Job Search Results for clinical

Interface Developer

the Interface Developer will design, build, test, and support clinical and administrative interfaces that enable seamless data exchange across a large healthcare system. On a daily basis, the... More developer will work within Epic Bridges and InterSystems environments to develop and maintain HL7 interfaces, troubleshoot message errors, and ensure reliable real-time data flow between Epic and third-party systems. The role involves collaborating closely with clinical, application, and vendor teams to gather interface requirements, manage changes, and resolve production issues. The developer will also monitor interface performance, support upgrades and new implementations, and follow healthcare data standards and best practices to ensure data accuracy, security, and compliance.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Project Manager

A client in the Orange County area is seeking a strong Project Manager. This is a long term contract with likely extensions. Primarily remote, with expectation to come on site in Orange County up to... More 2 times per month. MUST SIT in Southern California. The Project Manager will oversee the full-lifecycle project delivery experience, must have exceptional communication skills, and the ability to engage effectively with stakeholders at all organizational levels, including clinical, operations, IT, and executive leadership. The Project Manager will focus on a large, multi-workstream Data Strategy Program, helping to evaluate current systems and make process improvement recommendations. This will feed into 12-15 actionable projects for improvement across the organization. The Project Manager must have their PMP and a strong background in healthcare. They must have experience supporting technical projects and comfortable with technical terminology, responsible for requirements gathering, project scope, risks, managing progress, and more. They will be working lockstep with the Program Manager, and must be able to think on their feet with the ability to increase buy in from stakeholders across the organization. Key Responsibilities? Manage full project lifecycle activities across IT, clinical, operational, and enterprise functions.? Translate business needs into clear requirements, support feature definition, assist in testing coordination, and act as the bridge between technical and non-technical teams.? Engage confidently and professionally with senior leaders, clinicians, and cross-functional stakeholders.? Support project prioritization, resource forecasting, and adjustments as new initiatives emerge.? Manage daily project operations including schedules, budgets, risks, documentation, communication, and reporting.? Contribute to cross-training within the PM team and support development of best practices.? Work on a diverse portfolio including billing, IT system updates, software evaluations, clinical process improvement, and operational projects.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

Outbound Outreach Specialist

We are seeking an experienced Outbound Outreach Specialist to support one of our PBM clients. This role is heavily phone-based and focused exclusively on outbound calls to provider offices to obtain... More additional clinical and administrative information required for medication review and authorization workflows.This position is ideal for candidates who are comfortable on the phone, detail-oriented, and experienced working in healthcare environments involving providers, insurance companies, or PBMs.Key Responsibilities?Make outbound calls only 10+ outbound calls per hour to physician and provider offices?Contact providers to request and collect: oAdditional clinical informationoDiagnosis detailsoMedication informationoSupporting documentation aligned with PBM guidelines?Clearly explain outreach purpose and guide provider offices on required information?Accurately document all call outcomes and details in internal systems?Perform heavy data entry while maintaining accuracy and compliance?Follow established call scripts, outreach guidelines, and training protocols?Collaborate with internal teams to ensure timely and complete information captureWe 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

Denial Coordinator

Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will support the Denials Appeals and Performance team, a centralized... More hospital denial team serving 10 hospitals. This role is hospital-based and denial-type driven, with work assigned via CARC codes rather than by inpatient or outpatient setting. Denials primarily include no-authorization (technical) and medical necessity / level-of-care (clinical) denials. Denial Coordinators work closely with RN reviewers and fellow technical staff in a fast-paced, collaborative environment.This is a production-focused role, with an expected daily volume of approximately 40 appeals per day, varying in complexity. Primary Responsibilities:- Work hospital denial accounts routed through proprietary system based on denial reason- Review denial letters to determine appeal feasibility and next steps- Draft and submit clear, detailed appeal letters for: ? No-authorization denials (technical)? Medical necessity and level-of-care denials (in partnership with RNs)- Collaborate daily with: ? RN reviewers? Other denial coordinators? Leadership and managed care partners as needed- Maintain timely follow-up on appealed accounts to ensure resolution- Identify denial trends and escalate issues appropriately- Participate in: ? Daily huddles? Case review meetings? Interdisciplinary denial discussions- Support special projects related to denial trends, payer behavior, or backlog reduction- Adapt to evolving workflows as the DAP team continues to build and scaleWe 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

