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Mar 17, 2023

Los Angeles, CA

|

Administrative Assistant

|

Contract-to-perm

|

$21 - $31 (hourly estimate)

{"JobID":272944,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-118.429636363636,"Longitude":34.0871818181818,"Distance":null},"State":"California","Zip":"90095","ReferenceID":"LAX-611011","PostedDate":"\/Date(1679073247000)\/","Description":"An employer is looking for two Clinical Research Coordinators sitting the Westwood Los Angeles area. These roles will be supporting thecompany\u0027s hematology malignancy clinical trials. This position is necessary to ensure the proper and timely reporting of research data collected on various research studies. This includes reporting of research data to sponsor and to the IRB. With advances in the research study start-up process and increased availability of research trials, the disease team is opening new studies and enrolling multiple patients at an impressive rate. Moreover, with the initiation of remote monitoring activities due to COVID-19, the role of the CRC now includes preparation and participation in remote monitoring visits. This has some active involvement than our previous on-site monitoring requirements as all source documents must be available remotely for sponsor partners. This position ensures the collection and submission of data to sponsoring agency meets protocol requirements. This role assists in quality control and quality assurance activities to maintain \u0027audit-ready\u0027 status.","Title":"Clinical Research Coordinator","City":"Los Angeles","ExpirationDate":null,"PriorityOrder":0,"Requirements":"- Bachelors Degree in related field- 1+ years of experience within clinical research- Ability to handle a high volume of trials at a given time- Data management experience- EMR Experience","Skills":"- Oncology clinical research background","Industry":"Administrative Assistant","Country":"US","Division":"Government","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":31.2000,"SalaryLow":20.8000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

An employer is looking for two Clinical Research Coordinators sitting the Westwood Los Angeles area. These roles will be supporting thecompany's hematology malignancy clinical trials. This position... More is necessary to ensure the proper and timely reporting of research data collected on various research studies. This includes reporting of research data to sponsor and to the IRB. With advances in the research study start-up process and increased availability of research trials, the disease team is opening new studies and enrolling multiple patients at an impressive rate. Moreover, with the initiation of remote monitoring activities due to COVID-19, the role of the CRC now includes preparation and participation in remote monitoring visits. This has some active involvement than our previous on-site monitoring requirements as all source documents must be available remotely for sponsor partners. This position ensures the collection and submission of data to sponsoring agency meets protocol requirements. This role assists in quality control and quality assurance activities to maintain 'audit-ready' status.Less

Mar 02, 2023

Bothell, WA

|

Customer Service

|

Contract,Perm Possible

|

$58 - $87 (hourly estimate)

{"JobID":268242,"JobType":["Contract,Perm Possible"],"EmployerID":null,"Location":{"Latitude":-122.175818181818,"Longitude":47.8083636363636,"Distance":null},"State":"Washington","Zip":"98021","ReferenceID":"SEA-607317","PostedDate":"\/Date(1677777234000)\/","Description":"A large medical device company is looking for a Clinical Affairs Consultant 3 to join their ultrasound team while sitting remotely. This position will be responsible for the clinical study design, development of study protocol and subsequent creation of clinical evaluation plans. This individual will lead interpretation of evidence generated from clinical evaluation plans and partner with internal teams to ensure accurate reporting of clinical data for marketing teams. This will also include determining clinical risk from life cycle management perspective. If this sounds like you, apply today!","Title":"Clinical Affairs Associate","City":"Bothell","ExpirationDate":null,"PriorityOrder":0,"Requirements":"3 years experience in clinical study design, development of protocol and clinical evaluation plansExperience working with medical devicesIn Depth New Product Introduction and Lifecycle Managing knowledgeMasters Degree","Skills":"PhD","Industry":"Customer Service","Country":"US","Division":"AF\u0026E","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":87.3600,"SalaryLow":58.2400,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

