Job Search Results for pharmacy

A third-party health insurance administrator is hiring a Customer Service Representative to support growing member and provider volume. This is a high-volume, structured call center role operating... More Monday?Friday, 9:00 AM?5:00 PM (no flex scheduling).This position is critical to daily operations, handling inbound calls related to eligibility, benefits, claims status, pre-authorizations, and provider inquiries. Representatives are cross-trained across multiple functions and are expected to take ownership of calls, resolve issues end-to-end, and deliver a strong member/provider experience.This is a fast-paced role best suited for individuals who are reliable, self-sufficient, and comfortable handling complex or escalated conversations with professionalism and patience.Key Responsibilities:Handle 30?50 inbound calls per day from members and providersAssist with eligibility, benefits, claims status, pre-certifications, and general inquiriesInvestigate claims, identify issues, and coordinate with internal claims teams or external providers/vendors to resolveNavigate plan documents (SPDs) and systems to accurately explain coverage, limitations, and member responsibilityDocument all interactions thoroughly in the systemDe-escalate frustrated callers and provide clear, professional communicationWork across multiple systems and adapt to new platforms and processesWe 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

One of our leading healthcare clients is looking for a Chief Solutions Architect to lead end-to-end architecture and solution strategy for our oncology portfolio. You?ll define and govern reference... More architectures spanning EMR/EHR and Revenue Cycle Management (RCM), integration middleware, cloud & data center platforms, and AI/ML solutions that drive clinical outcomes, operational efficiency, and regulatory compliance. You?ll be the go-to authority partnering with Product, Engineering, Security, Clinical, and Go-to-Market teams to deliver scalable, secure, interoperable solutions.Own the multi-year enterprise and solutions architecture roadmap for oncology products and services (clinical, operational, financial).Establish reference architectures and patterns for EMR/RCM interoperability, integration middleware, microservices, event-driven systems, data/analytics, and AI/ML.Drive cloud strategy (e.g., Azure/AWS/GCP), hybrid infrastructure, and modernization of data center workloads; ensure resiliency, performance, and cost governance (FinOps).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

We are seeking a highly experienced SAP QA Analyst to support a large-scale SAP Finance initiative focused on Pharma/PBM rebate processes, financial data validation, and system accuracy. This role... More requires a hands-on QA professional with deep expertise in SAP FICO, manual testing, and complex financial transaction validation. The ideal candidate will have a strong background testing finance applications, validating data at the SAP table level, and ensuring the accuracy of rebate calculations and financial reporting.Responsibilities include: Designing, developing and executing manual test cases and scenarios. Validating end-to-end SAP Finance processes including Accounts Receivable (AR) and General Ledger (GL) transactions. This role may also include performing detailed functional, integration, regression and user acceptance testing activities while conducting SAP table level data validation to ensure integrity and financial accuracy. You may be required to leverage AI enabled tools to improve QA productivity.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

A client of Insight Global is seeking a Home Infusion Billing and Reimbursement Manager to lead revenue cycle operations within a home infusion environment. This role is responsible for overseeing... More billing, collections, payment posting, and denial management while ensuring accuracy and compliance across reimbursement processes.The manager will partner cross-functionally with operations, clinical teams, and leadership to improve cash collections, reduce reimbursement leakage, and optimize overall financial performance. Additionally, this individual will monitor key revenue cycle metrics, drive process improvements, manage audits, and lead a team of reimbursement professionals.Key Responsibilities:- Lead billing and reimbursement operations including claims, collections, payment posting, and AR follow-up- Oversee end-to-end revenue cycle processes (intake, authorization, billing, collections)- Manage denials, underpayments, and appeals to maximize reimbursement- Track key metrics (DSO, aging, denial trends, cash collections) and improve performance- Ensure accurate, compliant billing and maintain reimbursement systems/data- Prepare reporting and support month-end revenue cycle activities- Conduct audits and support compliance with payer requirements- Serve as reimbursement SME and partner with leadership on process improvements- Manage and develop billing/reimbursement staffThis role is primarily computer-based and may be performed in an office, hybrid, or remote setting, with schedule flexibility based on operational needs.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

?Own and manage the team backlog: oWrite, refine, and prioritize user storiesoEnsure alignment to broader product strategy and roadmap?Lead Agile ceremonies: oBacklog grooming, sprint planning,... More refinement sessions?Partner closely with Engineering & Design to: oClarify requirementsoEnsure quality and acceptance criteria are met?Support end-to-end delivery: oTesting, release planning, and post-release monitoring?Monitor product performance & team metrics: oIdentify issues, trends, and opportunities for improvement?Act as a bridge between strategy and execution: oTranslate product vision from senior leadership into actionable work?Collaborate across stakeholders to ensure alignment across initiatives/epics?Present product demos and updates to stakeholders?Incorporate customer and client feedback into product enhancementsDay-to-day will vary slightly by focus area:?myOfferings: oFocus on enrollment workflows, UX, and client-facing platform enhancements?Formulary/UM Modernization: oWork on data ingestion, migration, and authoring workflows?Formulary/UM Modularity & Automation: oDrive automation of drug coverage rules and claims adjudication logicWe 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

We are looking for a skilled SRE to join our team. This role is 3 days on site in Woonsocket RI or Scottsdale Arizona. The Edge Site Reliability Engineer (SRE) is responsible for ensuring the... More reliability, availability, scalability, and performance of large-scale Edge Retail platforms. This role combines software engineering, operations, observability, and automation practices to proactively identify and resolve issues, enhance system resilience, and support critical business operations.As part of the Edge SRE team, you will collaborate with application development, infrastructure, observability, and operations teams to drive operational excellence, implement reliability engineering best practices, and enable highly scalable deployments across geographically distributed locations. Your focus will be on improving platform stability, automating operational processes, and delivering a seamless experience for end users.Compensation:$45-55/hr Exact compensation may vary based on several factors, including skills, experience, and education. Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off 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

A leading company in the healthcare space is seeking a seasoned PostgreSQL DBA to join their team and support mission-critical database operations. In this role, you will be responsible for the full... More lifecycle of database administration, including patching, performance tuning, capacity planning, backup and recovery, and disaster recovery (DR) testing. You will collaborate closely with engineering teams and clients to ensure optimal database performance and security, while also contributing to data modeling, integration efforts, and change management processes. This position requires hands-on experience with PostgreSQL (on-prem), and a strong understanding of both Oracle and Postgres environments. You will play a key role in supporting the transition from Oracle to Postgres, ensuring data integrity, security, and high availability. The ideal candidate will bring leadership, mentorship, and technical expertise to help streamline operations and support enterprise-scale applications in a healthcare or HIPAA-regulated environment.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