Job Search Results for clinical

Project Manager

As a Project Manager on thePMO team, you will serve as the primary owner of client implementations across our specialty pharmacy and hub solutions. This role is both strategic and hands-on?blending... More strong project execution with a consultative mindset.You?ll work directly with pharmaceutical manufacturers, hub service providers, and internal cross-functional teams to deliver compliant, high-quality implementations that support therapy initiation, prior authorization, patient support programs, and overall patient access.This is a high-visibility, client-facing role where your ability to manage complexity, communicate clearly, and build trust will directly impact client satisfaction and long-term partnerships.What You?ll Do? Lead end-to-end client implementations of SaaS solutions?from kickoff through go-live and stabilization? Serve as the primary point of contact for pharmaceutical and specialty pharmacy clients during implementation? Act as a trusted advisor, guiding clients through implementation strategy, timelines, risks, and best practices? Translate complex business, clinical, and operational requirements into clear implementation plans and system configurations? Partner closely with Product Management to balance product roadmap with client needs and regulatory requirements? Collaborate with Business Analysts to ensure requirements, user stories, workflows, integrations, and test plans accurately reflect client and program needs? Coordinate across Engineering, QA, Product, Data, Sales, and Client Services teams to ensure timely and compliant delivery? Proactively manage risks, issues, dependencies, and scope changes, especially in regulated healthcare environments? Oversee project schedules, milestones, effort estimates, and defect prioritization? Prepare and deliver executive-level project updates to internal leadership and client stakeholders? Support client training, readiness planning, and go-live activities? Ensure implementations align with healthcare compliance standards (HIPAA, data security, audit readiness, etc.)Contribute to PMO best practices, templates, and continuous process improvementWe 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

Level 1 - REMOTE BCBS Facility Claim Follow-Up Representative

Insight Global is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. This person is responsible for managing post-billing,... More specifically for Blue Cross Blue Shield, claim activity, for three acute hospital centers in Washington, DC. This role focuses on resolving underpayments, denials, and contract interpretation issues?not clinical denials or patient balances. The representative ensures accurate reimbursement by analyzing Explanation of Benefits (EOBs), identifying discrepancies, and initiating corrective actions with payers. This team focuses on facility claims only, and this role is focused only on outpatient claims follow up, specifically to BCBS. The role focuses on resolving technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.).Primary Responsibilities:Claims Management:?Take ownership of outpatient hospital claims after billing, especially those that are denied or underpaid.?Determine what was paid, what was denied, and why.?Identify and resolve technical denials related to coding, coordination of benefits (COBs), charge discrepancies, contract interpretation, etc. Payer Interaction:?Handle all outpatient claims for Blue Cross Blue Sheild CareFirst and/or BlueCard. ?Understand and navigate multiple contracts. ?Utilize BCBS portal to follow up and resolve outstanding claim issues.Analytical Review:?Differentiate between pricing errors vs. payment errors.?Accurately price claims based on contract terms and identify variances.Scope of Work:?Outpatient facility claims ONLY ?Technical denials ONLYWe 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 IT Client Project Engineer

? Lead the planning and execution of IT infrastructure projects, including: o New practice IT integrations and onboarding o Network refresh and optimization efforts o Server and hardware... More installations o Telecom and ISP setup and migrations ? Translate project goals into actionable engineering tasks with clear timelines and deliverables. ? Coordinate closely with internal technical teams, vendors, and field support resources. ? Serve as the technical lead during new oncology practice integrations: o Oversee infrastructure readiness (network, server, workstation deployments) o Ensure compatibility and readiness of clinical and corporate IT systems o Coordinate on-site activities and remote configuration work ? Partner with IT Project Analyst to align engineering deliverables with overall project milestones. ? Work across functional IT teams including Support, Networking, Applications, and Data.? Participate in cross-team meetings to ensure smooth technical execution. ? Plan and execute network and hardware refresh initiatives at existing practice locations. ? Manage ISP vendor quotes, procurement, and installation scheduling. ? Contribute to the improvement of deployment templates, playbooks, and documentation. ? Maintain clear and timely updates on technical task status, blockers, and resource needs. ? Support the documentation of configurations, change logs, and operational handoffs.? Assist in maturing our IT execution practices through process improvements, documentation, and collaboration. ? Other duties as assigned to help advance our mission of improving the lives of everyone living with cancer.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

