Job Search Results for clinical

Remote Healthcare Cloud/Data Engineer

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... More 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/.Less

EDI Technical Specialist

Insight Global is seeking an EDI Technical Specialist for a top healthcare diagnostics client. This contractor will play a key role in supporting critical EDI and HL7 integrations tied to a... More high-visibility genomics initiative. The ideal candidate has strong HL7 interface experience (non-billing), enjoys working closely with technical and clinical teams, and is excited to contribute to complex healthcare data integrations that directly impact 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

Remote Prior Authorization Specialist

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... More 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/.Less

Billing Specialist

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... More 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/.Less

PB System integration Analyst II

Job Description:Responsible for the preparation and review of analysis for various PB Coding leadership and external customers by creating a reporting dashboard (PB Coding and Charge Capture... More Dashboard). Work as an operational and technical analyst supporting the technology used by the PB Coding Department in the revenue cycle function. Partner with Revenue cycle, clinical leadership, and IT to identify and analyze root cause of user and system issuesSubmit and track system requests, submit system enhancements and new edits, and participate in system upgradesDevelop efficient workflows and claim scrubber edits Routine Epic maintenance for PB coding, including tasks like managing reports, work queues, revenue setup, and verifying IT configurationsManaging 2 shared inbox requestsDay to day: Request optimizations, innovation, create automation solutions to make the coders and medical reviewers life more efficientKey Responsibilities Include:Sitting in on meetings in new growth projects and ability to drive conversations and have a seat at the table with ITWe 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

Quality Specialist

One of our large pharmaceutical clients is looking to hire a Sr Quality Specialist to join the EQ team. The individual will provide QA support for TAR-200 (including UPC) and TAR-210 projects,... More ensuring adherence to quality assurance processes and compliance with all company policies and procedures. They will perform assigned duties and collaborate with cross-functional teams to maintain regulatory standards, facilitate communication within the core team, and help to ensure that all quality-related activities project goals and deadlines are met. In particular, the specific tasks required on a daily basis by the position are:Support, review/pre-review, and/or approve the following --Batch record review -Quarantine shipment (Q-ship) activities-Release for Further Processing (RFFP) activities -EM Quality Events-EM CAPAs-EM Change Controls-EM Planned Deviations -EM Product Quality Complaints -EM Protocols-EM Risk Assessments-EM Electronic Batch Record (eBR) changes-EM Manufacturing Process Instruction (MPI) changes -EM equipment specific Master Validation Plan (MVP) changes-Sterilization-specific documentation -New equipment qualification documentation Own/support the following -Own Child records for Change Controls in TrackWise -Own/support internal Nonconformances (NC) in Comet-Own/support internal Investigations in Comet-Own/support internal Supplier Investigations in CometHelp maintain/manage/keep organized the following-Outstanding EM issues-Transfer of document to the EM-Status of Clinical Trial Material (CTM) lots/production schedule-Various workstreams (help build templates, flowcharts, 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

Provider Scheduler

Day-to-Day Responsibilities:? Oversee scheduling operations for a national team of ~50 providers, ensuring full coverage for telehealth visits? Build and release monthly schedules 30?60 days in... More advance, adjusting for demand, volume, and staffing gaps? Manage real-time schedule optimization, including overflow coverage, call-offs, and shift adjustments? Own payroll oversight, including timecard approvals, discrepancy resolution, and coordination with payroll teams? Analyze staffing and utilization data to improve efficiency, coverage, and cost management? Lead regular team meetings, check-ins, and performance conversations with direct reports? Partner with internal stakeholders (operations, HR, finance) to ensure smooth workforce operations? Develop and implement standardized processes around scheduling, payroll, and workforce planning? Maintain clear and consistent communication with team members regarding schedules, expectations, and updates? Support hiring, onboarding, and ongoing development of team membersOverview:The Provider Scheduler is responsible for overseeing the day-to-day workforce operations of a national telehealth provider team within a high-growth wellness organization. This role focuses on managing scheduling, payroll, and operational workflows to ensure seamless delivery of virtual services across multiple states.This individual will act as both a strategic leader and hands-on operator, driving efficiency across scheduling processes, ensuring accurate and timely payroll operations, and supporting a high-performing, distributed workforce. The Lead Practice Manager partners closely with cross-functional teams to optimize staffing models, improve utilization, and maintain operational excellence in a fast-paced environment.This is a non-clinical leadership role focused entirely on operational execution, team leadership, and process optimization within a telehealth 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

