Job Search Results for clinical

Remote - DRG Auditor

Insight Global is seeking a Remote DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the salary ranges anywhere from $80,000-$95,000. This... More person should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role:?Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.?Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.?Maintains production goals set by the audit operations management team.?Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing).?Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, 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

DRG Auditor - July Class

Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation,... More and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role:Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.Maintains production goals set by the audit operations management team.Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing).Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc. The salary is 95K.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 Data Scientist

The Senior Data Scientist, Clinical Data Science (HOS & HRA) plays a key role in advancing analytics that improve Medicare Advantage member outcomes and CMS Star Ratings performance. This position... More supports the design, implementation, and automation of analytic solutions for the Health Outcomes Survey (HOS) and Health Risk Assessment (HRA) programs?two core domains in Aetna?s Medicare clinical strategy.Contract is through the end of the year. The ideal candidate combines strong technical depth in data science and statistical modeling with the ability to translate complex findings into actionable insights for non-technical audiences. This individual will automate recurring data science workflows, conduct robust impact and descriptive analyses, and collaborate closely with clinical, quality, and operations teams to identify emerging opportunities that improve member experience and population health outcomes.Clinical Data Science & Analytics?Lead the development of analytic models and descriptive frameworks supporting HOS and HRA performance improvement across Medicare Advantage.?Conduct impact analyses, trend identification, and segmentation to explain drivers of performance and inform strategy.?Automate recurring analytics and reporting pipelines to increase reliability, efficiency, and reproducibility of insights.?Apply advanced statistical, predictive, and causal inference methods to evaluate intervention effectiveness and identify member-level opportunities.?Develop and refine tools for data visualization and storytelling to communicate results clearly to non-technical stakeholders.?Partner with business leaders to translate analytic results into actionable recommendations for program design, member outreach, and care interventions.Collaboration & Consultation?Serve as a bridge between technical and non-technical teams, ensuring analytic outputs are interpretable and actionable.?Collaborate cross-functionally with Clinical Operations, Member Experience, and Quality teams to align analytics with enterprise goals.?Support enterprise data modernization and automation initiatives by identifying repeatable use cases for scalable analytics and workflow improvement.?Mentor junior data scientists and analysts on best practices for data integrity, modeling, and automation.Technical & Operational Excellence?Design and maintain automated analytic processes leveraging Python, SQL, and modern cloud environments (e.g., GCP).?Ensure accuracy, consistency, and explainability of models and metrics through disciplined version control and validation.?Contribute to the team?s continuous improvement culture by recommending new methods, tools, or data sources that enhance analytic precision and speed.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

Medical Affairs Scientist? Reprocessing

A large medical device company is looking for a Medical Affairs Scientist specifically supporting their Reprocessing business. They will serve as a scientific and medical affairs leader, responsible... More for the strategic generation, validation, and dissemination of clinical, preclinical, and bench-top evidence supporting the safe and effective reprocessing of diagnostic catheters. This role sits within Medical Affairs and works cross-functionally with R&D, External Research, Marketing, and Commercial teams to ensure scientific rigor, regulatory alignment, and credible medical-to-medical engagement with external stakeholders. This individual will translate deep technical and scientific expertise in device reprocessing into compelling, evidence-based narratives that demonstrate product performance, safety, and clinical relevance to clinicians, hospital systems, and scientific audiences.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 HIM Analyst

Experience supporting Epic HIM during a Cerner-to-Epic new build and full implementationEpic certifications in HIM/Chart Correction (Gallery), Coding, Deficiency Tracking, and ROIStrong understanding... More of HIM operations, compliance, chart completion, release of information, and coding workflowsHands-on experience with system build, configuration, testing, and validationAbility to partner with clinical, revenue cycle, coding, and HIM leadershipExcellent analytical and communication skillsWe 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 Full Stack Software Engineer ? INTL India

