Job Search Results for clinical

Remote Telehealth Compact and State Specific ? PM? EO

A leading healthcare client is seeking Remote Registered Nurses to support a new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct inbound... More and outbound calls to assess patients, gather health history, and provide guidance based on physician-approved triage protocols. You will use your clinical judgment to help patients navigate the next steps in their care. This is a remote position offering the opportunity to make a meaningful impact in a healthcare program focused on patient care and well-being. Your key responsibilities include taking inbound and making outbound calls. You?ll complete a brief historical intake and record any symptoms. You will provide guidance using a physician-approved triage protocol, advising patients on whether to follow up with their provider, seek same-day care, or go to the emergency department. You?ll utilize strong clinical judgment to ensure patients take appropriate next steps in their care. You?ll offer concise, supportive patient education during calls and accurately document all phone call details using Athena encounter templates and text macros.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 Willow Analyst

Position OverviewOptum is seeking an Epic Willow Inpatient Analyst to support pharmacy operations within a large healthcare environment. This role will focus on application maintenance, incident... More management, and ongoing optimization of inpatient pharmacy workflows. The ideal candidate has hands-on experience supporting Epic Willow builds, upgrades, and troubleshooting in a production environment. Key ResponsibilitiesCore Analyst Responsibilities:? Manage and complete SRS requests including intake, triage, and build work (primarily SER updates)? Provide incident management support by troubleshooting and resolving issues across Epic Willow Inpatient workflows? Support enhancement requests including analysis, build, testing, and migration to production? Assist with day-to-day ticketing and operational support for pharmacy systemsPharmacy & Clinical Support:? Perform medication build and maintenance, including:? New medication records? NDC updates? Formulation changes? Review and triage pharmacy-related error queues (ADS and billing-related issues)? Support Pyxis integration and workflows, including coordination with vendors and internal teams for monthly updates and medication dispensing processes? Assist with quarterly Epic upgrades, including:? Reviewing release notes? Build and configuration updates? Testing and validationGo-live supportWe 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 Senior Business/Data Analyst

We are seeking a Senior Business Analyst / Data Analyst with deep expertise in healthcare quality measures, data analysis, and business requirements development. This individual will play a critical... More role in designing and enhancing HEDIS and Medicare quality measure capabilities while supporting next-generation AI-powered healthcare analytics initiatives.This role is approximately 50% Business Analysis and 50% Data Analysis and requires someone who can independently investigate data, derive business requirements, drive stakeholder discussions, and translate business needs into features and stories for development teams.The successful candidate will possess both strong technical analytical skills and the ability to communicate effectively with business stakeholders, product leaders, and technology teams. They will be working 8am-5pm CST business hours. Key ResponsibilitiesData Analysis- Perform deep data profiling and exploratory analysis across healthcare datasets.- Analyze inbound files and source data to understand structure, relationships, and business meaning.- Evaluate every element of a dataset, including:Column-level analysisDistinct value analysisData quality validationBusiness rule identification- Develop business rules and transformation logic from data findings.- Define data mappings, source-to-target relationships, and transformation requirements.- Validate data accuracy and support testing efforts.Business Analysis- Gather and document business requirements.- Translate requirements into Features and User Stories within Aha.- Define business outcomes and expected functionality.- Partner with development teams to clarify requirements and acceptance criteria.- Participate in Agile ceremonies and backlog refinement.- Prioritize features and support SDLC delivery efforts.Stakeholder Engagement- Partner directly with business leaders and healthcare quality stakeholders.- Present findings to both technical and non-technical audiences.- Explain business value and operational impact of proposed solutions.- Support discussions involving quality measures and AI-enabled capabilities.Clinical & Quality Measure Support- Interpret healthcare and clinical data.- Review EMR/EHR records and clinical charts.- Identify evidence supporting quality measure compliance and care gap closure.- Support implementation and enhancement of Medicare and HEDIS quality measures.Current & Future Quality Measure FocusExisting Measures- Colorectal Cancer Screening- Breast Cancer Screening- Controlling High Blood Pressure- Diabetic Eye Exam- Hemoglobin A1C ControlNew Measures Being Developed- Care for Older Adults (COA)- Transitions of Care (TCR/TRC)- Blood Pressure Evaluation (BPE)- Depression ScreeningWe 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

VP of Strategic Growth & Cross Selling

The VP of Strategic Growth & Cross-Selling will lead the enterprise-wide strategy to increase the adoption of ESS's expanding portfolio of services across our existing customer base. This leader will... More serve as the primary catalyst for identifying, developing, and driving cross-selling opportunities involving Substitute Teachers, Paraprofessionals, Virtual Instruction, Clinical Services, Tutoring, Special Education Solutions, and future service offerings.The primary objective of this role is to deepen ESS's relationships with school districts by increasing the number of services utilized within each account. Working across business units, the VP will build strong internal partnerships, align growth initiatives, and drive accountability to ensure districts receive comprehensive solutions while maximizing customer value and revenue growth across the organization.Reporting directly to the CEO, this highly visible leadership role requires an individual who can build strong relationships across multiple business divisions, influence senior leaders without direct authority, and drive accountability throughout the organization. The successful candidate will create alignment between sales, operations, and executive leadership teams to maximize customer value and revenue growth.Day-to-Day Responsibilities:? Develop and execute enterprise-wide cross-selling strategies across multiple service offerings and business units. ? Analyze customer penetration, service adoption trends, and account-level opportunities to identify untapped revenue streams.? Build strategic growth plans focused on expanding services within existing customer accounts and districts. ? Partner with Executive Vice Presidents across six regions to understand budgets, growth targets, operational challenges, and expansion opportunities.? Collaborate with operations leadership, account management teams, and sales executives to align customer growth strategies and execution plans.? Create executive presentations, dashboards, forecasts, and reporting tools to measure cross-selling performance and track strategic opportunities. ? Facilitate recurring business reviews, hold stakeholders accountable for agreed-upon initiatives, and remove barriers inhibiting growth. Travel approximately 25?40% to build relationships with business units, customers, and leadership stakeholders 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

