Job Search Results for clinical

REMOTE Prior Authorization Pharmacy Technician

The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring... More excellent customer service, accuracy, and compliance with regulatory requirements. The Pharmacy Technician will answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to prior authorizations (PAs) with a high level of professionalism, empathy, and customer service. Demonstrate the ability to accurately capture and verify information provided by prescribers, members, and pharmacies to support timely and compliant medication access decisions. This role involves receiving and reviewing authorization requests via phone, fax, and electronic systems, gathering and verifying clinical information, documenting interactions, evaluating requests against coverage criteria and benefit plans, and collaborating with pharmacists to support coverage determinations. The technician manages a high-volume workload, prioritizes requests based on service level agreements and turnaround times, maintains accurate records, resolves coverage-related issues, and communicates effectively with providers, members, pharmacies, and internal teams to facilitate timely access to medications and positive patient outcomes. This position will take incoming requests for prior authorizations, for formulary and non-formulary medications (this can include Commercial, Part D, High Touch Clients, Community and State cliental, Adherence and Monitoring and Prior Authorization Clinical Appeals), while ensuring a high level of customer service and maximizing productivity. Requests can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal 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 Healthcare BA/Integration Analyst (Epic Bridges, Cloverleaf)

We are seeking a senior Health IT Business Analyst / Integration Analyst to support end-to-end interoperability and interface delivery in a live healthcare environment. This role requires hands-on... More Epic Bridges interface development and production support (primarily for RCM interfaces), expert-level InterSystems Ensemble (HL7 engine) experience, and the ability to independently troubleshoot interface failures in a 24x7 setting. The ideal candidate can translate clinical/business requirements into HL7 mappings and partner with technical and non-technical stakeholders to deliver stable, compliant (HIPAA) integrations with minimal ramp-up time. Key Responsibilities ?Develop, enhance, and support HL7 v2.x interfaces using InterSystems Ensemble/IRIS as the primary integration engine ?Design, build, and support Epic Bridges interfaces and related interoperability workflows, including vendor interfaces connected to Epic. ?Perform message analysis, mapping, and troubleshooting for common HL7 message types (ADT, ORM, ORU, SIU, DFT, etc.) and resolve interface failures independently. ?Translate clinical/business requirements into HL7 mappings and integration specifications; create and maintain interface specs, mapping documents, and support guides. ?Perform Epic-side build/configuration changes required to enable or modify interfaces. ?Support Epic upgrade cycles, including Nova Notes review, regression testing, and end-to-end validation. ?Monitor interface queues and transaction logs for errors/latency; coordinate remediation and communicate status and impact to non-technical stakeholders. ?Ensure data exchange complies with HIPAA and organizational security standards; support secure connectivity patterns as 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

INTL - R Shiny UI Developer

We are seeking an experienced R Shiny Developer to lead frontend/UI development for RiskView, an enterprise Risk-Based Quality Management (RBQM) platform used for clinical trial site risk monitoring.... More This application serves clinical operations teams with interactive dashboards including KRI heatmaps, statistical visualizations, and data review tools, deployed on Posit Connect against an Azure SQL Database backend.Key Responsibilities? Build and refine Shiny UI modules: design, implement, and maintain interactive dashboard views (KRI tables, boxplots, trend charts, data library) following the existing modular architecture? Implement responsive, accessible layouts: using bslib (Bootstrap 5), custom CSS variables, and the project's design system? Develop interactive visualizations: color-coded reactable heatmaps, Highcharts boxplots with scatter overlays, master/detail trend charts, and donut charts? Manage client-side interactivity: Shiny reactive event handling, JavaScript event bridges (Shiny.setInputValue()), and jQuery-based DOM interactions? Optimize UI performance: session-level caching, lazy rendering, and preparing for Phase 2 virtualized tables (React 18 via htmlwidgets)? Collaborate with backend/analytics developers: consume data from an R6-based DataStore class and integrate with pre-computed KRI analytics? Maintain and extend the CSS design system : 5 custom stylesheets with CSS custom properties for risk color theming, responsive breakpoints.? Write UI tests using testthat and shinytest2We 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

