Job Search Results for clinical

Medical Coding Specialist (Inpatient)

JOB DESCRIPTIONInsight Global is seeking a fully remote Medical Coding Specialist (Inpatient) to support a Healthcare AI client. This is a part-time, fully remote opportunity where candidates will... More leverage their inpatient coding expertise to evaluate and improve AI-driven coding recommendations. This role is highly analytical and requires a deep understanding of diagnosis/procedure coding, DRG assignment logic, and clinical reasoning within acute care settings. Laptop and equipment will be provided.Responsibilities:? Review inpatient encounters and evaluate AI-generated coding recommendations across diagnosis and procedure coding? Assess the accuracy and reasoning behind ICD-10-CM/PCS code assignments, sequencing, and DRG selection (MS-DRG/APR-DRG)? Identify discrepancies where AI-generated outputs diverge from correct inpatient coding practices and explain the rationale? Provide insight into complex coding decisions, including cases requiring clinical interpretation beyond documentation (lab values, treatment patterns, physician documentation habits)? Share inpatient coding expertise with product teams to refine AI logic and improve code assignment accuracy? Partner with GTM teams to critique presentations and provide subject matter expertise on inpatient coding workflowsWe 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

PK/PD Modeling Scientist ? Translational PK/PD

Johnson & Johnson Innovative Medicine is seeking a highly execution focused PK/PD Modeling Scientist to support accelerating workload within the Translational PK/PD organization. This contractor will... More work under a project lead and co lead to rapidly execute modeling and data extraction tasks across multiple programs. The role is hands on and delivery driven, with minimal strategy development and heavy emphasis on independently completing assigned work.Strong performers may be considered for longer term opportunities.Key ResponsibilitiesPK/PD Modeling and Analysis?Support translational PK and PK/PD modeling activities for nonclinical and clinical programs.?Build and execute empirical PK and simple PK/PD models, including one and two compartment models.?Identify and interpret PK profiles across species, including large molecules such as antibodies and ADCs.?Perform simulations to support exposure characterization, dose justification, and exposure?response understanding.?Support translation from in vitro to in vivo and across species where applicable.Literature Review and Data Digitization?Extract PK, clinical PK, and in vitro assay data from published literature.?Digitize figures and datasets and uniquely identify model components.?Review existing literature models, assess what is working and what is not, and summarize findings concisely.?Develop mechanistic or semi mechanistic model inputs based on literature derived data.In Vitro and Mechanistic Modeling Support?Support modeling of in vitro assays with translational relevance.?Apply ODE based modeling approaches to describe mechanistic behavior.?Support platform efforts aimed at reducing or eliminating animal usage when appropriate.Collaboration and Execution?Work under the direction of a lead and co lead, with weekly check ins to review progress and deliverables.?Execute assigned tasks independently with minimal oversight and tight timelines.?Prepare figures, tables, and summaries for internal reports and slide decks.?Clearly communicate progress, challenges, and results to project stakeholders.Deliverables and Milestones?Digitized literature datasets and curated PK and in vitro data.?Executed PK and PK/PD models with documented assumptions.?Summary outputs that identify PK profiles and key translational insights.?Supporting analyses that can be incorporated into internal decision making and reports.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

EPIC PB Application Coordinator

Jr. Application Coordinators have primary responsibility for design, build, testing, validation, and ongoing support of clinical applications. They are responsible for obtaining and maintain... More in-depth knowledge of the application functionality and acquiring knowledge of the clinical /operational / revenue workflows to be implemented on the system. Jointly with each other and with the department representatives, they design a future-state workflow and build the system to support the new workflow. They work with each other in workgroups, and across interdisciplinary workgroups, to accomplish these goals as a team.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

