Job Search Results for healthcare payer

REMOTE Java Developer with TypeScript!

We are seeking a Senior Java Developer with strong healthcare payer experience to design and support scalable, cloud-native applications supporting mission-critical payer systems.Responsibilities?... More Lead development of enterprise Java applications using Spring Boot and Spring Batch? Design and support batch and event-driven workflows for payer systems (care/case/disease management & population health)? Contribute Python scripting and TypeScript development as needed (their rules engine tool is built on TypeScript)? Deploy, maintain, and troubleshoot applications on OpenShift? Implement messaging and streaming solutions using Kafka? Participate in architecture decisions, code reviews, and Agile deliveryWe 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

Payroll Oracle Fusion Architect

We are seeking a Solution Architect Lead with deep Oracle Fusion experience to support enterprise healthcare provider clients across Finance, Supply Chain, HR, and Payroll domains. This role is... More highly consultative and advisory in nature, partnering closely with clients to guide decision-making and shape best-practice solutions based on real-world healthcare operations experience.This position is ideal for a leader who has come up through healthcare provider operations, led complex Oracle Fusion implementations, and can translate that experience into confident, opinionated guidance?not just presenting options, but recommending the right approach.Note: Candidates must come from a healthcare provider environment. Insurance or payer-only backgrounds will not be considered.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

Follow Up Representative

Insight Global is looking for a Follow-Up Representative to support a large hospital system in the Maryland/DC area. This person will support the Denials Appeals & Performance (DAP) team, a... More centralized hospital denial group supporting 10 hospitals across the Maryland/DC region.This role focuses on post-appeal and post-submission insurance follow-up, helping offload administrative and payer-chasing work from RN teams. Follow-Up Reps will manage a mixed inpatient and outpatient inventory, working with primarily commercial payers and MCOs. This is not an appeal-writing role, though there is opportunity for growth and cross-training over time. The environment is fast-paced, documentation-driven, and collaborative, with a strong emphasis on accuracy, persistence, and accountability.Primary Responsibilities? Perform post-appeal insurance follow-up on hospital denial accounts? Productivity is quality-focused, not quota-driven? Looking for someone who has experience touching <40 accounts/day ? Check claim and appeal status via: ? Payer portals? Phone calls to insurance companies? Written payer correspondence? Work accounts originating from: ? Denials Appeals & Performance (DAP) RNs? Acute Case Management (ACM) RNs? Document all follow-up actions clearly in the appropriate system? Identify cases with insufficient or unclear documentation and escalate appropriately? Track payer responses, timelines, and next steps? Support rebilling or resubmission efforts when required? Navigate long hold times and high-touch payer follow-up while maintaining productivity? Collaborate with: ? RN reviewers? Other follow-up representatives? Leadership as needed? Participate in: ? Team huddles? Workflow updates? Ongoing training and cross-training initiatives? Adapt to evolving workflows as the DAP team continues to expand and absorb new workstreamsWe 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 Product Manager - Enrollment Payor

Insight Global is seeking a Technical Product Manager to support a healthcare payer organization, focused on provider enrollment, portfolio setup, and configuration-driven platforms. This role will... More lead a single value stream, owning the roadmap, features, and delivery of functionality that enables enrollment workflows, portfolio/customer setup, and downstream system integrations. The individual will translate business and operational requirements into epics, features, and user stories, partnering closely with engineering teams to deliver scalable, cloud-based solutions. Key Responsibilities?Own and manage the product roadmap for a payer-focused value stream centered on enrollment, portfolio setup, and configuration-based platforms?Define and maintain epics, features, and user stories, ensuring alignment from roadmap through execution?Partner daily with engineering teams to clarify requirements, support design decisions, and remove blockers?Lead and support Agile ceremonies including backlog refinement, sprint planning, demos, and retrospectives?Manage all work within Jira, ensuring stories meet Definition of Ready / Definition of Done standards?Collaborate cross-functionally with business stakeholders, architects, and technical teams to prioritize work that delivers measurable business value?Document requirements, decisions, dependencies, and delivery progress clearly within Jira and supporting tools?Ensure solutions align with an established Agile SDLC and enterprise standardsWe 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

Finance Oracle Solution Architect

We are seeking a Solution Architect Lead with deep Oracle Fusion experience to support enterprise healthcare provider clients across Finance, Supply Chain, HR, and Payroll domains. This role is... More highly consultative and advisory in nature, partnering closely with clients to guide decision-making and shape best-practice solutions based on real-world healthcare operations experience.This position is ideal for a leader who has come up through healthcare provider operations, led complex Oracle Fusion implementations, and can translate that experience into confident, opinionated guidance?not just presenting options, but recommending the right approach.Note: Candidates must come from a healthcare provider environment. Insurance or payer-only backgrounds will not be considered.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

