Job Search Results for healthcare operations

Remote Healthcare Program Manager

We are seeking an experienced Healthcare Program Manager to lead strategic initiatives across a portfolio of clinical applications, including large-scale transformation efforts such as a Grievances &... More Appeals platform implementation, Care Management system consolidation, and other enterprise healthcare technology modernization programs. This individual will serve as the critical bridge between business stakeholders and delivery teams, driving program execution through milestone-based planning, cross-functional coordination, risk management, dependency tracking, and executive-level communication. The Program Manager will partner closely with clinical operations, product owners, IT leadership, vendors, and implementation teams to ensure business objectives are translated into actionable roadmaps and successfully delivered outcomes. In addition to overseeing program governance and delivery, this individual will play a key role in organizational change management, including developing communication strategies, promoting adoption of new platforms, coordinating stakeholder engagement, organizing user training sessions, and supporting go-live readiness activities. The ideal candidate will have 7+ years of program management experience within healthcare environments and a proven track record leading complex platform migrations, system consolidations, or enterprise application modernization efforts involving multiple business and technology teams. Strong experience with program planning tools, executive presentations, vendor management, and healthcare operational workflows is highly desired.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

Sr. Consultant - Operations Process Innovation

Role Overview This is not a traditional process improvement role. Insight Global's client is building a highly visible Automation & AI organization tasked with transforming how they operate. This... More person will identify, document, redesign, and scale business processes that can be enabled through automation, AI, and emerging technologies.The ideal candidate understands business operations, process improvement, change management, and automation technologies, while also being comfortable navigating ambiguity and driving enterprise-wide transformation initiatives. This role will work directly with executive leadership, business stakeholders, architects, developers, and automation teams to identify opportunities, redesign future-state processes, and ensure successful adoption and measurable business outcomes.Immediate focus areas include New Business and Claims operations. This person will be responsible for documenting existing workflows, identifying bottlenecks and roadblocks, partnering with architects and technical teams on solution design, and driving implementation and business adoption. Success in this role requires a disciplined, process-first mindset and the ability to balance operational excellence with technology-enabled transformation.Day-to-Day Responsibilities? Identify automation and AI opportunities across operations? Facilitate process discovery workshops with business stakeholders? Document current-state business processes and identify bottlenecks, inefficiencies, and operational risks? Analyze current-state processes and design future-state workflows? Build automation, AI, and operational improvement business cases? Partner with architects and technical teams to design and deliver solutions? Manage multiple concurrent process improvement initiatives (typically 4-5 workflows at a time)? Lead implementation and organizational adoption efforts? Define and track business value metrics, KPIs, and operational performance improvements? Drive stakeholder alignment across departments? Present findings, recommendations, and business cases to leadershipContinuously identify opportunities to reduce cycle times, remove roadblocks, and scale automation and AI capabilitiesBenefit packages for this role may include healthcare insurance offerings and paid leave as provided by applicable law.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 Senior Healthcare Data Integration Developer

We are seeking a Senior Healthcare Data Integration Developer to join a healthcare payer data integration team supporting encounter, claims, enrollment, and related healthcare transaction processing.... More This is a hands-on individual-contributor position for a developer who is actively writing code, building and supporting integrations, troubleshooting failed data transactions, and resolving complex production issues.This person will work on the data processing and integration activities that occur before information is submitted to external entities. The developer will analyze incoming healthcare transactions, investigate processing failures, identify recurring patterns, correct data or application issues, and improve the reliability of custom healthcare integration solutions.The ideal candidate is currently spending the majority of their time performing hands-on development and production support. This is not a technical leadership, architecture, governance, business analyst, reporting, or integration strategy position.ResponsibilitiesDevelop, enhance, and support custom healthcare data integrations and processing applications.Write and maintain SQL, SSIS, C#, and supporting integration code.Process and troubleshoot healthcare EDI transactions, particularly 837, 835, and 834 files.Investigate rejected, failed, or incomplete transactions using SQL, application logs, source files, and error messages.Trace healthcare data through the complete processing workflow to determine where and why failures occurred.Perform root-cause analysis and implement code or configuration changes to resolve defects.Identify recurring transaction and data-quality issues and develop sustainable fixes rather than one-time workarounds.Build and maintain custom healthcare technology solutions rather than relying exclusively on commercial EDI platforms.Support production incidents, data validation, reconciliation, testing, and release activities.Work with claims, encounter, enrollment, provider, membership, and payment data.Collaborate with healthcare operations, business, QA, data, and engineering teams while remaining personally responsible for hands-on technical delivery.Document technical workflows, transformation logic, error-handling processes, and implemented solutions.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 Healthcare Cloud/Data Engineer

Support and lead data migration from Oracle to GCP of EPIC Clarity production healthcare dataHost ETL operations within cloud database while simultaneously moving Clarity data to the cloudOvercome... More challenges and articulate best practices to migration operations, partnering with architects to create roadmapMaintain connectivity across databases and into cloud environmentsRaise thoughtful discussion around prioritization and protection of data throughout migrationWork with clinical leadership to migrate data in timely and efficiency-based mannerWe 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