REMOTE Sr. Data Engineer

Insight Global is seeking a Sr. Data Engineer to join our actuarial consultant customer 100% remotely. In this position as a Sr. Data Engineer of our client?s Data Platform, you will be responsible... More for designing and implementing robust Data Platform solutions that meet business objectives while ensuring compliance with industry-leading data privacy standards. You will collaborate closely with cross-functional agile teams to drive data architecture decisions, implement best practices, and contribute to the success of our client?s projects. Responsibilities include: ?Data Platform: Creation of a Databricks Data Warehouse(s) and Lakehouse solutions for a healthcare data focused enterprise. oData Governance: Configuring and maintaining unity catalog to enable enterprise data lineage and data quality oData Security: Building out Data Security protocols and best practices including the management of identified and de-identified (PHI/PII) solutionsoExternal Data Products: Building data solutions for clients while upholding the best standards for reliability, quality, and performanceoETL: Building solutions within Delta Live Tables and automation of transformationsoMedallion Architecture: Building out performant enterprise-level medallion architecture(s) oStreaming and Batch Processing: Building fit-for-purpose near real-time streaming and batch solutions oLarge Data Management: Building out performant and efficient enterprise solutions for internal and external users for both structured and unstructured healthcare dataoPlatform Engineering: Building out Infrastructure as Code using Terraform and Asset BundlesoCosts: Working with the business to build cost effective and cost transparent Data solutions?Pipeline/ETL Management: You will help architect, build, and maintain robust and scalable data pipelines, monitoring, and optimizing performanceoExperience working with Migration tools i.e., AWS DMS, AWS Glue, Fivetran, integrate.iooIdentify and implement improvements to enhance data processing efficiencyoExperience with building out effective pipeline monitoring solutionsoBuild the infrastructure required for optimal extraction, transformation, and loading of data from a wide variety of data sources using SQL, Delta Live Tables, Python, Scala, and cloud-based ?big data? technologies.?Data Modeling: Lead design, implementation, and maintenance of standards based (FHIR, OMOP, etc.) and efficient data models for both structured and unstructured dataoAssemble large, complex data sets that meet functional and non-functional business requirementsoDevelop and maintain data models, ensuring they align with business objectives and data privacy regulations?Collaboration: Partner internally with key stakeholders to ensure we are providing meaningful, functional, and valuable dataoEffectively work with Data, Development, Analysts, Data Science, and Business team members to gather requirements, propose, and build solutions. oCommunicate complex technical concepts to non-technical stakeholders and provide guidance on best practices.oEnsure that technology execution aligns with business strategy and provides efficient, secure solutions and systems?Processes and Tools: Identify, design, and implement internal process improvements: automating manual processes, optimizing data delivery, re-designing infrastructure for greater scalability, etc.oBuild analytics tools that utilize the data pipeline to provide actionable insights into operational efficiency and other key business performance metrics.oCreate data tools for clinical, analytics and data scientist team members that assist them in building and optimizing our product into an innovative industry leader.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

Member Care Navigator

As the Member Care Navigator, you will provide members with exceptional support by delivering high quality, professional, and efficient service. You will also liaise with members and providers to... More assist in the coordination of care related to medical access complexities.? Answer incoming calls and support members in scheduling appointments and accessing appropriate care. ? Maintain open, continuous communication between members and providers. ? Research accepting physicians or facilities based on plan design, member needs, and access barriers. ? Partner closely with Account Management, Contracting, Advocacy, Pre-Neg, and TPA teams to resolve access issues. ? Own the end-to-end member experience?from intake through resolution ensuring timely follow up, documentation, and clear next steps. ? Make outbound calls to providers, clients, and partners to gather information, educate stakeholders, and provide updates. ? Attend training and team meetings to stay current on workflows, tools, and plan updates.Member Advocacy & Support? Deliver a high-empathy, member-first experience in every interaction. ? Acknowledge frustration, build trust, and help members confidently navigate their benefits. ? Explain open-network plans, reference-based pricing, and member benefits in simple, jargon-free language. ? Own each case through resolution with proactive updates and follow-through. ? Document all interactions thoroughly and accurately to ensure continuity of care, compliance, and quality. Provider Communication & Problem Solving? Liaise professionally with providers to clarify plan details, payment processes, and network structure. ? Navigate provider pushback with calm, respectful communication. ? Identify accepting or RBP-friendly facilities and provide alternative options when needed. ? Coordinate Single Case Agreements (SCAs) or escalations based on internal criteria. ? Investigate delays or barriers that threaten timely care and act decisively to overcome them. Operational Excellence? Follow established workflows, boundaries, and escalation protocols with precision. ? Use internal research tools (OnPoint, PON, provider lookup systems) to verify provider options. ? Prioritize inquiries based on urgency, member risk, and available details. ? Collaborate across departments to establish processes that remove barriers to care. ? Uphold compliance standards, including HIPAA and Department of Labor guidelines. ? Maintain confidentiality of all sensitive information. Clinical & Benefit Literacy? Understand key clinical terms, service types, and the implications of delays in care. ? Confidently communicate around pre-authorization processes, diagnosis implications, and provider requirements?without crossing clinical boundaries. ? Recognize scenarios requiring escalation due to potential impact on timelines or safety.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

Outbound Outreach Specialist

We are seeking an experienced Outbound Outreach Specialist to support one of our PBM clients. This role is heavily phone-based and focused exclusively on outbound calls to provider offices to obtain... More additional clinical and administrative information required for medication review and authorization workflows.This position is ideal for candidates who are comfortable on the phone, detail-oriented, and experienced working in healthcare environments involving providers, insurance companies, or PBMs.Key Responsibilities?Make outbound calls only 10+ outbound calls per hour to physician and provider offices?Contact providers to request and collect: oAdditional clinical informationoDiagnosis detailsoMedication informationoSupporting documentation aligned with PBM guidelines?Clearly explain outreach purpose and guide provider offices on required information?Accurately document all call outcomes and details in internal systems?Perform heavy data entry while maintaining accuracy and compliance?Follow established call scripts, outreach guidelines, and training protocols?Collaborate with internal teams to ensure timely and complete information captureWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Sr Bioinformatics Scientist (MRD)

