Job Search Results for healthcare operations

Senior Healthcare Data Integration Engineer

We are seeking a Senior Healthcare Data Integration Engineer to work on the Exchange Encounter & Risk Adjustment team. This person will support healthcare payer operations focused on ACA Exchange... More Risk Adjustment, CMS EDGE submissions, encounter data quality, and healthcare data integration. This is a hands-on technical leadership role responsible for troubleshooting complex healthcare data issues, improving encounter data quality, supporting CMS EDGE processes, and partnering across business, IT, data, and vendor teams. This is not a project management role.?Lead technical troubleshooting of encounter and risk adjustment data issues?Analyze CMS EDGE submission errors and drive resolution?Support encounter reconciliation, validation, and error remediation activities?Partner with business, operations, data, IT, and vendor teams?Improve encounter acceptance rates and overall data quality?Translate CMS and business requirements into technical solutions?Provide technical guidance to developers and analystsWe 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

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

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

Sr. Director Cloud, Infrastructure & Operations

About the Role:The Sr. Director of Cloud, Infrastructure & Operations leads the strategy, architecture, and operational excellence of the enterprise?s technology foundation. This leader owns all... More infrastructure, networks, cloud environments, endpoints, service delivery, and operational monitoring that support 100+ clinics, corporate sites, and digital platforms.The ideal candidate drives modernization through cloud-first architecture, automation, Zero Trust security, and AIOps-enabled operations. This role ensures the enterprise has a resilient, scalable, cost-optimized technology backbone capable of supporting value-based care, rapid expansion, and digital transformation.Key Responsibilities:Infrastructure & Connectivity?Carve-Out: Stand up new network architecture (SD-WAN, VPN, site connectivity) independent of the parent organization and execute clinic cutover with zero downtime.?Post-Carve: Scale and optimize the new network environment to support rapid expansion and digital health workloads.?Operate and optimize WAN/LAN, SD WAN, VPN, and clinic connectivity.?Maintain reliable networks, devices, and peripherals across clinics and corporate sites.Workflow Optimization & Provider Experience?Design efficient, standardized clinical workflows in partnership with clinical leadership.?Reduce provider burden through documentation, ordering, and charting optimization.?Improve clinic throughput and care team efficiency.?Support adoption through training, change management, and feedback loops.Cloud Operations?Own cloud architecture, landing zones, and governance standards.?Carve Out: Build greenfield cloud landing zones, migrate workloads from parent environments, and establish new cloud governance and operational tooling.?Automate provisioning, patching, monitoring, and configuration via IaC.?Implement cloud security controls and integrate workloads with IAM/MFA and Zero Trust.?Optimize cloud performance and cost for EMR hosting, analytics, and digital platforms.IT Operations & Service Delivery?Lead Tier 1/2 support, service desk operations, and clinic field support.?Own ITIL processes: incident, problem, change, asset, and configuration management.?Implement enterprise monitoring and AIOps for anomaly detection and remediation.?Carve-Out: Stand up new ITSM, monitoring, logging, and observability platforms to replace parent-provided services.?Post-Carve: Build operational rigor, SLAs, KPIs, and automation-driven service delivery.Security & Compliance Partnership?Enforce endpoint protection, patching, and vulnerability remediation.?Maintain identity, access, and privileged access controls.?Support HIPAA, SOC, HITRUST, and audit readiness.Business Continuity & Disaster Recovery?Own DR strategy, backups, failover architecture, and RTO/RPO targets.?Conduct DR testing for EMR, Oracle Fusion, RCM, HRIS, and digital platforms.Identity & Access Management (IAM)?Carve-Out: Establish a new identity tenant, migrate all users/devices/workloads, and implement Zero Trust from day one?Operate and optimize enterprise identity platforms (Azure AD/Entra, Okta, or equivalent).?Manage SSO, MFA, conditional access, RBAC, and PAM.?Automate identity lifecycle (joiner/mover/leaver) across all systems.?Partner with Security to maintain identity governance, audit readiness, and compliance.Automation & Efficiency?Automate provisioning, device setup, onboarding/offboarding, and environment management.?Implement self service portals and reduce operational toil through scripting and orchestration.Vendor & License Management?Carve-Out: Establish new vendor contracts, licensing, and support models to replace parent agreements?Manage infrastructure, cloud, and operations vendors, contracts, SLAs, and renewals.?Ensure license compliance across OS, cloud, virtualization, and endpoint tools.Strategic Planning?Carve-Out: Build and execute TSA exit plan, cutover strategy, and Day-1 readiness.?Develop multi year infrastructure and cloud modernization roadmap.?Plan for scalability to support new clinics, services, and digital capabilities.?Evaluate emerging technologies (AIOps, edge computing, cloud native services)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 People Operations Project Manager (Workday)