Senior Network Engineer

Insight Global is seeking a Senior Network Engineer for one of our enterprise veterinary clients. This Senior Network Engineer will support network design, deployment, and migration initiatives... More across a rapidly growing, multi site veterinary hospital network. This hands on, project driven role requires strong network design fundamentals and the ability to translate business requirements into scalable, resilient architecture, leading end to end network builds, SD WAN migrations, and wireless deployments while owning multiple concurrent projects and partnering closely with cross functional teams to deliver reliable infrastructure across new and existing locations.Day to day: ?Lead end to end network design and deployment for new site builds, expansions, and technology refresh initiatives ?Partner with lead architects to deliver scalable, resilient network architectures, owning planning through operational handoff ?Execute SD WAN (VeloCloud) migrations and upgrades, and design/deploy LAN and wireless solutions using Meraki and Aruba ?Configure and manage network security and connectivity, including Palo Alto firewalls, Prisma Access, NAC (ClearPass / ISE), and VPNs (GlobalProtect, IPsec) ?Serve as technical owner for multiple concurrent projects, collaborating across infrastructure, operations, and clinical application teams ?Produce and maintain network documentation and standards, and clearly communicate design decisions to both technical and non technical stakeholders?Provide advanced network troubleshooting across all OSI layers, including packet capture analysis, bandwidth utilization assessment, and application layer issue resolutionWe 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 Data Engineer

Insight Global is seeking a Data Engineer to join our actuarial consultant customer 100% remotely. In this position as a Data Engineer of our client?s Data Platform, you will be responsible for... More designing and implementing robust Data Platform solutions that meet business objectives while ensuring compliance with industry-leading data privacy standards. You will collaborate closely with cross-functional agile teams to drive data architecture decisions, implement best practices, and contribute to the success of our client?s projects. Responsibilities include: ?Data Platform: Creation of a Databricks Data Warehouse(s) and Lakehouse solutions for a healthcare data focused enterprise. oData Governance: Configuring and maintaining unity catalog to enable enterprise data lineage and data quality oData Security: Building out Data Security protocols and best practices including the management of identified and de-identified (PHI/PII) solutionsoExternal Data Products: Building data solutions for clients while upholding the best standards for reliability, quality, and performanceoETL: Building solutions within Delta Live Tables and automation of transformationsoMedallion Architecture: Building out performant enterprise-level medallion architecture(s) oStreaming and Batch Processing: Building fit-for-purpose near real-time streaming and batch solutions oLarge Data Management: Building out performant and efficient enterprise solutions for internal and external users for both structured and unstructured healthcare dataoPlatform Engineering: Building out Infrastructure as Code using Terraform and Asset BundlesoCosts: Working with the business to build cost effective and cost transparent Data solutions?Pipeline/ETL Management: You will help architect, build, and maintain robust and scalable data pipelines, monitoring, and optimizing performanceoExperience working with Migration tools i.e., AWS DMS, AWS Glue, Fivetran, integrate.iooIdentify and implement improvements to enhance data processing efficiencyoExperience with building out effective pipeline monitoring solutionsoBuild the infrastructure required for optimal extraction, transformation, and loading of data from a wide variety of data sources using SQL, Delta Live Tables, Python, Scala, and cloud-based ?big data? technologies.?Data Modeling: Lead design, implementation, and maintenance of standards based (FHIR, OMOP, etc.) and efficient data models for both structured and unstructured dataoAssemble large, complex data sets that meet functional and non-functional business requirementsoDevelop and maintain data models, ensuring they align with business objectives and data privacy regulations?Collaboration: Partner internally with key stakeholders to ensure we are providing meaningful, functional, and valuable dataoEffectively work with Data, Development, Analysts, Data Science, and Business team members to gather requirements, propose, and build solutions. oCommunicate complex technical concepts to non-technical stakeholders and provide guidance on best practices.oEnsure that technology execution aligns with business strategy and provides efficient, secure solutions and systems?Processes and Tools: Identify, design, and implement internal process improvements: automating manual processes, optimizing data delivery, re-designing infrastructure for greater scalability, etc.oBuild analytics tools that utilize the data pipeline to provide actionable insights into operational efficiency and other key business performance metrics.oCreate data tools for clinical, analytics and data scientist team members that assist them in building and optimizing our product into an innovative industry leader.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