HR Oracle Fushion Solution Architect

We are seeking a Solution Architect Lead with deep Oracle Fusion experience to support enterprise healthcare provider clients across Finance, Supply Chain, HR, and Payroll domains. This role is... More highly consultative and advisory in nature, partnering closely with clients to guide decision-making and shape best-practice solutions based on real-world healthcare operations experience.This position is ideal for a leader who has come up through healthcare provider operations, led complex Oracle Fusion implementations, and can translate that experience into confident, opinionated guidance?not just presenting options, but recommending the right approach.Note: Candidates must come from a healthcare provider environment. Insurance or payer-only backgrounds will not be considered.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

Supply Chain Oracle Fusion Solution Architect

We are seeking a Solution Architect Lead with deep Oracle Fusion experience to support enterprise healthcare provider clients across Finance, Supply Chain, HR, and Payroll domains. This role is... More highly consultative and advisory in nature, partnering closely with clients to guide decision-making and shape best-practice solutions based on real-world healthcare operations experience.This position is ideal for a leader who has come up through healthcare provider operations, led complex Oracle Fusion implementations, and can translate that experience into confident, opinionated guidance?not just presenting options, but recommending the right approach.Note: Candidates must come from a healthcare provider environment. Insurance or payer-only backgrounds will not be considered.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

Solutions Director, Medical Finance Analytics

Insight Global is looking for a Solutions Architect of Medical Finance Analytics to join an enterprise-level healthcare payer. In this role, you will identify issues and anomalies, recommend... More practical solutions, and work cross-functionally across the enterprise to improve product performance and day-to-day operations. You will coordinate with stakeholders across variable LOBs to support new business initiatives, solve problems, and ensure programs meet market and contractual needs. This role involves regular project and performance reporting, tracking projects through execution, evaluating progress against goals, and identify roadblocks delaying project completion. You will be a key liaison between executive leadership, the field, and other groups driving enterprise-wide solutions, ultimately supporting process improvement efforts. This role will involve ad-hoc work as prescribed by executive leadership. This is a 100% remote position operating on Eastern Standard Time. Candidates must consent to a background check and drug screen upon hiring for this position.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

RCM Denials Specialist (Denial Recovery)

Job SummaryInsight Global is seeking a fully remote Denials Specialist for our client specializing in orthopedic denials recovery. The RCM Denials Specialist is responsible for recovering revenue... More lost to denied and underpaid orthopedic medical claims by executing payer-specific denial recovery workflows with a high level of accuracy and efficiency. This role focuses on post-payment denials and unpaid claims, managing appeals from initial denial through final resolution. The specialist works within standardized playbooks and performance metrics to directly impact client cash flow and recovered revenue.This is a production-driven, outcomes-focused role suited for professionals who thrive in structured, KPI-driven environments and take ownership of financial results.Key Responsibilities: Denial Recovery & Appeals- Work assigned denial and underpayment claim queues, including post-pay denials, medical necessity, bundling, timely filing, and workers? compensation claims- Prepare, submit, and track appeals in accordance with payer- and CPT-specific guidelines- Follow up with insurance payers via phone, online portals, and written correspondence until final resolution- Ensure timely progression of claims and avoid preventable delays in follow-upDocumentation & Accuracy:- Accurately document all claim actions, appeal submissions, and payer communications- Upload, organize, and maintain required clinical and billing documentation- Maintain clean, complete, and audit-ready records suitable for internal leadership and client review- Meet high accuracy standards while maintaining daily and weekly productivity targetsWorkflow Execution & Collaboration- Adhere to standardized recovery playbooks and escalation thresholds- Escalate complex or unusual denial patterns appropriately- Collaborate with leadership, QA, and strategy teams to improve recovery outcomes- Identify and report payer trends, denial patterns, and workflow improvement opportunitiesWe 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 Cycle Project Manager

Insight Global is looking for a Project Manager for one of their healthcare clients in New Jersey. This Financial Project Manager will be responsible for assessing and stabilizing a significant... More collections backlog resulting from EPIC implementation challenges by analyzing aged A/R, stalled and denied claims, and clearinghouse rejections to identify root causes and recovery opportunities. Working closely with billing specialists, IT, Epic analysts, and external vendors, the PM will troubleshoot claim edits, payer rejections, eligibility and authorization issues, and interface errors, while prioritizing high-value accounts for resolution. The role involves overseeing daily collections activity, monitoring account balances and key revenue cycle metrics, and driving short-term backlog reduction plans while simultaneously implementing standardized workflows and process improvements to prevent recurrence. Reporting directly to the CFO, this individual will provide clear executive-level updates on cash recovery, risks, and performance trends, ensure compliance with payer contracts and healthcare regulations, and serve as the central point of coordination to restore revenue cycle efficiency and maximize reimbursement across the organization.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