Manager, Provider Contracting Operations

A health insurance company is seeking a Manager, Provider Contracting Operations to lead a team of four professionals responsible for provider contracting support, single case agreement (SCA)... More operations, ticket management, and provider issue resolution. This is a hands-on leadership role requiring a strong balance of people management, operational excellence, contracting expertise, and process improvement.The ideal candidate is an experienced working manager who can provide mentorship, create structure in a dynamic environment, drive accountability, and lead initiatives that improve team performance and operational efficiency.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 Healthcare Scrum Master/Project Manager

Insight Global are seeking an experienced Scrum Master / Project Manager to support one of the largest and fastest-growing technology initiatives within the organization. This program focuses on... More Claims Automation and AI-driven claims recommendation capabilities designed to optimize operational efficiency and improve business outcomes.This individual will help lead a large Agile team, drive delivery excellence, and foster strong collaboration. The ideal candidate is a servant leader who can effectively balance Scrum leadership with traditional project management responsibilities.Key Responsibilities?Serve as Scrum Master for a large Agile delivery team of 15-20 team members.?Facilitate Agile ceremonies including sprint planning, standups, retrospectives, backlog refinement, and sprint reviews.?Partner closely with Product Owners, Program Managers, and technical teams to ensure successful delivery of project objectives.?Track project budgets, timelines, risks, dependencies, and deliverables.?Maintain and optimize Jira boards, dashboards, and reporting.?Escalate and remove impediments that impact team performance.?Coordinate across cross-functional stakeholders to ensure alignment and transparency.?Support continuous improvement initiatives and Agile best practices.?Communicate effectively with leadership and project stakeholders regarding progress, risks, and milestones.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

Contract Liaison / Contracting Operations Specialist (Remote)

We are seeking a highly organized and relationship-driven Contract Liaison to support a large scientific and healthcare-focused organization. This individual will serve as a key coordinator between... More internal business partners, procurement teams, compliance stakeholders, and external vendors to facilitate the end-to-end contracting process.This is an operations-focused position that will own contract intake, documentation collection, workflow management, and stakeholder communication while ensuring requests move efficiently through established procurement and compliance processes.Key Responsibilities?Coordinate the submission, review, and processing of contracts, work orders, service agreements, and master service agreements (MSAs).?Serve as the primary liaison between business stakeholders, procurement teams, compliance groups, and vendors.?Manage contract requests from initiation through approval and execution.?Navigate contract management systems and databases to determine appropriate workflows and approval paths.?Utilize decision trees and established processes to guide stakeholders through contracting requirements.?Schedule and facilitate meetings with internal teams to resolve contract-related questions and drive approvals.?Track contract status, maintain documentation, and ensure all required information is collected and submitted accurately.?Support vendor onboarding and engagement activities for service-based vendors and scientific partners.?Partner with procurement to communicate contracting requirements and timelines to business stakeholders.?Assist with healthcare compliance-related agreements and requests when applicable.?Maintain and organize large volumes of contract and vendor information using Excel and internal systems.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

Educator of Revenue Operations

A client of Insight Global's is seeking a Revenue Operations Educator I to design, develop, and deliver training programs for a large healthcare operations team. This individual will create... More curriculum and learning content, facilitate virtual training sessions, onboard new teammates, provide real-time coaching, and partner with stakeholders to identify development opportunities. They will also track training effectiveness, maintain learning resources, and support continuous improvement initiatives.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

Program Operations & Quality Control Consultant

The Operations Consultant & Quality Control Consultant will be responsible for leading and coordinating quality improvement initiatives within the multicenter EVAT Project and other GCC Program... More projects. This role involves the implementation of strategic projects that optimize internal and external processes, facilitating standardization and ensuring effectiveness and efficiency of the program's initiatives. ?Orientation to results and problem-solving skills.?Adaptability and ability to work under pressure.?Leadership and project management skills.?Knowledge of regulations and quality standards in the health sector.?Experience in the coordination and executive organization of projects.?Ability to track multiple activities with high productivity and initiative?Ability to analyze, adapt, and solve problems?In-depth knowledge of continuous improvement methodologies (Six Sigma, Lean, etc.).?Ability to analyze data and use quality management software tools.?Assertive communication skills developed.?Ability to work in multidisciplinary teams.?Willingness to work in international environments.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

Operations Consultant & Quality Control Consultant

The Operations Consultant & Quality Control Consultant will be responsible for leading and coordinating quality improvement initiatives within the multicenter EVAT Project and other GCC Program... More projects. This role involves the implementation of strategic projects that optimize internal and external processes, facilitating standardization and ensuring effectiveness and efficiency of the program's initiatives. ?Orientation to results and problem-solving skills.?Adaptability and ability to work under pressure.?Leadership and project management skills.?Knowledge of regulations and quality standards in the health sector.?Experience in the coordination and executive organization of projects.?Ability to track multiple activities with high productivity and initiative?Ability to analyze, adapt, and solve problems?In-depth knowledge of continuous improvement methodologies (Six Sigma, Lean, etc.).?Ability to analyze data and use quality management software tools.?Assertive communication skills developed.?Ability to work in multidisciplinary teams.?Willingness to work in international environments.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