At Insmed, every moment and every patient counts — and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you’ll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person’s contributions to meaningful progress. That commitment has earned us recognition as Science magazine’s No. 1 Top Employer for five consecutive years, certification as a Great Place to Work® in the U.S., and a place on The Sunday Times Best Places to Work list in the UK. For patients, for each other, and for the future of science, we’re in. Are you? About the Role: The Specialist DSPV Compliance is responsible for ensuring that pharmacovigilance activities are compliant with global pharmacovigilance regulations (i.e. GVP, Good Pharmacovigilance Practices), company policies, and industry standards by assisting with and supporting pharmacovigilance activities and deliverables related to document management, training, quality and compliance, and audit and inspection readiness within the scope of the Drug Safety and Pharmacovigilance (DSPV) Department at Insmed. What You'll Do: In this role, you’ll have the opportunity to collaborate cross-functionally with internal teams and external stakeholders to achieve business objectives. You will also: - Proactively identify and implement opportunities for process optimization and efficiency improvements. - Assist with the development, review, and approval of DSPV controlled documents, including SOPs, Policies, Templates, and Forms. - Assist with electronic archival and maintenance of DSPV controlled documents - Support the maintenance of relevant team trackers, documents, and folders maintaining accuracy, organization and efficiency in document management processes. - Assist with the scheduling, documentation, and tracking of all Adverse Event Reporting Trainings for all Insmed Representatives. - Support the facilitation of DSPV training to ensure the DSPV team receives the role-specific curricula tailored to their responsibilities. - Assist in initiating, tracking, monitoring, and following up on non-compliance matters for Insmed and PV-Related vendors as needed. - Support the review and management of deviations, CAPAs, Quality Events, and other compliance-related activities (including but not limited to Note to Files, Storyboards, etc.) as required. Who You Are: You have a minimum of a Bachelor’s degree as well as at least 2 years of relevant Pharmacovigilance experience. You are or have: - Excellent Microsoft Office (Word, Excel, PowerPoint) experience. - Proven ability to manage competing deliverables while prioritizing time effectively based on project needs. - Problem solving and the ability to be coached and directed by other teammates and partners. - Ability to seek guidance/input from others when faced with a difficult situation.   - Attention to quality, detail, and accuracy. Where You’ll Work This is a fully remote role. It can be performed effectively from anywhere while staying connected to your Insmed team and community. Occasional travel for team meetings or events will be expected. Travel Requirements This role requires occasional [domestic/international/global] travel (approximately [5%–10%]) #LI-EG1 #remote Pay Range: $42.00-53.00 Hourly Life at Insmed At Insmed, you’ll find a culture as human as our mission—intentionally designed for the people behind it. You deserve a workplace that reflects the same care you bring to your work each day, with support for how you work, how you grow, and how you show up for patients, your team, and yourself. Highlights of our U.S. offerings include: - Comprehensive medical, dental, and vision coverage and mental health support, annual wellbeing reimbursement, and access to our Employee Assistance Program (EAP) - Generous paid time off policies, fertility and family-forming benefits, caregiver support, and flexible work schedules with purposeful in-person collaboration - 401(k) plan with a competitive company match, annual equity awards, and participation in our Employee Stock Purchase Plan (ESPP), and company-paid life and disability insurance - Company Learning Institute providing access to LinkedIn Learning, skill building workshops, leadership programs, mentorship connections, and networking opportunities - Employee resource groups, service and recognition programs, and meaningful opportunities to connect, volunteer, and give back Eligibility for specific programs may vary and is subject to the terms and conditions of each plan.  Current Insmed Employees: Please apply via the Jobs Hub in Workday. Insmed Incorporated is an Equal Opportunity employer. We do not discriminate in hiring on the basis of physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Unsolicited resumes from agencies should not be forwarded to Insmed. Insmed will not be responsible for any fees arising from the use of resumes through this source. Insmed will only pay a fee to agencies if a formal agreement between Insmed and the agency has been established. The Human Resources department is responsible for all recruitment activities; please contact us directly to be considered for a formal agreement. Insmed is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation to participate in the job application or interview process, please contact us by email at TotalRewards@insmed.com and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address. Applications are accepted for 5 calendar days from the date posted or until the position is filled. For New York City Residents: To assist in identifying candidates with qualifications matching those required and/or preferred for this role, Insmed uses an Automated Employment Decision Tool (“AEDT”) that employs artificial intelligence to analyze and score information provided in resumes and application materials including, but not limited to, skills, work experience, education, and job-related qualifications. The AEDT does not make final hiring decisions and all final hiring decisions are subject to human oversight and/or review. If you are an applicant for this role and a New York City resident, you have the right to request: - A reasonable accommodation, if one is available under applicable law, by emailing TotalRewards@insmed.com; and/or - An alternative selection process by emailing Privacy@insmed.com. - Information about the type of data collected, the source of that data, and data retention practices related to the AEDT by emailing us at Privacy@insmed.com.