Senior Compass Rose Implementation Consultant

Insight Global is seeking a Compass Rose Implementation Consultant for an enterprise-level academic health system in Maryland. This individual will serve as a senior Compass Rose subject matter... More expert supporting a large-scale care management implementation across MTM, APCM, TCM, CCM, and Care Management programs. The ideal candidate will bring extensive Compass Rose implementation experience, strong A&A Loader expertise, and the ability to provide strategic guidance while mentoring a team with limited Compass Rose experience. This consultant will play a critical role in accelerating project delivery, minimizing risk, and partnering closely with operational, clinical, and technical stakeholders to ensure a successful implementation through go-live and stabilization.Day-to-Day:? Assess the current Compass Rose implementation and project status? Provide strategic guidance and best practices for Compass Rose implementation? Lead design sessions, workflow reviews, and stakeholder discussions? Translate operational and clinical requirements into Compass Rose solutions? Identify implementation risks and recommend mitigation strategies? Mentor and coach internal team members on Compass Rose functionality and best practices? Develop workflow documentation, training materials, and readiness plans? Support testing, training, go-live activities, stabilization, and post-production support? Collaborate closely with project leadership, operational teams, clinicians, and technical teams? Drive successful implementation outcomes across multiple care management programs? Must not work in a silo; expected to partner closely with project leadership and team members throughout the implementation lifecycleWe 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 Pharmacist

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy... More policies, and health plan benefits. In this fast-paced, high-volume environment, the pharmacist works closely with physicians, healthcare providers, pharmacy technicians, and internal teams to gather and assess clinical information, make evidence-based coverage determinations, recommend formulary-compliant and cost-effective treatment alternatives, and ensure compliance with federal and state regulations. The role requires strong clinical judgment, attention to detail, effective communication skills, and the ability to manage competing priorities while meeting productivity and quality standards. Additionally, the pharmacist supports quality assurance initiatives, resolves provider and pharmacy inquiries, participates in process improvement efforts, and contributes to a collaborative, customer-focused team environment. Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations. Accurately document case decisions in accordance with internal protocols, auditing standards, and confidentiality policies. Effectively manage case volume by organizing workload, setting daily priorities, and meeting productivity and quality benchmarks. Adapt to fluctuating demands while maintaining accuracy and professionalism under pressure.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 Pharmacist

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy... More policies, and health plan benefits. In this fast-paced, high-volume environment, the pharmacist works closely with physicians, healthcare providers, pharmacy technicians, and internal teams to gather and assess clinical information, make evidence-based coverage determinations, recommend formulary-compliant and cost-effective treatment alternatives, and ensure compliance with federal and state regulations. The role requires strong clinical judgment, attention to detail, effective communication skills, and the ability to manage competing priorities while meeting productivity and quality standards. Additionally, the pharmacist supports quality assurance initiatives, resolves provider and pharmacy inquiries, participates in process improvement efforts, and contributes to a collaborative, customer-focused team environment. Maintain full compliance with state and federal pharmacy laws, Medicare Part D, Medicaid, and commercial benefit regulations. Accurately document case decisions in accordance with internal protocols, auditing standards, and confidentiality policies. Effectively manage case volume by organizing workload, setting daily priorities, and meeting productivity and quality benchmarks. Adapt to fluctuating demands while maintaining accuracy and professionalism under pressure.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

Community Connect Project Manager

We are seeking an experienced Healthcare Project Manager with Epic expertise to support multiple upcoming Community Connect implementations. This individual will lead the rollout of new affiliate... More sites, partnering closely with operational leadership, clinical stakeholders, and third-party vendors to ensure successful implementation, adoption, and delivery.Lead end-to-end project management for 3?4 Community Connect implementations, focused on onboarding new sitesPartner with operational leaders (implementation champions), IT teams, and vendors to drive alignment and executionDevelop and manage detailed project plans, timelines, and deliverables within WorkfrontFacilitate key project cadences including:Planning sessionsDiscovery meetingsTechnical walkthroughsTrack and report on project status, proactively identifying risks, dependencies, and escalationsMaintain strong documentation across all phases (plans, decisions, risks, workflows)Coordinate across technical infrastructure, application, and operational workstreamsEnsure readiness across all phases including planning, build, testing, and go-live (aligned to Epic implementation lifecycle practices)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

AI Budget Development Consultant

Seeking an experienced AI Workflow Consultant to support the design and development of an AI-enabled solution that streamlines the creation of clinical trial study budgets. This consultant will help... More build a Perplexity-enabled workflow that interprets completed Statements of Work (SOWs) and translates them into proposed Life of Study (LOS) budget inputs.The goal of this project is to reduce duplicative manual entry, create a data-informed baseline budget for review, and improve consistency across budgeting efforts. The solution will preserve existing workbook-based tools while enabling staff, managers, and directors to more efficiently review, adjust, and finalize study budgets.In addition to generating draft LOS budget inputs, the solution will provide recommendations for potential cost savings and identify areas requiring closer review, such as under-budgeting, over-budgeting, incomplete assumptions, unusual effort patterns, or inconsistencies between the SOW and budget.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 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