A large medical device company is looking for a Clinical Affairs Consultant 3 to join their ultrasound team while sitting remotely. This position will be responsible for the clinical study design,... More development of study protocol and subsequent creation of clinical evaluation plans. This individual will lead interpretation of evidence generated from clinical evaluation plans and partner with internal teams to ensure accurate reporting of clinical data for marketing teams. This will also include determining clinical risk from life cycle management perspective. If this sounds like you, apply today!Less

Mar 14, 2023

Bothell, WA

|

Contract

|

$84 - $102 (hourly estimate)

{"JobID":275742,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-122.215427,"Longitude":47.798548,"Distance":null},"State":"Washington","Zip":"98021","ReferenceID":"VMS-PHI-PHHJP00021455","PostedDate":"\/Date(1678752000000)\/","Description":"**remote** Experience: Minimum 3 years professional experience in the applicable role. Education: Master\u0027s or PHD AND equivalent combination of education and experience. In-depth expert in evidence processes for NPI LCM. Lead the development of evidence generation strategies for assigned projects working within cross-functional team in line with the VP and target product profile that addresses the evidence needs of all key stakeholders. Responsible for clinical study design development of study protocol and execution. Create the subsequent clinical evaluation plans. Deliver assigned clinical programs working in partnership with Clin Ops BSDM. Lead interpretation dissemination of evidence generated from clinical evaluation plans CSRs CERs manuscripts etc Partner with internal teams to ensure accurate dissemination of clinical data for MARCOM. As Leader / Subject Matter Expert with deep domain expertise responsible for leading the following activities for clinical programs with high degree of complexity: Ongoing determination of clinical risk from VPC throughout LCM. Development of clinical evidence strategy. Delivery dissemination of evidence of value. Support Business / cross- functional teams in decision making through assessment of clinical evidence topics. Medical device exp. required class 2 or 3.","Title":"Clinical Affairs Consultant II","City":"Bothell","ExpirationDate":null,"PriorityOrder":0,"Requirements":null,"Skills":null,"Industry":null,"Country":"US","Division":"Clinic","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":102.1000,"SalaryLow":84.0900,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

**remote** Experience: Minimum 3 years professional experience in the applicable role. Education: Master's or PHD AND equivalent combination of education and experience. In-depth expert in evidence... More processes for NPI LCM. Lead the development of evidence generation strategies for assigned projects working within cross-functional team in line with the VP and target product profile that addresses the evidence needs of all key stakeholders. Responsible for clinical study design development of study protocol and execution. Create the subsequent clinical evaluation plans. Deliver assigned clinical programs working in partnership with Clin Ops BSDM. Lead interpretation dissemination of evidence generated from clinical evaluation plans CSRs CERs manuscripts etc Partner with internal teams to ensure accurate dissemination of clinical data for MARCOM. As Leader / Subject Matter Expert with deep domain expertise responsible for leading the following activities for clinical programs with high degree of complexity: Ongoing determination of clinical risk from VPC throughout LCM. Development of clinical evidence strategy. Delivery dissemination of evidence of value. Support Business / cross- functional teams in decision making through assessment of clinical evidence topics. Medical device exp. required class 2 or 3.Less

Jan 25, 2023

Eden Prairie, MN

|

Case/Care Manager (Healthcare)

|

Contract

{"JobID":259320,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-93.4287272727273,"Longitude":44.8458181818182,"Distance":null},"State":"Minnesota","Zip":"55344","ReferenceID":"MIA-598418","PostedDate":"\/Date(1674645379000)\/","Description":"The Clinical Research Coordinator (CRC) supports both Site and Sponsor on a variety of Clinical Trials involving pharmaceutical and/or biomedical therapies/treatments. Study support includes a 2 week remote training period \u0026 Patient Recruitment and/or Retention duties. Duties can include any of the following tasks depending on the specific assignment. Tasks: Chart review, phone screening, medical record retrieval, appointment scheduling/follow up, data entry, source document uploading, informed consent procedures and more.","Title":"Clinical Research Coordinator","City":"Eden Prairie","ExpirationDate":null,"PriorityOrder":0,"Requirements":"Research or Clinical Research Experience PreferredClinical/Medical Setting ExperienceEMR/EDC experienceStrong administrative skills using computer systems/applicationsAble to multiple task and handle challenges with ease","Skills":"","Industry":"Case/Care Manager (Healthcare)","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":43.6800,"SalaryLow":29.1200,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