A client of Insight Global's is seeking a Remote People Operations Project Manager for a contract opportunity. This individual will sit at the intersection of HR operations, systems, and project... More management, leading high-impact initiatives that improve processes, enhance compliance, and optimize the employee experience. The ideal candidate brings strong Workday expertise, a structured approach to project execution, and the ability to collaborate cross-functionally in a fully remote environment. This is a great opportunity to support meaningful work while driving operational excellence across People Operations.Day-to-Day:Lead People Operations projects from initiation through completionDevelop and manage project plans, timelines, and deliverablesCoordinate across stakeholders and drive execution without direct authorityOwn and manage ORM audits end-to-end, including documentation and trackingSupport remediation efforts and compliance initiativesUse Workday for reporting, workflows, and operational supportAssist with system testing, troubleshooting, and issue resolutionPartner with HRIS/ERP teams on integrations and system improvementsProvide support across the employee lifecycle (onboarding, changes, offboarding)Maintain and enhance process documentation and workflowsCollaborate with HR leadership and technical teams to improve efficiency and employee experienceWe 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

Medicaid Subject Matter Expert (PBA - some travel required)

The Connecticut Department of Social Services (DSS) is seeking a Pharmacy Benefit Administrator (PBA) Subject Matter Expert (SME) to support the Connecticut Medicaid Enterprise Technology System (CT... More METS), a multi-year Medicaid modernization initiative focused on transforming legacy Medicaid systems into a modern, modular Medicaid Enterprise System (MES). The PBA SME will play a critical role in the design, development, implementation (DDI), and ongoing maintenance and operations (M&O) of the new Pharmacy Benefit Administration module, ensuring that pharmacy business requirements, workflows, compliance obligations, and operational processes are successfully incorporated into the solution. This individual will serve as the primary pharmacy business expert, partnering closely with DSS leadership, CT METS program staff, operations teams, vendors, providers, and technical stakeholders to guide solution design, validate requirements, review deliverables, support testing activities, and ensure successful integration with other Medicaid Enterprise modules. The ideal candidate will leverage extensive Medicaid pharmacy and Pharmacy Benefit Administration experience to lead discussions, provide recommendations, support cross-module planning and interoperability efforts, and ensure alignment with CMS certification requirements, DSS policies, funding guidelines, and State priorities. Responsibilities include supporting pharmacy claims processing modernization, pharmacy transparency and cost avoidance initiatives, business process development, organizational change management activities, stakeholder engagement, issue resolution, compliance validation, vendor oversight, and implementation readiness to ensure the successful deployment and long-term operation of Connecticut's new Pharmacy Benefit Administration platform.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

UKG Dimensions Project Manager

We are seeking an experienced Project Manager with deep UKG Dimensions (Time & Labor) experience within healthcare to work on PST hours. This person will be leading a UKG Dimensions Time & Labor... More initiative within a healthcare environment. Daily responsibilities include but aren't limited to:-Gather and document workforce management requirements and translate them into UKG configuration recommendations.-Coordinate stakeholders across HR, Payroll, Labor Relations, Nursing Operations, IT, and external vendors.-Oversee testing, UAT, issue resolution, cutover planning, and go-live support.-Ensure UKG configurations align with labor policies, union requirements, and regulatory standards.-Manage project plans, risks, dependencies, status reporting, and executive communications.-Support integrations between UKG Dimensions, Workday, ADP, and related 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