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the necessity and appropriateness of medical procedures, tests, and treatments. Utilization Management Nurse Reviewers collaborate with healthcare providers, insurance companies, and patients to optimize healthcare delivery, control costs, and maintain quality care. Their responsibilities include assessing medical necessity, coordinating care, conducting utilization reviews, providing recommendations for care plans, and ensuring adherence to regulations and guidelines. This role requires strong clinical knowledge, critical thinking skills, communication abilities, and the ability to make informed decisions regarding patient care pathways. Shifts available: - Sunday - Thursday 8 - 4:30 pm EST - Monday - Friday 7 - 3:30 pm EST - Tuesday - Saturday 9 - 5:30 pm EST MAJOR DUTIES & RESPONSIBILITIES - Conduct assessments of medical services to validate their appropriateness using established criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual, or health plan specific guidelines/criteria). - Examine and evaluate patient records to verify the quality of patient care and the necessity of provided services. - Offer clinical expertise and serve as a clinical reference for non-clinical staff members. - Input and manage essential clinical details within various medical management platforms. - Keep up-to-date with regulatory prerequisites (such as URAC) and state standards for utilization review. - Apply clinical reasoning to determine the suitable evidence-based guidelines. - Foster efficient and high-quality patient care by effectively communicating with management teams, physicians, and the Medical Director. Requirements - Proficient in both written and spoken communication. - Capable of maintaining professional communication with physicians and clients. - Skilled at handling multiple tasks and adjusting swiftly in a dynamic office setting. - Possesses a keen organizational sense and pays close attention to details. - Adept at resolving intricate and multifaceted problems. - Experienced with Microsoft tools such as Word, Excel, PowerPoint, and Outlook. - Background in medical or clinical practice through education, training, or professional engagement. - Holds an unrestricted LVN/RN license from an accredited vocational nursing program (for LVNs) or a nursing degree from an accredited college (for RNs). Additional Duties - May provide oversight to the work of the team members. - Continuously improves processes that help to facilitate better turnaround time, peer to peer success rates and lessens returned reports by clients for clarification purposes, ultimately resulting in higher client satisfaction. - Responsible for the final approval on cases for release to the client. - Will act as a liaison and coordinate quality issue reports along with all new reviewer reports with the VP of Clinical Operations. - EDUCATION/CREDENTIALS: Licensed Practical/Vocational Nurse with an active and unrestricted license to practice. JOB RELEVANT EXPERIENCE: 2 yrs minimum clinical nursing experience is required. One year of previous experience in Utilization Management is required. JOB RELATED SKILLS/COMPETENCIES: Demonstrate strong abilities in both spoken and written communication, along with effective interpersonal skills. Possess a proficient understanding of computer operations, particularly the Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows. Show the capability to acquire new skills and competencies to address the evolving requirements of systems, software, and hardware. WORKING CONDITIONS/PHYSICAL DEMANDS: Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work. WORK FROM HOME TECHNICAL REQUIREMENTS: Supply and support their own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home position.

Role Description The Diagnostic Related Groups (DRG) Clinical Supervisor is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the contract for which review services are being provided. This involves completing medical review forms, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination. This is a remote position. - Supervises all daily activities of the DRG Clinical Auditors - Demonstrated knowledge of ICD-10-CM and PCS codes, and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid with the ability to work independently with minimal supervision and demonstrate initiative - Completes DRG audits as needed - Responsible for the overall integrity of the quality of diagnosis and procedure codes verified by the clinical review nurses, for inpatient records and documentation received with the accompanied claim - Responsible for holding the DRG Clinical Auditors to the quota and error/accuracy rate - Assists with team coverage and provides support when needed - May be required to travel overnight and attend meetings or training - Additional duties as assigned Qualifications - Clinical knowledge of medical necessity rules - Working knowledge of HIPAA Privacy and Security Rules - Ability to build strong working relationships both internally and externally - Strong attention to detail - Must possess problem solving, critical thinking skills - Minimal typing experience - Excellent written and verbal communication skills - Ability to think and work independently, while working in an overall team environment - Ability to work in a fast paced/production environment - Proficient in Microsoft Office applications Requirements - N./L.V.N. preferred - CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10 PCS - Proficient in Medicare, CMS guidelines and ICD-10 coding guidelines - Minimum of 3-5 years of inpatient/DRG auditing experience in a hospital setting and/or payer setting - A minimum of 2 years of supervisory experience dealing with clinical auditors is required - Experience with claims denials and appeals required Benefits - Comprehensive benefits package for full-time regular employees - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401K and ROTH 401K - Paid time off Pay Range CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $77,960 – $120,368

Role Description The Medical Review Support Analyst supports clinical audit and claims review processes by triaging claims, requesting and managing medical records, and ensuring accurate documentation within claims systems. This role works closely with claims teams and provider networks to gather required records, track claim review status, and ensure compliance with healthcare regulations and organizational standards. - Perform initial triage of claims selected for review to determine if they meet specific clinical audit criteria. - Request and obtain medical records from healthcare providers based on review requirements. - Prepare and send medical record request letters and follow up on outstanding documentation. - Receive, review, and process medical records received via fax, mail, email, and secure upload systems. - Research claim history and review pre-authorization determinations when necessary. - Enter claim processing instructions and documentation into Facets or other claims systems. - Maintain accurate case notes and required fields in departmental databases. - Communicate claim review status and documentation updates to claims staff and network management teams. - Send detailed provider notifications when records are missing or additional documentation is required. - Maintain production, quality, and compliance standards while adhering to healthcare regulatory requirements. Qualifications - High School Diploma or GED. - 3+ years of experience in a healthcare environment, such as: - Medical office - Claims processing - Medical billing - Healthcare customer service - Strong written and verbal communication skills. - Experience working with medical records, billing, or healthcare documentation. - Ability to research issues, analyze information, and resolve problems independently. - Strong organizational skills with the ability to prioritize tasks and meet deadlines. - Basic understanding of medical terminology. Requirements - Experience using Facets claims system. - Knowledge of medical coding, anatomy, or healthcare claims processes. - Familiarity with BlueCard, ITS processes, FEP Direct, or Salesforce. - Analytical and basic math skills for claims review analysis.