Epic Radiant Analyst

Job Description: Application Support & KLO Operations ? Provide day-to-day support for the Epic Radiant module, including troubleshooting, break/fix resolution, workflow issues, and system... More monitoring to ensure consistent operational performance.Ticket Management ? Triage, analyze, and resolve incoming service requests and incidents; collaborate with clinical and operational stakeholders to understand issues and deliver timely solutions.Minor Project Work ? Participate in small to mid-sized enhancement efforts such as workflow refinements, configuration updates, template adjustments, and integration touchpoints with ancillary systems.Upgrade Readiness & Testing ? Review Epic release notes, assess impact to Radiant workflows, perform system and regression testing, validate functionality, and support go-live activities for quarterly upgrades.Build & Configuration ? Configure new features introduced through upgrades or organizational initiatives, including exam protocols, imaging workflows, worklists, rules, and related Radiant components.Documentation & Knowledge Sharing ? Maintain clear documentation of build decisions, workflows, test scripts, and support processes; contribute to team knowledge bases and training materials.Cross-Functional Collaboration ? Work closely with Radiology leadership, technologists, providers, and IT teams to ensure system changes align with clinical needs and organizational goals.Continuous Improvement ? Identify opportunities to streamline workflows, reduce manual effort, improve system reliability, and enhance the end-user experience.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 Sr. Data Engineer

Insight Global is seeking a Sr. Data Engineer to join our actuarial consultant customer 100% remotely. In this position as a Sr. Data Engineer of our client?s Data Platform, you will be responsible... More for designing and implementing robust Data Platform solutions that meet business objectives while ensuring compliance with industry-leading data privacy standards. You will collaborate closely with cross-functional agile teams to drive data architecture decisions, implement best practices, and contribute to the success of our client?s projects. Responsibilities include: ?Data Platform: Creation of a Databricks Data Warehouse(s) and Lakehouse solutions for a healthcare data focused enterprise. oData Governance: Configuring and maintaining unity catalog to enable enterprise data lineage and data quality oData Security: Building out Data Security protocols and best practices including the management of identified and de-identified (PHI/PII) solutionsoExternal Data Products: Building data solutions for clients while upholding the best standards for reliability, quality, and performanceoETL: Building solutions within Delta Live Tables and automation of transformationsoMedallion Architecture: Building out performant enterprise-level medallion architecture(s) oStreaming and Batch Processing: Building fit-for-purpose near real-time streaming and batch solutions oLarge Data Management: Building out performant and efficient enterprise solutions for internal and external users for both structured and unstructured healthcare dataoPlatform Engineering: Building out Infrastructure as Code using Terraform and Asset BundlesoCosts: Working with the business to build cost effective and cost transparent Data solutions?Pipeline/ETL Management: You will help architect, build, and maintain robust and scalable data pipelines, monitoring, and optimizing performanceoExperience working with Migration tools i.e., AWS DMS, AWS Glue, Fivetran, integrate.iooIdentify and implement improvements to enhance data processing efficiencyoExperience with building out effective pipeline monitoring solutionsoBuild the infrastructure required for optimal extraction, transformation, and loading of data from a wide variety of data sources using SQL, Delta Live Tables, Python, Scala, and cloud-based ?big data? technologies.?Data Modeling: Lead design, implementation, and maintenance of standards based (FHIR, OMOP, etc.) and efficient data models for both structured and unstructured dataoAssemble large, complex data sets that meet functional and non-functional business requirementsoDevelop and maintain data models, ensuring they align with business objectives and data privacy regulations?Collaboration: Partner internally with key stakeholders to ensure we are providing meaningful, functional, and valuable dataoEffectively work with Data, Development, Analysts, Data Science, and Business team members to gather requirements, propose, and build solutions. oCommunicate complex technical concepts to non-technical stakeholders and provide guidance on best practices.oEnsure that technology execution aligns with business strategy and provides efficient, secure solutions and systems?Processes and Tools: Identify, design, and implement internal process improvements: automating manual processes, optimizing data delivery, re-designing infrastructure for greater scalability, etc.oBuild analytics tools that utilize the data pipeline to provide actionable insights into operational efficiency and other key business performance metrics.oCreate data tools for clinical, analytics and data scientist team members that assist them in building and optimizing our product into an innovative industry leader.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 Care Navigator (BCBA)