ServiceNow Developer ? INTL Brazil

We are seeking a ServiceNow Developer to support a healthcare information management consulting engagement. The Developer will play a key role in a ServiceNow migration initiative for hospitals and... More health systems, helping modernize workflows related to medical documentation, coding, and auditing. This is a remote position based in Brazil on a 6-month project assignment.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 Pharmacy Data Product Owner

Insight Global is hiring a Pharmacy Product Owner for a payer/provider. The Product Owner drives the delivery of high-quality analytic products by prioritizing work, shaping user stories, and... More ensuring alignment with business objectives. Acting as the primary liaison to sponsor, the PO ensures clear communication of goals, trade-offs, and progress. They collaborate with developers, analysts, and engineers in Agile teams to build scalable data solutions, maintain domain expertise, and provide consultative support for strategic decisions. Key responsibilities include managing the product roadmap, planning sprints, validating deliverables, and championing data accuracy, security, and compliance?all while driving adoption and measurable business value.ACCOUNTABILITIES:? All team members must champion and model our values of partnership, curiosity, compassion, integrity, and excellence, and must contribute to a culture of continuous learning? Acts as domain experts, partnering with business groups, and data engineers to frame problems, model, clean and integrate data, and determine the best way to leverage that data in service of a goal ? Works with business partners to understand and create their ?user stories;? they identify and clarify opportunities to leverage data analytics in service of customer or business value ? Independently creates, deploys, monitors, and maintains highly interactive data visualizations and analytic services ? Leads and participates in strategic measurement activities, including Return on Investment (ROI) analyses, Key Performance Indicator (KPI) development, risk assessment and indexing, as well as domain-specific measurements (example: readmission rates) ? Works with their teams to ensure data accessibility, accuracy, and quality, and may act as data stewards by contributing to management of central data stores and metadata? Provides consultative, data-driven support on product and business strategy development ? Defines, sets up, and executes test cases to validate that analytic and software solutions meet the business acceptance criteria ? Communicates solution tradeoffs to business partners to frame and influence project decisions? Leverages internal and external sources to validate data accuracy and benchmark resultsPromotes and champions our security and de-identification standards, while they handle sensitive administrative data (medical and pharmacy claims, clinical data, and other sensitive organizational data assets).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 Solution Architect

A healthcare insurance provider is looking for a Solution Architect to join their team remotely to join a consolidation effort for the company's Grievance and Appeals system. The Solution Architect... More designs and leads enterprise-scale application and integration architectures, partnering closely with enterprise and G&A architecture teams to ensure technical excellence and strategic alignment. This role collaborates with product owners and managers to translate business and clinical capabilities into scalable, secure, and high-performing technical designs while guiding technical leads and engineers across multiple projects and workstreams. Serving as the senior architect for major initiatives, the Solution Architect provides architectural oversight and hands-on support throughout the full software development lifecycle. The ideal candidate brings 10+ years of experience in software engineering and architecture, strong proficiency in Java, Python, Spring Boot, and modern front-end frameworks such as React and Angular, and deep expertise in non-functional requirements including SLAs, latency, and real-time processing. Extensive experience with full-stack development, cloud platforms (AWS, GCP, or Azure), microservices, APIs, databases (SQL, NoSQL, Redis), DevOps and container ecosystems, messaging systems like Kafka, and exposure to AI/ML and Generative AI technologies is required, along with demonstrated leadership, stakeholder management skills, and a hands-on development background. Experience in the healthcare domain is preferred.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

