Job Search Results for clinical

Remote Epic Bridges Analyst

Insight Global is seeking an Epic Bridges Consultants for the largest health system in South Florida. The ideal candidate has 5+ years of experience with Epic Bridges and is Epic Bridges certified.... More This candidate will be creating and executing solutions for integrating financial and clinical data across multiple systems. This candidate must have the ability to understand data structures and technical specifications detailing data elements and HL7 message structures. They will provide proactive support by monitoring live connections and be responsible for creating/maintaining overall interface environment documentation. They must be able to prioritize tasks based on severity of user impact, resolve major incidents within the established time limits. They must be able to demonstrate thorough knowledge of computer systems, software, decision support systems, monitoring, report writing tools and electronic communication. This role will require 1 week of travel every month, the first week of the month. (Fully reimbursed for travel, hotel, food, 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

Level 2 - REMOTE BCBS Facility Claim Follow-Up Representative

Insight Global is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. This person is responsible for managing post-billing,... More specifically for Blue Cross Blue Shield, claim activity, for three acute hospital centers in Washington, DC. This role focuses on resolving underpayments, denials, and contract interpretation issues?not clinical denials or patient balances. The representative ensures accurate reimbursement by analyzing Explanation of Benefits (EOBs), identifying discrepancies, and initiating corrective actions with payers. This team focuses on facility claims only, and this role is focused only on outpatient claims follow up, specifically to BCBS. The role focuses on resolving technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.).Primary Responsibilities:Claims Management:?Take ownership of outpatient hospital claims after billing, especially those that are denied or underpaid.?Determine what was paid, what was denied, and why.?Identify and resolve technical denials related to coding, coordination of benefits (COBs), charge discrepancies, contract interpretation, etc. Payer Interaction:?Handle all outpatient claims for Blue Cross Blue Sheild CareFirst and/or BlueCard. ?Understand and navigate multiple contracts. ?Utilize BCBS portal to follow up and resolve outstanding claim issues.Analytical Review:?Differentiate between pricing errors vs. payment errors.?Accurately price claims based on contract terms and identify variances.Scope of Work:?Outpatient facility claims ONLY ?Technical denials ONLYWe 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 Systems Analyst - Tableau

Insight Global is looking for a Tableau expert who can come in and help maintain and update Tableau dashboards on an ongoing basis. They will be responsible for the support of new dashboard additions... More and enhancements, collaborate with a small team of pharmacists and data professionals, and make frequent adjustments as new data is released. 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.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Project Manager

As a Project Manager on thePMO team, you will serve as the primary owner of client implementations across our specialty pharmacy and hub solutions. This role is both strategic and hands-on?blending... More strong project execution with a consultative mindset.You?ll work directly with pharmaceutical manufacturers, hub service providers, and internal cross-functional teams to deliver compliant, high-quality implementations that support therapy initiation, prior authorization, patient support programs, and overall patient access.This is a high-visibility, client-facing role where your ability to manage complexity, communicate clearly, and build trust will directly impact client satisfaction and long-term partnerships.What You?ll Do? Lead end-to-end client implementations of SaaS solutions?from kickoff through go-live and stabilization? Serve as the primary point of contact for pharmaceutical and specialty pharmacy clients during implementation? Act as a trusted advisor, guiding clients through implementation strategy, timelines, risks, and best practices? Translate complex business, clinical, and operational requirements into clear implementation plans and system configurations? Partner closely with Product Management to balance product roadmap with client needs and regulatory requirements? Collaborate with Business Analysts to ensure requirements, user stories, workflows, integrations, and test plans accurately reflect client and program needs? Coordinate across Engineering, QA, Product, Data, Sales, and Client Services teams to ensure timely and compliant delivery? Proactively manage risks, issues, dependencies, and scope changes, especially in regulated healthcare environments? Oversee project schedules, milestones, effort estimates, and defect prioritization? Prepare and deliver executive-level project updates to internal leadership and client stakeholders? Support client training, readiness planning, and go-live activities? Ensure implementations align with healthcare compliance standards (HIPAA, data security, audit readiness, etc.)Contribute to PMO best practices, templates, and continuous process improvementWe 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 Solution Architect

A healthcare insurance provider is looking for a Solution Architect to join their team remotely to join a consolidation effort for the company's Grievance and Appeals system. The Solution Architect... More designs and leads enterprise-scale application and integration architectures, partnering closely with enterprise and G&A architecture teams to ensure technical excellence and strategic alignment. This role collaborates with product owners and managers to translate business and clinical capabilities into scalable, secure, and high-performing technical designs while guiding technical leads and engineers across multiple projects and workstreams. Serving as the senior architect for major initiatives, the Solution Architect provides architectural oversight and hands-on support throughout the full software development lifecycle. The ideal candidate brings 10+ years of experience in software engineering and architecture, strong proficiency in Java, Python, Spring Boot, and modern front-end frameworks such as React and Angular, and deep expertise in non-functional requirements including SLAs, latency, and real-time processing. Extensive experience with full-stack development, cloud platforms (AWS, GCP, or Azure), microservices, APIs, databases (SQL, NoSQL, Redis), DevOps and container ecosystems, messaging systems like Kafka, and exposure to AI/ML and Generative AI technologies is required, along with demonstrated leadership, stakeholder management skills, and a hands-on development background. Experience in the healthcare domain is preferred.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