Insight Global is looking for Full Stack Software Engineers to join a dedicated team building and evolving a clinical data platform serving the clinical operations space. You will develop web... More application features that surface healthcare insights ? working across the full stack from backend services to user-facing interfaces. This is a hands-on engineering role embedded in a fast-paced product team. You will build features that connect large-scale data pipelines to intuitive front-end experiences, working closely with product designers, data engineers, and clinical stakeholders. You should be comfortable taking ownership of features end-to-end and shipping quality code in an agile environment. Responsibilities Include: ? Develop and maintain full stack features for web applications using .NET (backend) and Vue.js (frontend)? Build and consume RESTful APIs and JSON-based data contracts that integrate with large-scale clinical data pipelines ? Collaborate with product designers to implement responsive, accessible, and performant user interfaces ? Work with data engineers and backend teams to ensure efficient data flow between services, pipelines, and front-end layers ? Write clean, well-tested, maintainable code and participate in code reviews to uphold engineering standards? Contribute to sprint planning, technical design discussions, and architecture decisions within the product team ? Troubleshoot and resolve issues across the stack ? from database queries through API layers to UI renderingWe 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

Data Scientist

Insight Global's healthcare client is seeking a mid-level Data Scientist to support healthcare initiatives focused on maternity, musculoskeletal, care paths, and clinical navigation. This role will... More focus on analyzing and modeling healthcare data to build and evaluate data-driven clinical journeys, applying statistical measurement and experimentation to improve outcomes across Medicare and commercial populations. The Data Scientist will design and analyze A/B tests to inform product and clinical decisions, work closely with other data scientists and business stakeholders to translate business problems into analytical solutions, and participate in weekly problem-solving sessions across data science sub-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

Epic Beacon Team Lead

The Epic Beacon Team Lead oversees the design, build, and optimization of Epic Beacon workflows to support oncology and research operations. This role combines technical expertise with leadership,... More managing a team of analysts while ensuring high-quality configuration and workflow maintenance. Responsibilities include leading Beacon-related projects, coordinating with clinical and operational stakeholders, troubleshooting issues, and maintaining accurate documentation. The Team Lead also mentors team members, sets priorities, and ensures compliance with organizational and regulatory standards. Candidates should hold Epic Beacon certification (additional certifications in Research preferred) and have at least five years of Epic 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

Product Designer (UX/UI) - INTL

We are looking for a Product Designer to join a dedicated team building and evolving a clinical data platform serving the clinical operations space. You will shape the user experience of web... More applications that surface insights from complex healthcare datasets ? including clinical trials, medical claims, and provider data.This role sits at the intersection of design, data, and clinical operations. You will collaborate closely with product owners, software engineers, and data teams to translate complex workflows into intuitive, high-impact interfaces ? designing for both life sciences professionals and technical stakeholdersResponsibilities Include:? Design end-to-end user experiences for applications that present clinical trial data, provider information, and analytical insights? Conduct user research and usability testing with clinical operations stakeholders to validate design decisions and surface unmet needs? Create wireframes, prototypes, and high-fidelity UI designs in Figma? Collaborate with full stack engineers to ensure design feasibility and maintain consistency across product surfaces? Develop and maintain a scalable design system and component library that supports rapid iteration? Work with data analysts and data engineers to design effective data visualizations for large-scale clinical and healthcare datasets? Participate in sprint planning, design reviews, and cross-functional workshops to align design output with business and clinical objectives? Contribute to discovery and design activities directly with customers and stakeholdersWe 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

Data Engineer ? INTL India

Insight Global is looking for a Data Engineer to join a dedicated team building and evolving a clinical data platform serving the clinical operations space. You will architect and build the... More large-scale data pipelines that power clinical insights ? processing billions of records across medical claims, clinical trials, publications, and provider data.This is a core infrastructure role. You will be responsible for designing, building, and maintaining ETL frameworks that feed into analytics, machine learning, and product surfaces. You should be deeply comfortable with distributed computing at scale and experienced working alongside ML and data science teams in production environments.Responsibilities Include: ? Design, build, and maintain large-scale ETL pipelines and data frameworks using Apache Spark (PySpark/Scala) on cloud infrastructure? Architect scalable data models and pipeline patterns to process structured and unstructured healthcare data at volume? Build and optimize data layers on Azure cloud services, including Databricks, Delta Lake, and supporting compute and storage infrastructure? Ensure data quality, lineage, and governance across the platform ? implementing validation, monitoring, and alerting at scale? Collaborate with AI Scientists and MLOps teams to build data pipelines that serve model training, inference, and retraining workflows? Work with data analysts and product teams to ensure curated, reliable data is available for downstream insights and reporting? Contribute to platform architecture decisions and help define best practices for data engineering within the teamWe 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