We are looking for a Project Manager/Project Leader to join the PMO of this large hospital system. You would be joining a team of 5 who focus on projects involving clinical applications. Typical... More projects to manage within the portfolio include EMR implementations, Lab systems migrations etc. The Project Leader assures that procedures are documented and transitioned to ensure satisfactory ongoing operation of the implemented system(s)/application(s). The Project Leader is responsible for clinical, administrative, and operational level projects within the IT PMO which is overall 25 people.We 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

EPIC STORK CONSULTANT

Insight Global is seeking an experienced Epic Stork Consultant to support Baptist Health's ongoing Epic implementation. This consultant will serve as a key resource for the design, build,... More optimization, testing, implementation, and support of Epic Stork workflows as Baptist Health prepares for its July 2027 Epic Go-Live. The ideal candidate will have a strong clinical and operational understanding of Women's & Children's Services and be comfortable partnering directly with clinical stakeholders to improve workflows and support strategic initiatives across the organization.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

Prior Authorization Pharmacy Technician

The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring... More excellent customer service, accuracy, and compliance with regulatory requirements. The Pharmacy Technician will answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to prior authorizations (PAs) with a high level of professionalism, empathy, and customer service. Demonstrate the ability to accurately capture and verify information provided by prescribers, members, and pharmacies to support timely and compliant medication access decisions. This role involves receiving and reviewing authorization requests via phone, fax, and electronic systems, gathering and verifying clinical information, documenting interactions, evaluating requests against coverage criteria and benefit plans, and collaborating with pharmacists to support coverage determinations. The technician manages a high-volume workload, prioritizes requests based on service level agreements and turnaround times, maintains accurate records, resolves coverage-related issues, and communicates effectively with providers, members, pharmacies, and internal teams to facilitate timely access to medications and positive patient outcomes. This position will take incoming requests for prior authorizations, for formulary and non-formulary medications (this can include Commercial, Part D, High Touch Clients, Community and State cliental, Adherence and Monitoring and Prior Authorization Clinical Appeals), while ensuring a high level of customer service and maximizing productivity. Requests can be received via fax or telephone, from providers' offices and pharmacists. The position provides clinical review for authorizations in keeping with legal and contractual requirements, including but not limited to turn around times (TATs) and service level agreements (SLAs). The technician must provide the information clearly, accurately and in a professional manner. Interactions with callers must be documented per contractual and various regulatory / legal 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

Junior Epic Ambulatory Analyst

This resource?is responsible for supporting and optimizing EpicCare Ambulatory for outpatient specialty clinics. Day-to-day, they partner with providers and operational leaders to improve clinical... More workflows, build and maintain Epic functionality, troubleshoot user issues, support system upgrades and testing, and enhance documentation, scheduling, referrals, and patient care processes. They serve as a liaison between clinical staff and IT, ensuring Epic is configured to support efficient, high-quality patient care across the organization.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 Healthcare BA/Integration Analyst (Epic Bridges, Ensemble/IRIS)

We are seeking a senior Health IT Business Analyst / Integration Analyst to support end-to-end interoperability and interface delivery in a live healthcare environment. This role requires hands-on... More Epic Bridges interface development and production support (primarily for RCM interfaces), expert-level InterSystems Ensemble (HL7 engine) experience, and the ability to independently troubleshoot interface failures in a 24x7 setting. The ideal candidate can translate clinical/business requirements into HL7 mappings and partner with technical and non-technical stakeholders to deliver stable, compliant (HIPAA) integrations with minimal ramp-up time. Key Responsibilities ??Develop, enhance, and support HL7 v2.x interfaces using InterSystems Ensemble/IRIS as the primary integration engine ?Design, build, and support Epic Bridges interfaces and related interoperability workflows, including vendor interfaces connected to Epic. ?Perform message analysis, mapping, and troubleshooting for common HL7 message types (ADT, ORM, ORU, SIU, DFT, etc.) and resolve interface failures independently. ?Translate clinical/business requirements into HL7 mappings and integration specifications; create and maintain interface specs, mapping documents, and support guides. ?Perform Epic-side build/configuration changes required to enable or modify interfaces. ?Support Epic upgrade cycles, including Nova Notes review, regression testing, and end-to-end validation. ?Monitor interface queues and transaction logs for errors/latency; coordinate remediation and communicate status and impact to non-technical stakeholders. ?Ensure data exchange complies with HIPAA and organizational security standards; support secure connectivity patterns as 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