Implementation Manager

Insight Global is looking for a technically strong, execution focused Implementation leader for one of our enterprise veterinary clients. This person can operate as a trusted liaison between hospital... More and medical leadership, implementation partners, and internal IT teams. This role is technical in nature but not hands on unless necessary, with success driven by strong soft skills, sound judgment, and the ability to navigate cross functional stakeholders.The position is heavily focused on execution quality, risk mitigation, and consistency, ensuring IT refresh designs are implemented in a repeatable, scalable, and supportable manner across sites. The ideal candidate is comfortable owning outcomes, guiding decisions, and driving alignment across clinical, operational, and technical teams.Day-to-Day Responsibilities?Lead site-level execution of IT Refresh deployments, translating approved designs and standards into executable implementation plans. ?Own on-site delivery during assessments, cutovers, and stabilization, ensuring safe, consistent execution with minimal impact to hospital operations. ?Serve as the technical governance authority, enforcing organization architecture standards, cabling practices, equipment compatibility, and safety requirements. ?Act as the primary point of contact between hospital leadership, internal IT teams, program management, and implementation partners. ?Provide hands-on oversight and coaching, leveraging experience with racking/stacking, MDF/IDF layouts, environmental readiness, and infrastructure validation. ?Resolve site constraints, design gaps, and exceptions in partnership with vendors, architects, and internal engineering teams. ?Coordinate change management, maintenance windows, and post-refresh stabilization, including escalation support for early-life issues. ?Review and validate site-level TCOs, ensuring accurate assumptions around scope, ordering, installation, and lifecycle impact. ?Partner with Procurement and Logistics on equipment readiness, staging, reuse decisions, and supply chain constraints. ?Participate in weekly program status meetings, reporting on readiness, risks, dependencies, and site-specific issues. ?Own implementation documentation and standards updates, driving continuous improvement across assessment and deployment processes.?Participate in weekly program status meetings, reporting on readiness, risks, dependencies, and site-specific issuesWe 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 Project Manager (Operations + IT)

Insight Global is seeking an Epic Project Manager to support a perioperative Refuel initiative at an enterprise-level academic health system in Maryland. This consultant will partner closely with... More operational and IT leadership to drive standardized workflows across multiple member organizations as the system moves back to Epic Foundation. The role will support three primary workstreams within the perioperative space: patient optimization (preparing patients for surgery), block management (including the transition to Epic Marketplace and coordination across teams), and patient throughput focused on efficiency.This Project Manager will be responsible for operational readiness, high-level timeline ownership, and coordinating the sequencing of build completion, training, and go-live activities. The role does not include Epic build responsibilities or independent workflow decision-making; instead, the consultant will surface decision points, provide recommendations, and partner with teams to keep initiatives moving forward.The consultant will collaborate with perioperative clinical improvement leadership, nursing innovation leadership, IT application teams, and the PMO. Success in this role requires strong change management skills, the ability to operate effectively across operations and IT, the ability to pick up mid-stream in some areas while starting from the beginning in others, and comfort driving progress against tight timelines.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 Beaker CP Analyst

Insight Global is looking for a candidate to join our LIS consulting client to support their clients implementations as a fulltime employee. The candidate should have two years of experience working... More with Epic beaker CP in a laboratory information system environment with an CP certification and come from a medical technologist background. This candidate will take on a very structured and regimented implementation by building milestones, testing and adhering to the timelines. You will work with the end users to troubleshoot, diagnose and correct problems related to the application. The candidate will be a part of performing system customizations including development of alerts/hard stops. Data integrations, order generation and automations. This person will be working directly under the Chief Services Officer. Up to 25% travel may be required with the expectation of being on call one week out of the month. This position is full time and looking to start ASAP.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

Contracts Paralegal

IG's client is a healthcare technology company that makes value-based care actually work. Their platform sits between health plans and providers, translating complex quality contracts into real-time,... More actionable incentives for clinical teams. When a medical assistant closes a care gap or a front desk staffer schedules a screening, they see the impact immediately. They help practices get paid for doing the right thing, and we help health plans see results from their quality investments.Role Overview:This Healthcare Contracts Paralegal will work directly with the Lead Attorney to support a value-based care technology platform and their risk-bearing entities (ACO, MSO, and IPA), handling first-pass drafting on commercial contracts that range from straightforward to complex.Their agreements are diverse. They contract upstream with health plans and ACOs and downstream with physician practices. Their deal structures include SaaS vendor arrangements, aggregator models, physician services agreements, and sophisticated partnership agreements. If you like variety and want to understand how all the pieces fit together, you'll enjoy this work.D2D:Commercial Contracting:Draft, review, and prepare first-pass redlines for commercial contracts, including health plan service agreements, provider network and participation agreements, vendor contracts, and data use and business associate agreements.Identify and flag key issues, unusual terms, and risk areas for attorney review.Support negotiations by preparing comparison charts, tracking open issues, and maintaining version control across deal threads.Serve as a responsive point of contact for the sales team on routine contract questions and status updatesLegal Operations & Systems:Own and improve the contract lifecycle in SpotDraft: intake workflows, template libraries, clause banks, approval routing, renewal tracking, and building robust reporting.Maintain and refine the contract obligations of inventory, including key dates, notice requirements, and renewal terms.Run and optimize the legal intake process through Jira.Build playbooks, FAQs, and self-service resources that reduce repetitive questions and let the business move faster.Corporate Records & Governance:Maintain corporate records, entity documents, resolutions, and governance materials for the parent company and subsidiaries.Handle corporate housekeeping: annual filings, registered agent coordination, minute book maintenance.Cross Functional Support:Partner with business teams to gather deal terms and ensure contracts reflect commercial intent.Coordinate with compliance on regulatory research, policy updates, and documentation.External Counsel Coordination:Manage document flow, scheduling, and information exchange for outside counsel engagements.Track outside counsel spend and flag budget variances.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 Pharmacy Data Product Owner

Insight Global is hiring a Pharmacy Product Owner for a payer/provider. The Product Owner drives the delivery of high-quality analytic products by prioritizing work, shaping user stories, and... More 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 learning? Acts 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 metadata? Provides 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 decisions? Leverages 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