Job Search Results for healthcare payer

Product Manager

The client is transforming kidney care by improving outcomes, reducing costs, and building innovative, value-based healthcare solutions. They are seeking an experienced Product Manager to lead... More product development initiatives across healthcare insurance and clinical applications. This individual will drive product lifecycle strategy, lead cross-functional teams, and push complex initiatives forward in a fast-moving environment.This is a consulting engagement with the potential for long-term impact, offering flexibility in location and strong leadership visibility.Key Responsibilities:-Own and lead end-to-end product lifecycle management, from concept through development, launch, and optimization-Drive product development efforts across healthcare insurance and clinical application platforms-Lead and facilitate organizational product meetings, aligning stakeholders and ensuring execution against timelines-Act as the subject matter expert on assigned products, deeply understanding both the technical and business context-Pull together cross-functional teams (engineering, clinical, operations, and leadership) to move initiatives forward-Provide clear direction, guidance, and momentum to ensure product milestones are met-Partner with leadership to define product strategy, roadmap, and success metrics-Communicate effectively with both technical and non-technical stakeholders-Push projects forward proactively while maintaining strong relationships and team moraleWe 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

Genesys Cloud Developer ? INTL India

The Genesys Cloud Developer will design, develop, and support voice and contact center solutions for healthcare clients, supporting patient access, clinic operations, and enterprise contact center... More initiatives. This role focuses on IVR and voice application development, call routing, and API-based integrations with telephony platforms and backend healthcare systems. Prefer developers to have strong hands-on background in GAX, CIW, CME, CTI, SIP, IVR, API, routing and multi-tenant HA environments. Key Responsibilities:? Design, develop, and support Genesys Cloud (PureCloud) voice applications ? Build and maintain IVR ?ows, call routing strategies, queues, and contact center work?ows ? Develop and integrate REST API?based integrations with telephony platforms and backend systems ? Collaborate with API developers and technical leads to enable end-to-end call and data ?ows ? Support new clinic implementations, acquisitions, and post-go-live hypercare ? Troubleshoot and resolve production issues related to voice ?ows, routing, queues, and integrationsWe 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

Genesys Cloud Developer

The Genesys Cloud Developer will design, develop, and support voice and contact center solutions for healthcare clients, supporting patient access, clinic operations, and enterprise contact center... More initiatives. This role focuses on IVR and voice application development, call routing, and API-based integrations with telephony platforms and backend healthcare systems. Prefer developers to have strong hands-on background in GAX, CIW, CME, CTI, SIP, IVR, API, routing and multi-tenant HA environments. Key Responsibilities:? Design, develop, and support Genesys Cloud (PureCloud) voice applications ? Build and maintain IVR ?ows, call routing strategies, queues, and contact center work?ows ? Develop and integrate REST API?based integrations with telephony platforms and backend systems ? Collaborate with API developers and technical leads to enable end-to-end call and data ?ows ? Support new clinic implementations, acquisitions, and post-go-live hypercare ? Troubleshoot and resolve production issues related to voice ?ows, routing, queues, and integrationsWe 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

Insurance Denials Specialist

- Ideally looking for candidates with Medicare or Medicade denials experience or government experience.Insight Global is seeking a Denials Insurance Specialist to join their Revenue Cycle team. This... More person will provide a liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolutionThey will maintain active communications with insurance carriers and third-party carriers until account is paid, negotiate payment of current and past due accounts by direct telephone and written correspondence and update patient account information. Additionally, they will monitor and identifies payer denial trends and problem accounts; communicates patterns to supervisor, run a monthly aging report based on DOS and current A/R to identify accounts that require follow up and manage all assigned worklist daily for assigned insurances.This is a 100% remote role, that needs proven work from home experience. Additionally the working hours are 8-5 EST, but can have a 7-4 or 9-6 schedule if requested.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

Application Performance Manager/SRE (AppDynamics)

The Senior Software Development Engineer ? Site Reliability & Application Performance is responsible for ensuring the stability, reliability, and performance of critical applications supporting our... More Third-Party Administrator (TPA) & Payer Solutions department. This role sits at the intersection of software engineering, operations, and SRE practices, with a strong emphasis on Application Performance Monitoring (APM), observability, and continuous improvement of production systems. The colleague in this role will design and implement scalable, resilient solutions; build and maintain observability capabilities; drive incident reduction; and partner closely with engineering, infrastructure, and support teams to improve end-to-end reliability and customer experience.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 AWS Product Owner