Sr. Director AI & Automation

About the Role:The Sr Director of AI & Automation leads the enterprise strategy, development, and delivery of AI-powered products, GenAI/LLM solutions, intelligent automation, and workflow... More transformation. This role focuses on applied AI, AI productization, LLM innovation, and automation-driven operational efficiency.This leader partners closely with the Data & Analytics organization, which owns data science, ML Ops, model deployment, monitoring, and data engineering. The Sr. Director of AI & Automation focuses on business value, product delivery, workflow transformation, and enterprise adoption.Key Responsibilities:Enterprise AI Strategy (Excluding Data Science & ML Ops)? Define the enterprise AI and GenAI strategy aligned to clinical, RCM, finance, and operational priorities? Identify high-value AI use cases and build a multi-year roadmap? Lead AI product vision, business case development, and value realization? Partner with Data & Analytics for model development, deployment, and ML OpsApplied AI & AI Product Development? Build AI-powered applications using existing models, APIs, and LLMs? Develop prototypes, POCs, and MVPs for AI-enabled workflows? Integrate AI into enterprise systems (EMR, ERP, CRM, RCM platforms)? Own AI product lifecycle: requirements ? design ? validation ? adoption? Ensure AI solutions deliver measurable business outcomesGenAI, LLMs & Emerging Technology? Build LLM-powered copilots, chatbots, summarization tools, and classification engines? Develop prompt engineering standards and evaluation frameworks? Lead RAG-based application development (using Data & Analytics for data pipelines)? Pilot emerging AI technologies (voice AI, agentic workflows, computer vision)? Partner with Engineering to embed LLMs into enterprise workflowsDomain AI Leadership (Without Data Science Ownership)? Clinical AI Enablement: documentation AI, quality measure prediction, workflow augmentation? RCM AI Enablement: denial workflows, coding augmentation, AR segmentation? Digital AI Enablement: chatbots, triage, personalization, provider experience AIResponsible AI & Business Side Governance? Define responsible AI usage guidelines and business guardrails? Ensure explainability, fairness, and ethical use in business workflows? Partner with Compliance, Legal, Security, and Data & Analytics on governance? Oversee business validation, documentation, and audit readinessEnterprise Automation Strategy? Define automation strategy across clinical ops, RCM, finance, HR, supply chain? Manage intake, prioritization, and ROI tracking? Establish automation governance, standards, and best practices? Drive enterprise adoption of automation solutionsRPA & Workflow Automation Delivery? Lead RPA development (UiPath, Automation Anywhere, Power Automate)? Build workflow automations integrated with enterprise systems? Maintain bot library, versioning, and change management? Ensure automation solutions are scalable, resilient, and compliantIntelligent Automation (AI + Automation)? Build document understanding workflows (OCR, NLP, classification)? Automate email/fax routing, triage, and exception handling? Use AI predictions (from Data & Analytics) to trigger automated workflows? Create closed loop intelligent processes (AI ? Automation ? Data ? AI)Process Engineering & Operational Excellence? Lead process mapping, redesign, and optimization? Ensure processes are automation-ready? Deliver measurable improvements in cycle time, throughput, and accuracyWe 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 PB Application Coordinator

Jr. Application Coordinators have primary responsibility for design, build, testing, validation, and ongoing support of clinical applications. They are responsible for obtaining and maintain... More in-depth knowledge of the application functionality and acquiring knowledge of the clinical /operational / revenue workflows to be implemented on the system. Jointly with each other and with the department representatives, they design a future-state workflow and build the system to support the new workflow. They work with each other in workgroups, and across interdisciplinary workgroups, to accomplish these goals as a team.We 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