knowledge (CPT, ICD-10, modifiers, payer guidelines)? Experience working in roles that involve denial management or coding review? Comfort working in a tech-enabled or AI-supported healthcare environment","Industry":"Insurance","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":25.0000,"SalaryLow":20.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
Insight Global is seeking a fully remote Prior Authorization Specialist to support a Healthcare AI client. This is a fully remote, part-time opportunity working 10-20 hours/week where candidates will... leverage their prior authorization expertise to evaluate and improve AI-driven authorization strategies. This role is highly analytical and requires a strong understanding of payer policies, documentation strategies, and real-world authorization workflows. Laptop and equipment will be provided.Shift Times: Flexible scheduling within Monday-Friday, 9am-8pm PST (can't work weekends)(must be available 10-20 hours/week from 9am-8pm PST // ideal for individuals seeking additional income)Duration: 3-month contract (potential to extend)Responsibilities:? Review pending authorization requests and evaluate AI-generated prior authorization recommendations and strategies? Assess the quality, logic, and effectiveness of AI recommendations across multiple payers and clinical policies? Identify gaps where AI recommendations differ from real-world prior authorization best practices and explain discrepancies? Provide detailed insights into payer-specific nuances, including portal workflows, policy requirements, and documentation phrasing strategies? Share operational knowledge with product teams to enhance AI-powered authorization processes? Partner with GTM teams to critique presentations and provide subject matter expertise on prior authorization workflowsWe 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/.
Jul 01, 2026
Piscataway, NJ
|
Accounting / Finance
|
Contract
|
$28 - $35 (hourly estimate)
{"JobID":547639,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-74.4602,"Longitude":40.5545,"Distance":null},"State":"New Jersey","Zip":"08854","ReferenceID":"HNJ-0729f5ea-e5a4-4fc9-b24e-1257cf2ce59d","PostedDate":"\/Date(1782930662000)\/","Description":"Insight Global is looking for a billing specialist for one of their healthcare clients in New Jersey. Billing specialists will spend their day actively working assigned A/R and suspended claim work queues within Epic, focusing on denied, rejected, and stalled claims that are contributing to the collections backlog. They will research claim failures by reviewing payer responses, clearinghouse rejection codes, eligibility and authorization issues, and missing or incorrect clinical or demographic data, then take corrective action such as rebilling claims, submitting appeals, or escalating payer issues as needed. On a daily basis, they will prioritize high-dollar and aged accounts, document all follow-up activity clearly within Epic, and ensure timely resubmission to meet payer filing requirements. Billing specialists will collaborate closely with the Financial Project Manager to flag recurring issues, workflow gaps, or system configuration problems, participate in daily or weekly backlog review huddles, and adjust priorities based on recovery targets. They will also post payments and adjustments accurately, monitor account balances for resolution, and follow standardized procedures designed to improve cash flow, reduce future denials, and support compliance throughout the cleanup effort.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\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Billing Specialist","City":"Piscataway","ExpirationDate":null,"PriorityOrder":0,"Requirements":"? 5+ years\u0027 experience with A/R follow up, claims resolution and denials? Experience in high-volume aged backlogs? 3+ years\u0027 experience working within EPIC revenue cycleExperience working through clearinghouse processes","Skills":"Bachelor?s degree in, Finance, Accounting, or related field","Industry":"Accounting / Finance","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":35.0000,"SalaryLow":28.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
Insight Global is looking for a billing specialist for one of their healthcare clients in New Jersey. Billing specialists will spend their day actively working assigned A/R and suspended claim work... queues within Epic, focusing on denied, rejected, and stalled claims that are contributing to the collections backlog. They will research claim failures by reviewing payer responses, clearinghouse rejection codes, eligibility and authorization issues, and missing or incorrect clinical or demographic data, then take corrective action such as rebilling claims, submitting appeals, or escalating payer issues as needed. On a daily basis, they will prioritize high-dollar and aged accounts, document all follow-up activity clearly within Epic, and ensure timely resubmission to meet payer filing requirements. Billing specialists will collaborate closely with the Financial Project Manager to flag recurring issues, workflow gaps, or system configuration problems, participate in daily or weekly backlog review huddles, and adjust priorities based on recovery targets. They will also post payments and adjustments accurately, monitor account balances for resolution, and follow standardized procedures designed to improve cash flow, reduce future denials, and support compliance throughout the cleanup effort.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/.