Job Search Results for clinical

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

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

Financial Clearance Representative

A healthcare organization in the Los Angeles area is seeking a Financial Clearance Representatives to support their growing team. This position will be a part of the Authorizations Team, responsible... More for obtaining service authorizations for patients seen at clinics across multiple states and cities (4 clinics in Arizona, 2 Clinics in Chicago, and 1 clinic in Atlanta). The current team size is 9 members. They will be submitting authorizations and verifying insurance for specifically for chemotherapy and episode based medications. They will be working with all types of insurance plans: HMOs, PPOs, Medi-Cal, Medicare, etc. across the given states. Must have Epic experience. This person will need to quickly become familiar with the different plan types for the different locations. Daily responsibilities include:-Manage work queues related to Episode-Based Chemotherapy (infusion/injectable) treatments (Patient Queue ? Insurance verification and registration updates &Referral Queue? Authorization and order submissions)-Verify insurance eligibility for all scheduled patients on a monthly basis.- Look up registration errors, update insurance/registration errors and details, and complete data entry tasks. - Work through queues by appointment date or expected future date, ensuring all tasks are completed thoroughly before moving to the next patient.This is anticipated to be a contract to hire role. Candidate must be extremely reliable with great communication.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 Knowledge Systems Specialist

The AI Knowledge Systems Specialist will design, build, and support enterprise AI-powered knowledge solutions that improve access to information, streamline workflows, and enhance organizational... More decision-making. This role will lead the development of structured knowledge repositories and AI-enabled workflows using approved tools, starting with a grant-writing knowledge repository.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

Business Analyst

he Product Management Business Analyst-CONTRACTOR, acting as a system and/or functional area subject matter expert, is responsible for investigating and documenting solution and/or program... More requirements through collaboration with stakeholders, Product Managers, and business partners. Aligned with TRIMEDX? Vision, Mission and Values, this individual will perform in an Agile development environment, working with Product Managers, business leaders, internal stakeholders, external customers, subject matter experts, user experience designers, and/or software developers. Activities will include, but are not limited to, feature breakdown, client and operational requirements gathering, process mapping, rough prototyping/wireframing, documentation creation and/or updating, development story and/or system testing, training development support, and supporting the delivery of fully realized capabilities to the business.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