Insight Global is seeking a remote Product Owner to support a large healthcare client in a large-scale digital transformation. You will partner closely with platform engineers, data teams, and cloud... More stakeholders to deliver a modern, cloud based transactional data solution that supports enterprise wide applications and APIs. Daily, you will work with technical teams to define, prioritize, and refine the product backlog, translating high level platform goals into clear user stories and acceptance criteria. You will collaborate with engineers and architects to support data migration and cloud enablement efforts, ensuring features align with platform stability, scalability, and governance standards. You will actively participate in Agile ceremonies, provide clarity on priorities, and remove blockers to keep delivery moving forward. A key part of your role will be coordinating across multiple teams and domains, ensuring alignment between the platform roadmap and the needs of downstream application teams consuming transactional data.You will also partner with stakeholders to validate requirements through proofs of concept, assess readiness for production releases, and help ensure the platform delivers reliable, well governed access to transactional data. Throughout the program, you will balance near term delivery needs with long term modernization goals, contributing to a multi year transformation initiative.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

Senior API Developer - INTL India

The API Developer will design, build, and integrate APIs to connect data and orchestrate workflows across key clinical systems, including the electronic health record, clearinghouse, and care... More management platforms, transforming a fragmented prior authorization process into a unified, streamlined solution. Key Responsibilities:? Design and develop RESTful APIs to enable referral and prior authorization workflows across the electronic health record, clearinghouse, and care management systems ? Support real time and batch data exchange to surface authorization requirements, clinical documentation needs, and status updates within provider workflows ? Connect backend services that orchestrate eligibility checks, clinical data retrieval, and authorization submission processes ? Troubleshoot and resolve integration failures, data mapping issues, performance bottlenecks, and production defectsWe 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 Tapestry Analyst

An employer in the Southern California area is seeking two Epic Tapestry Analysts. The first Epic Tapestry Analyst will be responsible for the build aspect of Epic Tapestry, specifically designing... More the system and building components needed to enable incoming capitation functionality within the platform. (Enrollment Filer and Incoming Capitation R&R within the Tapestry module) This is a new build for the organization, and the role involves creating foundational elements to support capitation processes. Day to day duties include the following: lead the design, implementation, and maintenance of EDI workflows within Epic Tapestry, configure and support Enrollment File interfaces and Incoming Capitation R&R processes, troubleshoot and resolve EDI-related issues, including mapping errors, data discrepancies, and transmission failures, and maintain documentation of workflows, configurations, and operational procedures. They will collaborate with internal stakeholders and external payers to ensure timely and accurate data transmission, participate in testing, validation, and go-live support for new and updated interfaces, and will ensure compliance with HIPAA regulations related to health IT and data exchange. The Analyst will work alongside 2 internal resources to help them build and design the capitation functionality. This opportunity is a 6-month contract to hire opportunity. The second Epic Tapestry Analyst will be focusing on advanced build work but requires deeper technical specialization, including LPP extensions, custom cache development, custom rules implementation for configuration, and providing guidance. The key difference is that the second role demands experience implementing functionality in a live organizational environment, whereas the first role may not have that implementation background but brings extensive experience in enrollment filer build. The second Analyst position is a 6 month contract with possible extensions. Both positions will be fully remote, preferably sitting in California, but can also sit in the following states: Arizona, Illinois, Maryland, Michigan, Montana, Nevada, North Carolina, Texas, Utah, Washington & Wisconsin.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

Senior API Developer

The API Developer will design, build, and integrate APIs to connect data and orchestrate workflows across key clinical systems, including the electronic health record, clearinghouse, and care... More management platforms, transforming a fragmented prior authorization process into a unified, streamlined solution. Key Responsibilities:? Design and develop RESTful APIs to enable referral and prior authorization workflows across the electronic health record, clearinghouse, and care management systems ? Support real time and batch data exchange to surface authorization requirements, clinical documentation needs, and status updates within provider workflows ? Connect backend services that orchestrate eligibility checks, clinical data retrieval, and authorization submission processes ? Troubleshoot and resolve integration failures, data mapping issues, performance bottlenecks, and production defectsWe 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

Genesys Product Owner

The Genesys Product Owner will lead the implementation of new Genesys environments for de novo clinics and oversee the transition of existing telephony platforms onto Genesys for newly acquired... More entities. This onshore role is accountable for standing up contact center capabilities from the ground up and migrating legacy voice solutions into a standardized, enterprise Genesys architecture. The Product Owner will drive structured delivery across voice, IVR, routing, CTI, and API integrations while coordinating closely with business stakeholders and blended onshore and offshore engineering teams.Key Responsibilities: ? Lead end to end implementation of new Genesys environments for de novo clinic launches ? Oversee migration of legacy telephony and contact center platforms to Genesys for acquired organizations ? Define implementation and transition roadmaps aligned to enterprise standards and architecture ? Translate operational requirements into prioritized user stories and clear acceptance criteria ? Coordinate configuration of IVR flows, routing strategies, queues, CTI integrations, and API connections ? Partner with infrastructure and telephony teams to manage SIP connectivity, call flows, and cutover planning ? Drive testing, release management, and go live readiness activities ? Ensure smooth transition to hypercare and stabilization post deployment ? Maintain stakeholder alignment across clinical operations, IT, and contact center leadershipWe 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