Job Search Results for clinical

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

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

Medical Coding Specialist (Inpatient)

JOB DESCRIPTIONInsight Global is seeking a fully remote Medical Coding Specialist (Inpatient) to support a Healthcare AI client. This is a part-time, fully remote opportunity where candidates will... More leverage their inpatient coding expertise to evaluate and improve AI-driven coding recommendations. This role is highly analytical and requires a deep understanding of diagnosis/procedure coding, DRG assignment logic, and clinical reasoning within acute care settings. 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)Responsibilities:? Review inpatient encounters and evaluate AI-generated coding recommendations across diagnosis and procedure coding? Assess the accuracy and reasoning behind ICD-10-CM/PCS code assignments, sequencing, and DRG selection (MS-DRG/APR-DRG)? Identify discrepancies where AI-generated outputs diverge from correct inpatient coding practices and explain the rationale? Provide insight into complex coding decisions, including cases requiring clinical interpretation beyond documentation (lab values, treatment patterns, physician documentation habits)? Share inpatient coding expertise with product teams to refine AI logic and improve code assignment accuracy? Partner with GTM teams to critique presentations and provide subject matter expertise on inpatient coding 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

Project Manager (Remote)

We are seeking a highly collaborative and results-driven Project Manager ? Business Operations to lead strategic initiatives across health plan operations, clinical programs, regulatory initiatives,... More and business transformation efforts. This role is focused on the business side of project delivery rather than technical implementation and will serve as the bridge between operational stakeholders, clinical teams, compliance, vendor partners, and executive leadership.The Project Manager will be responsible for planning, coordinating, and executing cross-functional initiatives that improve business performance, member experience, operational efficiency, regulatory compliance, and organizational effectiveness. The ideal candidate combines strong project management fundamentals with healthcare payer experience and exceptional stakeholder management skills. This client supports commercial, Medicare Advantage, and employer-sponsored health plans, requiring close partnership across multiple business functionsWe 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

Application Support Lead

oA leader in the healthcare payor space is actively hiring for an Application Support Lead to own incident and operational support of their critical Clinical and PHM application platforms. In this... More role, you will lead a team that helps keep the system stable, improve processes, and resolves issues quickly. You must have strong communication skills and be able to actively engage with customers and business partners to understand needs, discuss issues and guide resolution. This role also requires solid analytical thinking and clear collaboration with developers to work through technical problems. You will coordinate product releases and work with IT teams to prevent recurring issues. Key responsibilities include; ?Application Integrations: Monitor and resolve application integrations between clinical systems, data warehouses, and downstream platforms, including interface and data flow issues.?Data & ETL Support: Analyze and remediate data quality, ETL, and reporting issues by performing root cause analysis and partnering with technical teams on long-term fixes.?Incident & Production Support: Participate in production support, incident management, and cross-functional collaboration with application, data, infrastructure, and vendor teams.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

CDI Specialist

In this role, you will review patient medical records to ensure clinical documentation accurately supports diagnoses, procedures, and DRG assignment in alignment with coding guidelines and regulatory... More standards. You will identify documentation gaps or inconsistencies that could impact reimbursement and work directly with physicians and care teams to obtain clarification through compliant queries and follow-up reviews. You will partner closely with coding teams to reconcile documentation with final coding outcomes, resolve DRG discrepancies, and ensure an accurate representation of patient severity of illness and level of care. Throughout your work, you will support documentation improvement initiatives, contribute to quality and compliance efforts, and leverage independent judgment to drive accuracy, reduce denials, and improve overall revenue cycle performance.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

REMOTE Data Scientist

-Knowledge of work with US healthcare data (claims, clinical records, authorization, provider contracts)-Proficiency in deep learning frameworks PyTorch, Tensorflow or other-Experience with Agentic... More AI frameworks such as LangChain, LlamaIndex, and other orchestration tools for autonomous agents.-Hands-on experience implementing/adapting published academic research into tangible solutions.-Ability to understanding emerging prompting strategies/research and evaluate benefits/trade-offs.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Sales Product Specialist - INTL Canada

Insight Global is looking for a Sales Product Specialist to support a large Medical Technology and Devices company located in Montreal, CAN. This is a full time permanent position that will require... More consistent travel (dependent on location) to Montreal, Quebec, and Ottawa. This person will be working remotely outside of travel. There will be required long distance travel within the US and Nova Scotia once a month. This person will be the main point of contact for all account management considerations at each hospital in their territory. The will need to build relationships with key opinion leaders and decision makers within their territory and provide professional clinical support to physicians on safe and effective us of product portfolio.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Reporting Analyst (Remote)

-Maintain and enhance operational and clinical reporting-Support analytics requests from business stakeholders-Develop dashboards, reports, and ad hoc analyses-Validate data and ensure reporting... More accuracy-Support ongoing data platform and reporting transition activities-Document processes and facilitate knowledge transferWe 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