We are looking for a Senior Bioinformatics Scientist to play a leading role in advancing cutting-edge molecular diagnostics, with a particular focus on minimal residual disease (MRD) testing. This... More position will drive the development and optimization of bioinformatics approaches supporting laboratory-developed assays from early concept through clinical deployment. This role requires deep expertise in next-generation sequencing (NGS) and oncology-focused applications, including circulating tumor DNA (ctDNA) analysis. The successful candidate will lead the design of computational strategies, oversee analytical validation efforts, and ensure robust assay performance across the development lifecycle. Responsibilities include building and refining scalable analysis pipelines, applying statistical and computational methods to improve assay sensitivity and specificity, and supporting regulatory submissions through detailed documentation and validation evidence. In addition, this individual will provide mentorship to junior team members and communicate complex findings clearly to both technical and non-technical audiences.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 Data Engineer

Insight Global is seeking a Data Engineer to join our actuarial consultant customer 100% remotely. In this position as a Data Engineer of our client?s Data Platform, you will be responsible for... More designing and implementing robust Data Platform solutions that meet business objectives while ensuring compliance with industry-leading data privacy standards. You will collaborate closely with cross-functional agile teams to drive data architecture decisions, implement best practices, and contribute to the success of our client?s projects. Responsibilities include: ?Data Platform: Creation of a Databricks Data Warehouse(s) and Lakehouse solutions for a healthcare data focused enterprise. oData Governance: Configuring and maintaining unity catalog to enable enterprise data lineage and data quality oData Security: Building out Data Security protocols and best practices including the management of identified and de-identified (PHI/PII) solutionsoExternal Data Products: Building data solutions for clients while upholding the best standards for reliability, quality, and performanceoETL: Building solutions within Delta Live Tables and automation of transformationsoMedallion Architecture: Building out performant enterprise-level medallion architecture(s) oStreaming and Batch Processing: Building fit-for-purpose near real-time streaming and batch solutions oLarge Data Management: Building out performant and efficient enterprise solutions for internal and external users for both structured and unstructured healthcare dataoPlatform Engineering: Building out Infrastructure as Code using Terraform and Asset BundlesoCosts: Working with the business to build cost effective and cost transparent Data solutions?Pipeline/ETL Management: You will help architect, build, and maintain robust and scalable data pipelines, monitoring, and optimizing performanceoExperience working with Migration tools i.e., AWS DMS, AWS Glue, Fivetran, integrate.iooIdentify and implement improvements to enhance data processing efficiencyoExperience with building out effective pipeline monitoring solutionsoBuild the infrastructure required for optimal extraction, transformation, and loading of data from a wide variety of data sources using SQL, Delta Live Tables, Python, Scala, and cloud-based ?big data? technologies.?Data Modeling: Lead design, implementation, and maintenance of standards based (FHIR, OMOP, etc.) and efficient data models for both structured and unstructured dataoAssemble large, complex data sets that meet functional and non-functional business requirementsoDevelop and maintain data models, ensuring they align with business objectives and data privacy regulations?Collaboration: Partner internally with key stakeholders to ensure we are providing meaningful, functional, and valuable dataoEffectively work with Data, Development, Analysts, Data Science, and Business team members to gather requirements, propose, and build solutions. oCommunicate complex technical concepts to non-technical stakeholders and provide guidance on best practices.oEnsure that technology execution aligns with business strategy and provides efficient, secure solutions and systems?Processes and Tools: Identify, design, and implement internal process improvements: automating manual processes, optimizing data delivery, re-designing infrastructure for greater scalability, etc.oBuild analytics tools that utilize the data pipeline to provide actionable insights into operational efficiency and other key business performance metrics.oCreate data tools for clinical, analytics and data scientist team members that assist them in building and optimizing our product into an innovative industry leader.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Sr Epic Application analyst - Epic Beaker

Core Duties & Day-to-Day ResponsibilitiesLead and monitor midsize to large-scale projects across multiple departmentsDesign, implement, maintain, and optimize Epic clinical applicationsPerform... More workflow assessments and gather business requirementsAnalyze internal systems to determine functional requirementsCollaborate with cross-functional teams and end users to meet clinical needsBuild, upgrade, and enhance systems as neededSupport applications through all phases of implementationDeliver implementation training, support, troubleshooting, and maintenanceConfigure vendor applications and productsMaintain system documentation, specifications, and proceduresDefine and document user requirementsApply project planning and project management methodologiesCoordinate and manage short-duration projectsMonitor project progress, deliverables, and outcomesDevelop test plans, prepare test data, and perform system testingProvide on-call system support as scheduledAudit entered user data for accuracyTroubleshoot, track, and resolve system issuesApply systems development methodologies to resolve problemsManage multiple assignments simultaneouslyWe 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

Revenue Integrity Analyst

Insight Global is seeking a Revenue Integrity Analyst to support the Revenue Integrity department and serves as the key liaison and subject matter expert on all aspects of hospital charge capture and... More entry, charge integrity and charge reconciliation processes. This role partners with clinical and operational leaders to drive charge capture and integrity improvement initiatives, including charge reconciliation, new service implementation, CDM and payer audits, and identification of revenue optimization opportunities. The analyst ensures billing compliance and accurate charge capture through education, auditing, monitoring of regulatory and coding changes, and analysis of charge-related metrics, with a focus on minimizing revenue leakage and supporting compliant reimbursement.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