Financial Analyst

A client of Insight Global is looking for a financial analyst. The financial analyst will work to to maintain financial models, analyze claim-related data, and help the organization understand where... More savings opportunities exist. The ideal candidate has a strong grasp of financial concepts, is comfortable working with data, and can translate numbers into meaningful insights?even without deep healthcare experience.Key ResponsibilitiesMaintain and update financial models related to clinical edit savings.Perform variance analysis to explain changes, trends, and anomalies in financial performance.Partner closely with a data engineer to interpret data outputs and understand what the data is telling the team about claim processing.Use Power BI and native EPIC tools to analyze and visualize data (no SQL required). (they also don't need to be super familiar with EPIC and power BI because they can teach this, but ideally have experience w it)Identify patterns, root causes, and opportunities for improved claim accuracy and cost savings.Exact compensation may vary based on several factors, including skills, experience, and education but will vary anywhere from $24-$28. Benefit packages while on contract for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.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

BI Developer

Physician enterprise - Brent has tasked rashna (peer) with fixing inbasket issues w physcanThe inbasket data shows providers burden by high vol of messages in inbasket- This is results routing... More issues, co signing orders, a lot of admin issues providers faceRashna assembeld group of physiican, infom, and ops to fix the burden of inbasket issues for providersShe is leading it from AITRashna leading from enterprise perspectiveBrittney- PM over this , has exp in data analytics and those teamsOn physician enterprise side- there is data team, just beyond capacidty and cannot take on project- They got them started w skeletonHave to move data out of epic into dashboards they can utilizeGot apprval to bring on high level data analytics to continue twork in dashboard and create robust system out of this dashboardSo when project is over informatics keeps maintance of dashboard and push to users This is the only consultant, they are working w epic to bring in epic boost resourceThere is a perception that there is data in epic that our team does not see, so we need epic to come in and see what is going on and having every one understand what data is avail IMPACT- reducing and filtering what gets sent over to the providers, and getting it to the right teams. This is going to be data that this work group uses to guide decisions. In the middle we are making sure we are staying focused on operational direction. It will be dashboards that leaders in the market can be used in an ongoing basis.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 Product Owner- Provider Data, in MN/IA/WI/ND/SD!

Insight Global is hiring a Product Owner for a payer's provider networking team within Data Ops. This team consists of 5 developers, a QA, and 3 BAs. The team is currently modernizing a 25-year-old... More application (PowerBuilder on Oracle) to better support network changes in response to regulatory response-time requirements. This application relays information to their health plan members such as NPI #, if the provider is in/out of network, their specialty, and whether or not they are open to new patients etc. This application must be flexible and update data such as adding/deleting providers from the network to meet regulatory requirements of a certain # providers per specialty per certain population. It sits within Data Ops, and so PO understanding of the data domain, as well as provider networking is a HUGE plus!The Product Owner drives the delivery of high-quality analytic products by prioritizing work, shaping user stories, and ensuring alignment with business objectives. Acting as the primary liaison to sponsor, the PO ensures clear communication of goals, trade-offs, and progress. They collaborate with developers, analysts, and engineers in Agile teams to build scalable data solutions, maintain domain expertise, and provide consultative support for strategic decisions. Key responsibilities include managing the product roadmap, planning sprints, validating deliverables, and championing data accuracy, security, and compliance?all while driving adoption and measurable business value.ACCOUNTABILITIES:All team members must champion and model our values of partnership, curiosity, compassion, integrity, and excellence, and must contribute to a culture of continuous learningActs as domain experts, partnering with business groups, and data engineers to frame problems, model, clean and integrate data, and determine the best way to leverage that data in service of a goal Works with business partners to understand and create their ?user stories;? they identify and clarify opportunities to leverage data analytics in service of customer or business value Independently creates, deploys, monitors, and maintains highly interactive data visualizations and analytic services Leads and participates in strategic measurement activities, including Return on Investment (ROI) analyses, Key Performance Indicator (KPI) development, risk assessment and indexing, as well as domain-specific measurements (example: readmission rates) Works with their teams to ensure data accessibility, accuracy, and quality, and may act as data stewards by contributing to management of central data stores and metadataProvides consultative, data-driven support on product and business strategy development Defines, sets up, and executes test cases to validate that analytic and software solutions meet the business acceptance criteria Communicates solution tradeoffs to business partners to frame and influence project decisionsLeverages internal and external sources to validate data accuracy and benchmark resultsPromotes and champions our security and de-identification standards, while they handle sensitive administrative data (medical and pharmacy claims, clinical data, and other sensitive organizational data assets).We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less