Job Search Results for clinical

Senior Manager of Clinical Strategy

- Clinical Strategy & Protocol Developmento Lead the development of IRB and clinical study protocols in alignment with company objectives.o Collaborate with surgeons and clinical advisors to design... More impactful studies that address business and clinical needs.o Participate in the overall clinical strategy planning process, including statistical analysis plans and protocol review cycles.o Submit and manage regulatory applications (FDA and other global agencies).- Clinical Execution & Oversighto Oversee clinical study activities including site selection, investigator engagement, initiation, monitoring, and study closeout.o Ensure studies are conducted in compliance with approved protocols, regulatory standards, and timelines.o Perform site visits, oversee test article reconciliation and disposition, and maintain accurate documentation.- Data Integrity & Reportingo Ensure the accurate transmission and validation of clinical data to data management centers.o Resolve case report discrepancies and ensure completeness and integrity of clinical records.o Author or support the development of clinical study reports, white papers, and regulatory submissions.- Scientific Communication & Publicationo Develop and contribute to scientific manuscripts, conference presentations, and publications.o Provide clinical evidence to support marketing claims and product positioning.- Cross-Functional Collaborationo Work closely with product management, engineering, regulatory, and medical affairs to ensure alignment between product development and clinical evidence.o Identify clinical evidence gaps across the product portfolio and recommend solutions.- Leadership & Innovationo Guide cross-functional teams in the generation of robust clinical evidence.Maintain awareness of evolving industry trends, research methodologies, and regulatory changesWe 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

Clinical Social Worker

Insight Global is looking for a Clinical Licensed Social Worker for a non-profit organization in SF, CA. Our client partners with Community Health Workers (CHWs), and Doulas to support Medi-Cal... More members who are unhoused, pregnant, or facing complex health and social barriers. We are looking for someone that can assist in maintaining continuity of care for their clients and compliance with Medi-Cal and DHCS requirements. This is an incredible opportunity for a licensed clinician to step in, make an immediate impact, and provide both supervision and client care.Part-time: 20-25/HRs a week (opportunity for more hours later on) Paying between 45-55/HR (with opportunity to make more through billing and reimbursements)Remote: Ideally in NorCal, but open to SoCal candidates if they have experience in this type of spaceWe 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

Lead Data Scientist/Engineer

The Lead Data Scientist/Engineer plays a pivotal role in supporting the Medicare Clinical Stars program by providing technical expertise in data engineering, particularly focusing on Google Cloud... More Platform (GCP) and Hadoop ecosystems. This role involves working within a team of data engineers, acting as a liaison between the Data Intelligence group and the Clinical Stars Data Science group, and providing technical support to enable data-driven insights for clinical stars initiatives. The Lead Data Engineer collaborates closely with data scientists, engineers, and stakeholders to design, develop, and maintain scalable data pipelines, analytics solutions, and machine learning models that drive improvements in Medicare clinical outcomes.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

DRG Auditor

Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the salary ranges anywhere from $80,000-$95,000. This person... More 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.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

Advanced Epic ClinDoc Application Analyst

-building, supporting, and testing and implementation efforts related to Epic Clinical Documentation and other related Inpatient Systems -analyzing clinical workflows and recommending improvements... More for efficiency and accuracy -collaborating with clinicians and end users of the system to design, build, test, train, and implement Epic-analyzing business problems and provide effective solutions -providing oversight and guidance to more junior Epic analysts on the team and actively collaborating with other analyst to optimize the application's configuration, function, and access-staying up to date with Epic integrations and optimizationsWe 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 Senior Revenue Integrity Analyst- Procedural Supply Governance

Key Responsibilities:- Ensure compliant assignment of revenue codes and HCPCS codes to procedural supply items.- Analyze supply usage data to identify gaps, ensure billing accuracy, and drive revenue... More integrity.- Support the design and implementation of a procedural supply governance framework.- Partner with clinical, supply chain, finance, and IT teams to align workflows and improve supply charge capture.- Serve as a subject matter expert for Epic build and its interface with the - ERP system, ensuring accurate integration of supply data.- Collaborate with consultants and internal stakeholders on workflow design and governance rollout.- Provide education and guidance to clinicians and staff on compliant supply documentation.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

Business Analyst (SQL, Correspondence)

Insight Global's healthcare customer is hiring three BA's to join their Clinical Insurance Technology space. As a Senior Business Analyst, candidates will serve as the lead project facilitator across... More multiple scrum teams, driving consistency and alignment in departmental initiatives. Their primary focus is on clinical domain projects and applications, particularly those related to Utilization Management (UM) and Care Management (CM). They will oversee the migration of memberships to new platforms, manage evolving business needs, and guide application enhancements while ensuring operational efficiencies remain intact. Collaborating closely with architects, developers, and QA teams, they are accountable for the full project lifecycle?from concept and business requirements through design sign-off, user acceptance testing, and final implementation. Candidates will actively participate in Safe Agile practices, including PI planning and daily scrum ceremonies, and use tools like Rally to manage workstreams. The role demands strong analytical skills, including database interpretation and query writing, as well as the ability to document business rules using InRule and PL/SQL. Candidates will lead stakeholder meetings, provide strategic recommendations, and maintain high-quality documentation to support continuous improvement and knowledge sharing across the organization. This role is fully remote.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

Utilization Management Nurse

- Review approximately 60 medical authorization requests per day- Evaluate medical necessity for procedures and care requests- Use internal Access Express system to document reviews- Apply specific... More health plan guidelines and policies- Review clinical notes and identify key medical criteria- Communicate with doctor's offices to obtain additional information when needed- Meet strict turnaround times (24-72 hours for most authorizations)- Collaborate with medical directors on case determinationsWe 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

Coding Educator

Insight global is seeking a Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to physicians, residents, allied health professionals and billing staff... More to support patient care documentation, coding and billing practices according to federal, state and local regulatory compliance standards. Creates and delivers presentations to clinical faculty and billing staff.Develops training programs and delivers training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party documentation and billing regulatory standards, including but not limited to classroom training, web-based training and one-on-one provider observation and training sessions.Participates on clinical department Billing Quality Councils as a member of the respective councils and acts as the primary resource providing technical and regulatory expertise to the Councils.Presents findings and recommendations from internal and external audits to clinical departments and recommends solutions for implementing appropriate changes.Conducts internal reviews and provides quality review of external billing quality audits.Works with providers and department billing staff to address and resolve documentation deficiencies.Develops and implements Clinical Documentation Improvement Programs in partnership with the clinical departments.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 Telehealth Compact and State Specific ? PM? EO

A leading healthcare client is seeking Remote Registered Nurses to support a new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct inbound... More and outbound calls to assess patients, gather health history, and provide guidance based on physician-approved triage protocols. You will use your clinical judgment to help patients navigate the next steps in their care. This is a remote position offering the opportunity to make a meaningful impact in a healthcare program focused on patient care and well-being. Your key responsibilities include taking inbound and making outbound calls. You?ll complete a brief historical intake and record any symptoms. You will provide guidance using a physician-approved triage protocol, advising patients on whether to follow up with their provider, seek same-day care, or go to the emergency department. You?ll utilize strong clinical judgment to ensure patients take appropriate next steps in their care. You?ll offer concise, supportive patient education during calls and accurately document all phone call details using Athena encounter templates and text macros.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