The Clinical Research Coordinator (CRC) supports both Site and Sponsor on a variety of Clinical Trials involving pharmaceutical and/or biomedical therapies/treatments. Study support includes a 2 week... More remote training period & Patient Recruitment and/or Retention duties. Duties can include any of the following tasks depending on the specific assignment. Tasks: Chart review, phone screening, medical record retrieval, appointment scheduling/follow up, data entry, source document uploading, informed consent procedures and more.Less

Mar 16, 2023

Wilton, CT

|

Medical Coder

|

Perm

{"JobID":272696,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-73.4241818181818,"Longitude":41.2278545454545,"Distance":null},"State":"Connecticut","Zip":"06897","ReferenceID":"HAR-610659","PostedDate":"\/Date(1678983377000)\/","Description":"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, 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.","Title":"Remote DRG Auditor/Clinical Validation Specialist - April Class","City":"Wilton","ExpirationDate":null,"PriorityOrder":0,"Requirements":"5-7+ years of working with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology.Expert coding knowledge (DRG \u0026 ICD-10)Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification (2 years in clinical documentation)ORIF NOT A NURSE: Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS is fine with strong clinical knowledge","Skills":"","Industry":"Medical Coder","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":92000.0000,"SalaryLow":90000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

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.Less

Mar 21, 2023

Virginia Beach, VA

|

QA

|

Contract,Perm Possible

{"JobID":273419,"JobType":["Contract,Perm Possible"],"EmployerID":null,"Location":{"Latitude":-76.0177272727273,"Longitude":36.7340909090909,"Distance":null},"State":"Virginia","Zip":"23455","ReferenceID":"NOR-611513","PostedDate":"\/Date(1679404579000)\/","Description":"Insight Global is looking for a Remote Jiva Clinical SIT QA Tester for a large healthcare company in Virginia Beach, VA. This candidate will be working alongside other QA testers to help make sure that the regression is being tested. Claims that come through QNXT need to be made sure that they are testing as expected through Jiva which is the clinical application used. The candidate will be making sure that the claim is correct in the system from the clinical order.","Title":"REMOTE Jiva QA Tester","City":"Virginia Beach","ExpirationDate":null,"PriorityOrder":0,"Requirements":"*Healthcare Testing *QNXT *Functional and Non-Functional Testing *Creating and Executing Test Cases *Manual QA experience *Jiva Testing (Jiva is the Clinical Application) * Claims Preauthorization Testing *Regression Testing *SQL experience","Skills":"","Industry":"QA","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":66.3000,"SalaryLow":44.2000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global is looking for a Remote Jiva Clinical SIT QA Tester for a large healthcare company in Virginia Beach, VA. This candidate will be working alongside other QA testers to help make sure... More that the regression is being tested. Claims that come through QNXT need to be made sure that they are testing as expected through Jiva which is the clinical application used. The candidate will be making sure that the claim is correct in the system from the clinical order.Less