Cerner Revenue Cycle Applications Manager

Position Summary: A hospital system based in Midland, Texas is looking for an Oracle Manager to lead a team of 6 focused on revenue cycle applications within Oracle Cerner. This role requires a self... More starting mindset leader with the technical background to develop with the team. While this role is hybrid, it is preferred that a candidate is local to Midland. Performs the essential duties and responsibilities and the primary functions of Applications Manager. Provides logistical support in the areas of system evaluation, implementation, programming, system analysis, end user application education and presentation graphics. Responsible for promoting teamwork with co-workers and personnel of other departments. Responsible for solving routine and non-routine problems, dealing with a variety of issues and interpreting a variety of instructions furnished in written or oral form. Demonstrate knowledge and judgment necessary for performing all the duties of the Applications Manager.?Manage and lead a technical staff of application specialists, including creating job descriptions, hiring, training, evaluation and job assignments.?Design and manage application implementations, upgrades and ongoing support, including overall project management and project schedules.?Allocate and schedule staff to support the various Hospital Information System software applications employed throughout the organization.?Maintain current knowledge of trends and advances in Healthcare Information Systems software applications, including Financial, Clinical, Decision Support and other application categories.?Maintain current knowledge of regulatory and certification environments, including but not limited to DNV, ISO9001, HIPAA and HITECH.?Assure current maintenance of all licensure and contract renewals for all Hospital Information System software applications.?Provides logistical support of all departmental Hospital Information System software This does not include standard desktop applications such as Microsoft Office applications.?Assumes primary responsibility in the evaluation, acquisition and implementation of new Healthcare Information System applications.?Coordinates all resources necessary for the periodic upgrades of production Hospital Information Systems applications.?Assures that adequate training resources are available for all Hospital Information System applications and that appropriate training of all hospital and medical staff is completed.?Assures quality control in all software implementations and upgrades.?Assures that responses to all non-routine user requests are performed in a timely manner.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

Trainer - Infor WFM

We are seeking an experienced Infor CloudSuite Workforce Management (WFM) and Multi-View Scheduling (MVS) Trainer to support a large-scale scheduling system implementation for a major healthcare... More organization. This role is responsible for delivering high-quality training to approximately 800 nurse schedulers as they transition to the new scheduling module. Training materials will be fully developed and provided?your primary responsibility is to lead engaging, effective training sessions and ensure end users feel confident adopting the new technology.This position is remote, with required onsite training days as scheduled.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

Technical Product Manager - REMOTE

Our Healthcare Insurance Client is looking to hire a Technical Product Manager. This will be a 1 year contract with option for conversion to FTE or contract renewal. This position is remote work... More from home.We are looking for a Technical Product Manager to support their secure member web and mobile portal. This portal is how healthcare insurance members interact with their benefits. Our internal downstream partners lack proactive vision and their roadmaps aren't aligned. We need a Product Manager to influence and guide downstream partners. We need a PM to communicate vision and strategic direction. This connected care portfolio is transforming how our members engage with their care wholistically. This role will support our Health 360 train where we're focused on helping our members by driving the future of digital innovation by creating secure, scalable platforms that connect our people, ideas, and insights across the enterprise. As a Product Manager, you?ll lead the design and delivery of digital health solutions that are both technically robust and deeply empathetic. You?ll work across engineering, data science, clinical, and design teams to define product strategies, architect scalable systems, and drive execution with precision and purpose.?Product Strategy & Road mapping: Define and drive the roadmap for multiple product areas, aligning vision with business goals and member needs.?Cross-Portfolio Collaboration: Work closely with product leads and stakeholders across business segments, digital, and operational teams to ensure cohesive planning and execution.?Team Leadership: Guide cross-functional teams?including engineering, UX, data science, and provider data experts?through discovery, delivery, and continuous improvement.?Customer-Centered Innovation: Leverage data, research, and experimentation to identify pain points and opportunities that enhance member engagement and outcomes.?Agile Execution: Translate strategic objectives into actionable features and user stories, driving execution in a SAFe/Agile environment.?Risk & Dependency Management: Proactively manage interdependencies, risks, and tradeoffs to ensure timely delivery of impactful solutions.?Performance Optimization: Define KPIs and success metrics to track progress, generate insights, and drive iterative enhancements.?Market Awareness: Stay informed on digital health trends, emerging technologies, and industry innovations that support whole-person care.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Senior AI Engineer

MUST SIT IN FOOTPRINT STATES - FL, GA, AL, MS, SC, NC, VA, TN, MS, TX, OK, CO, SD, WY, ID, NV, MI, IN, OH, MA, RI, MN, DEA collaborative and innovative team culture, focused on exploration and... More continuous learning.Opportunity to work in a transformational office aimed at staying competitive within the healthcare industry.27-person team with product managers, engineers, data scientists, etc.Freedom to allocate 20% of time for exploring new technologies and market trends. Growth Opportunities:Significant opportunities for career advancement into leadership roles, including Architect and Team Lead positionsWe 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