Insight Global is seeking a BCBA, with a focus on ASD. While a current FTE is on LOA, you?ll be doing the important and meaningful work of supporting individuals as they navigate through the complex... More ASD landscape. You will provide critical psychoeducation on topics like early intervention services, navigating a diagnosis, and how to advocate for school and government services. Additionally, you will help connect clients to high-quality, evidence-based diagnosticians and providers, depending on their needs.The focus of this role will be on (but not limited to) providing support to caregivers of children/adolescents with suspected or diagnosed ASD and supporting adults seeking ASD-informed care. In addition to ASD focused care, you will also serve as a general Care Manager for our Care Management program. With mostly younger populations, you?ll be doing the important, meaningful work of providing care when clients are in need.RESPONSIBILITIES? Warmly support clients by: understanding their current situation, conducting a brief risk assessment, providing psychoeducation relevant to the case, creating a care plan, and connecting the client to treatment (you will not be providing the treatment only information)? Serve as an ASD Subject Matter Expert - providing guidance? Independently manage a caseload of complex, multi-need clients, mostly pediatric and ASD, providing collaborative, long term case management? Successfully facilitate ongoing engagement, supporting clients as they move through various levels of care, employing Motivational Interviewing and other strategies to support client readiness for treatment? Skillfully manage client crises, providing brief risk and needs assessments, safety planning, and de-escalation with the goal of connecting the client to treatment? Respond to in-the-moment callers seeking crisis support, offering brief, evidence-based coping skills? Effectively and professionally communicate with clients and providers throughout the process of accessing care, via email, phone, and occasionally text? Creatively troubleshoot roadblocks to offering personalized, high quality clinical care options for our clients? Use assessment rubric to determine whether neuropsychological testing is indicated for a given patient member. If testing is recommended, the Neurodiversity Navigator will also assess whether a member is appropriate for virtual or in-person neuropsychological testing. ? Administer psychoeducational training to caregivers of children with neurodiverse conditions in order to help them learn skills to mitigate maladaptive behaviors, and improve caregiving strategiesPaying: $43-45/HRWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Member Care Navigator

As the Member Care Navigator, you will provide members with exceptional support by delivering high quality, professional, and efficient service. You will also liaise with members and providers to... More assist in the coordination of care related to medical access complexities.? Answer incoming calls and support members in scheduling appointments and accessing appropriate care. ? Maintain open, continuous communication between members and providers. ? Research accepting physicians or facilities based on plan design, member needs, and access barriers. ? Partner closely with Account Management, Contracting, Advocacy, Pre-Neg, and TPA teams to resolve access issues. ? Own the end-to-end member experience?from intake through resolution ensuring timely follow up, documentation, and clear next steps. ? Make outbound calls to providers, clients, and partners to gather information, educate stakeholders, and provide updates. ? Attend training and team meetings to stay current on workflows, tools, and plan updates.Member Advocacy & Support? Deliver a high-empathy, member-first experience in every interaction. ? Acknowledge frustration, build trust, and help members confidently navigate their benefits. ? Explain open-network plans, reference-based pricing, and member benefits in simple, jargon-free language. ? Own each case through resolution with proactive updates and follow-through. ? Document all interactions thoroughly and accurately to ensure continuity of care, compliance, and quality. Provider Communication & Problem Solving? Liaise professionally with providers to clarify plan details, payment processes, and network structure. ? Navigate provider pushback with calm, respectful communication. ? Identify accepting or RBP-friendly facilities and provide alternative options when needed. ? Coordinate Single Case Agreements (SCAs) or escalations based on internal criteria. ? Investigate delays or barriers that threaten timely care and act decisively to overcome them. Operational Excellence? Follow established workflows, boundaries, and escalation protocols with precision. ? Use internal research tools (OnPoint, PON, provider lookup systems) to verify provider options. ? Prioritize inquiries based on urgency, member risk, and available details. ? Collaborate across departments to establish processes that remove barriers to care. ? Uphold compliance standards, including HIPAA and Department of Labor guidelines. ? Maintain confidentiality of all sensitive information. Clinical & Benefit Literacy? Understand key clinical terms, service types, and the implications of delays in care. ? Confidently communicate around pre-authorization processes, diagnosis implications, and provider requirements?without crossing clinical boundaries. ? Recognize scenarios requiring escalation due to potential impact on timelines or safety.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less