Jan 03, 2023

Richmond, VA

|

Audit

|

Perm

{"JobID":251963,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-77.4519090909091,"Longitude":37.5545454545455,"Distance":null},"State":"Virginia","Zip":"23230","ReferenceID":"RIC-592165","PostedDate":"\/Date(1672737316000)\/","Description":"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, 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.","Title":"REMOTE DRG Auditor","City":"Richmond","ExpirationDate":null,"PriorityOrder":0,"Requirements":"*1-2+ years of working with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology. *Expert coding knowledge (DRG \u0026 ICD-10) *Proficiency in Word, Access, Excel, and other applications. *Education (at least one of the following is required):oAssociates or bachelor\u0027s degree in Nursing (active/unrestricted license)oAssociate or bachelor\u0027s degree in Health Information Management (RHIA or RHIT)oEquivalent experience of 5+ years\u0027 experience in claims auditing, quality assurance, or recovery auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment. *Coding Certification (at least one of the following are required and are to be maintained as a condition of employment)oRHIA or RHIToInpatient Coding Credential - CCS or CIC preferredoCandidates who hold a CCDS or CPC will be given consideration but will need to obtain an inpatient coding certification within 1 year of their hire date with the company. oClinical Documentation Improvement Certifications: CDIP","Skills":"","Industry":"Audit","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":100000.0000,"SalaryLow":80000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

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.Less

Feb 20, 2023

Eden Prairie, MN

|

Social Worker

|

Contract-to-perm

{"JobID":265967,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-93.4387272727273,"Longitude":44.8577272727273,"Distance":null},"State":"Minnesota","Zip":"55344","ReferenceID":"HNC-604463","PostedDate":"\/Date(1676888053000)\/","Description":"The REMOTE Strategic Outpatient Engagement \u0026 Management (STEM) Care Advocate will join a team of 50+ Care Advocates across the nation to complete telephonic clinical reviews directly with Providers to ensure members are getting the most effective and efficient care promoting best practices in the Outpatient psychotherapy and community based treatment setting.Primary Responsibilities: * Focus on outpatient Medicaid and Medicare behavioral health services * Complete 10-12 telephonic reviews per day in a queue-based call center environment * Conducting outpatient utilization reviews to determine appropriate care * Assessing if member care meets coverage guidelines, Claims research and understanding * Provider facing; treatment review completion, Shaping member treatment in partnership with providers to ensure best practices * Administering benefits and reviewing treatment plans, Treatment plan shaping to best practices * Coordinating benefits and transitions between various areas of care, Market-specific recommendations","Title":"REMOTE Telephonic Behavioral Health Clinician","City":"Eden Prairie","ExpirationDate":null,"PriorityOrder":0,"Requirements":"* Active, unrestricted Licensed Master\u0027s Degree - Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling (LMFT, LICSW, LCSW, LPC, LPCC, LCPC) * 3+ years in Behavioral Health field * Willing to work: 8:30-5 PST, 9:30-6 MST,10:30-7 CST, 9:30-6 EST * Outpatient/IOP psychotherapy and community based treatment experience * Ability to talk on the phone and type at the same time/MS Office proficiency (Word, Excel, Outlook, Internet)","Skills":"* Demonstrated telephonic queue/call center experience *Experience in managed care organization/MCO highly preferred* Utilization review/management experience, conducting clinical review to determine appropriate levels of care","Industry":"Social Worker","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":49.1400,"SalaryLow":32.7600,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

The REMOTE Strategic Outpatient Engagement & Management (STEM) Care Advocate will join a team of 50+ Care Advocates across the nation to complete telephonic clinical reviews directly with Providers... More to ensure members are getting the most effective and efficient care promoting best practices in the Outpatient psychotherapy and community based treatment setting.Primary Responsibilities: * Focus on outpatient Medicaid and Medicare behavioral health services * Complete 10-12 telephonic reviews per day in a queue-based call center environment * Conducting outpatient utilization reviews to determine appropriate care * Assessing if member care meets coverage guidelines, Claims research and understanding * Provider facing; treatment review completion, Shaping member treatment in partnership with providers to ensure best practices * Administering benefits and reviewing treatment plans, Treatment plan shaping to best practices * Coordinating benefits and transitions between various areas of care, Market-specific recommendationsLess

