Job Search Results for case

Join a dynamic team dedicated to ensuring compliance across delegated entities within a managed medical health plan. As a Regulatory & Compliance Oversight Nurse, you will play a key role in... More conducting audits, managing Corrective Action Plans (CAPs), and supporting regulatory adherence to state and federal guidelines.Conduct monthly audits using automated audit tools and Excel-based templatesReview random samples of 5 case files per month for complianceScore delegate performance based on regulatory measuresManage CAPs for delegates failing consecutive auditsTrack CAP status, monitor responses, and ensure resolution of issuesPresent CAP updates via slide decks and participate in bi-weekly clinical team meetingsCollaborate with Preferred Provider Groups (PPGs) to review clinical recordsMaintain accurate documentation and engage in follow-up communicationsWe 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. 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

A partner of Insight Global is looking for a talented Clinical Documentation Specialist to join their team. The CDI specialist ensures the accuracy and integrity of clinical documentation by... More conducting concurrent reviews of inpatient records and collaborating with physicians to clarify diagnoses, procedures, and severity of illness. They initiate and follow up on CDI queries, validate documentation prior to discharge, and educate providers on documentation standards and coding requirements. The specialist demonstrates expertise in ICD-10 coding and DRG logic, reconciles case reviews, and maintains audit tracking systems. They input query outcomes into CDI software, communicate findings from chart audits, and exercise independent judgment to support compliance and organizational goals, while engaging primarily with internal teams.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. 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

- Documenting the use case from a user experience perspective- Creating customer journeys- Researching the user experience- Watching shopping behaviors, analyzing documenting- Help make moc ups that... More they can then test and see does the solution work- Rapid prototyping - researching hard edge cases and problem areasWe 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. 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

A client in the financial services technology industry is seeking a Technical Project Manager to join its CTO organization. The Project Manager (PM) will report into the Program Leader for the Gen AI... More Enablement office and will be responsible for helping guide initiatives related to enabling Gen AI use cases (not necessarily the use case delivery itself) across the organization. This is a Tier I focused group, meaning it is highly visible to executive leadership. This person must have extremely clear communication skills working with both business and technology teams. They will identify gaps and bottle necks in the project road map, help develop project plans, and ensure that the scope and approach are fully understood by all partners as enablement gaps and road blocks are brought to light and a game plan is put into action. They must also be skilled in documentation and have the ability to create presentations and documents that report key information and communicate these to a wide-ranging audience. Experience handling rapidly changing requirements and calmy managing escalations is key for success in this role.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. 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

A client of Insight Global is looking for a qualified Paralegal I to support their legal team. This role will be primarily focused on working with public sector records requests within public safety.... More The ideal candidate will have a strong attention to detail as well as the ability to work well within a team. Other responsibilities include preparing/maintaining civil case files, store/organize records & files using document management software, general admin support.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. 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

We are looking for a Technical Support Specialist to join our team immediately. This person will be supporting the Paving Team at a utility company in Northern VA. This is a FULLY ON SITE ROLE.... More Responsibilities include:-Collecting forms from Paving Liaisons from the field / construction teams submitting them to DC/VA/MD Agency for permit close out-Creating invoices through ePro-Work request and Business Case Authorization close outs -Research analysis that is related to paving -Administrative support/gate keeper for the paving department -Data entryWe 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. 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

The Advanced Planning Consultant services as a financial planning expert to Advisors in developing financial plans. You will partner with Advisors at all levels of experience to ensure that clients... More receive holistic plans which provide an accurate analysis of their current financial situation, an assessment of risk and opportunities, and strategic options to enhance client outcomes. This role serves as a subject matter expert on the financial planning process, plan development and case design, and selection of financial products. This candidate will need expert knowledge of financial planning concepts:-Retirement Income Planning Strategies- Retirement income sources and income taxation-IRA and Qualified Retirement Plan features benefits, distribution option and taxation rules -Strategies for generating tax-efficient income to meet spending needs in retirement, accounting for pensions, annuities, investments and other sources -Social Security and Medicare Planning -Military and Federal Employee Benefits- Retirement planning and survivorship considerations -Long-term care planning and strategies -Survivorship and Estate PlanningWe 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. 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

Insight Global Health is looking to add a new OR Circulator to their client's team in the St. Louis, MO area! These candidates will be joining one of the largest Ambulatory surgery platforms in the... More country. The Registered Nurse, operating room, provides nursing care and service during surgery cases. The RN will be responsible for positioning the patient, prepping the patient, and circulating the case. Ideal candidate will be focused on excellent customer service, can multi-task, the ability to show flexibility in assignments, maintain scrupulous infection control standards, maintain professional competencies, and can work as part of an interdependent multidisciplinary team. This facility is a multispecialty facility, Plastics, General Surgery, GI, Gynecology, Ophthalmology, Orthopedic, Pain Management, Podiatry, Spine, Total Joints, and Urology. This facility has 4 ORs and 2 treatment rooms that run full time 5 days a week. Based on experience, this candidate will fall in the range of $35/hr - $40/hr.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. 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

Insight Global's client is seeking a Product Manager with strong product management experience, capable of collaborating with developers and UX teams to execute and deliver efficiently. The ideal... More candidate should understand product development methodologies and align with an engineering-led team while effectively communicating business needs.Key Responsibilities: Manage API Symphony, a platform allowing external engineers to access company data through APIs. Ensure users understand the process of API integration, usage, and data accessibility. Work with legal and marketing teams to navigate compliance, privacy concerns (PII, PHI), and market positioning.Use Case Example: A client (e.g., Home Depot) requests access to specific data. The Product Manager guides them through the API Symphony portal, where they can subscribe to data. Once subscribed, they gain access to large datasets for analysis or integration into their workflow.This role requires a deep understanding of API management, strong stakeholder communication, and the ability to bridge the gap between engineering and business teams.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. 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

Insight Global is seeking a Fraud Analyst in the Kansas City Area. You will be joining a team of 6 to help manage and identify fraudulent cases relating to banking customers. You will play a vital... More role in determining how fraud is happening, where it is happening and how to stop such fraudulent activities. This role will be heavily involved with communicating with multiple channels to find solutions such as Legal departments, customers, or other internal associates. Potential fraud alerts will come via email and you will be assigned to a case and expected to handle it appropriately. This fradulent activities vary from wire fraud, ACH fraud, check fraud and more. The ideal candidate will come with a background with analyzing fraud in a banking environment. The ideal candidate will have experience working with systems such as FICO or Verafin. This position is looking to start ASAP.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. 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