Mar 15, 2023

Silver Spring, MD

|

Business Analyst (BA)

|

Contract-to-perm

{"JobID":272329,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-77.0003636363636,"Longitude":39.0237272727273,"Distance":null},"State":"Maryland","Zip":"20903","ReferenceID":"DEN-608308","PostedDate":"\/Date(1678889738000)\/","Description":"A customer is seeking a fully remote SaS Programmer. - You will work with SAS and DevSecOps teams to improve the analytic experience for Center for Clinical Standards and Quality - Developing SAS code and macros to perform common operations such as systems and user activity monitoring, external database querying, and dataset formatting and cleansing - Providing SQL and SAS code reviews for best practices and performance- Modernizing current analytic platform to achieve better integrations with big data stores (e.g. Hive, etc.), and AWS tech stack- Proactive tracking metered cloud resources usage to optimize performance and reduce costs. - Building standard, repeatable processes to reduce O\u0026M costs and increase efficiency - Providing Helpdesk Tier 2 \u0026 3 SAS support, including maintaining of the data and analytics groups in ServiceNow, and troubleshooting user SAS code","Title":"REMOTE SaS Programmer","City":"Silver Spring","ExpirationDate":null,"PriorityOrder":0,"Requirements":"- 7+ years proficiency in SAS Programming- 4+ years working within the SAS Viya Platform- Hands-on experience with SAS Studio and SAS Environment Manager- Understanding of SAS products and how they function together in a distributed environment- Proficient with SQL and strong understanding of relational databases- Experience working in AWS","Skills":"","Industry":"Business Analyst (BA)","Country":"US","Division":"Government","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":85.8000,"SalaryLow":57.2000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

A customer is seeking a fully remote SaS Programmer. - You will work with SAS and DevSecOps teams to improve the analytic experience for Center for Clinical Standards and Quality - Developing SAS... More code and macros to perform common operations such as systems and user activity monitoring, external database querying, and dataset formatting and cleansing - Providing SQL and SAS code reviews for best practices and performance- Modernizing current analytic platform to achieve better integrations with big data stores (e.g. Hive, etc.), and AWS tech stack- Proactive tracking metered cloud resources usage to optimize performance and reduce costs. - Building standard, repeatable processes to reduce O&M costs and increase efficiency - Providing Helpdesk Tier 2 & 3 SAS support, including maintaining of the data and analytics groups in ServiceNow, and troubleshooting user SAS codeLess

Mar 21, 2023

Kansas City, MO

|

Architect

|

Contract,Perm Possible

{"JobID":273461,"JobType":["Contract,Perm Possible"],"EmployerID":null,"Location":{"Latitude":-94.5774545454545,"Longitude":39.0933636363636,"Distance":null},"State":"Missouri","Zip":"64117","ReferenceID":"KCM-611611","PostedDate":"\/Date(1679411783000)\/","Description":"Insight Global\u0027s client is looking for a fully remote Lead Delivery Consultant to join their team and hit the ground running. This person needs to have ambulatory experience as well as experience with pophealth, health maintenance, MPages, and Powerform. This person will join a pod model and will be partnered up with a clinical informatics specialist doing the build and assisting in validation. The ideal candidate will have Cerner specific experience and will be ready to start as soon as possible.","Title":"Solutions Architect (Ambulatory)","City":"Kansas City","ExpirationDate":null,"PriorityOrder":0,"Requirements":"? Experience with Population Health and Health Maintenance ? Experience with complete solution builds and maintenance? Expert with Power Form and MPagesAmbulatory experience","Skills":"? Cerner Model ? Cerner Certifications Heath care background","Industry":"Architect","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":101.4000,"SalaryLow":67.6000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global's client is looking for a fully remote Lead Delivery Consultant to join their team and hit the ground running. This person needs to have ambulatory experience as well as experience... More with pophealth, health maintenance, MPages, and Powerform. This person will join a pod model and will be partnered up with a clinical informatics specialist doing the build and assisting in validation. The ideal candidate will have Cerner specific experience and will be ready to start as soon as possible.Less

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