Director, Claims Remote Jobs

Engage with healthcare providers to enhance reimbursement processes and patient services. Manage client relationships, deliver educational support, and navigate insurance complexities in a fast-paced...

Drive your career forward by managing reimbursement support in a dynamic environment. Engage with healthcare providers, educate on reimbursement processes, and enhance patient services while collabora...

Join a team that's dedicated to enhancing patient access by managing reimbursement challenges and providing education to healthcare providers. This role requires strong relationship-building skills an...

Empower your career by managing reimbursement support in a dynamic environment. Collaborate with healthcare providers to navigate patient reimbursement challenges, ensuring optimal service delivery an...

Drive comprehensive legal support across diverse business functions, managing contracts, insurance, and litigation. Collaborate with cross-functional teams to ensure compliance and facilitate growth i...

Join us to enhance member health outcomes through holistic care management, collaborating with multidisciplinary teams to support individuals with complex needs. Utilize assessments and interventions...

Join us to lead the transformation of enterprise architecture, guiding a team to align technical solutions with business goals while ensuring compliance and enhancing consumer experiences across multi...

Drive compliance operations by optimizing systems and processes to ensure adherence to regulations. Lead transparency reporting, hotline administration, and third-party compliance while fostering cros...

Elevate compliance standards by conducting thorough due diligence assessments for strategic account pharmacies, analyzing data, and collaborating with cross-functional teams to ensure adherence to reg...

Drive quality improvement initiatives by analyzing stakeholder needs, evaluating performance metrics, and recommending strategic solutions. Collaborate with cross-functional teams to enhance HEDIS, CA...

Lead quality operations to ensure data accuracy and compliance in healthcare. Drive improvements through audits, data analysis, and technology integration, fostering a culture of excellence across tea...

Empower our claims team by leveraging your nursing expertise to manage complex workers' compensation cases, facilitate return-to-work initiatives, and develop innovative medical cost containment strat...

Build and lead a robust Service Management Office to enhance IT operations, ensuring effective governance, accountability, and continuous improvement across a complex 24x7 environment, while fostering...

Champion product excellence across the Prior Authorization Retrospective portfolio, driving the roadmap and ensuring alignment with customer needs. Collaborate with technical leaders to deliver impact...

Lead the management and oversight of College budgets, applying advanced financial principles to ensure effective budget execution and compliance with regulations. Collaborate with departments to foste...

Drive strategic initiatives in global medical affairs for gastrointestinal cancers, ensuring regional insights shape clinical development and evidence generation. Collaborate across teams to address h...

Empower the Provider Network Operations by leading strategic initiatives, enhancing provider relations, and ensuring compliance across multiple lines of business. Drive operational excellence and coll...

Transform the future of healthcare provider networks by leading operational excellence, strategic initiatives, and cross-departmental collaboration to enhance provider relations and data management ac...

Join a team that's dedicated to providing comprehensive legal support across employment, commercial, and compliance matters. Collaborate with internal teams and clients while developing expertise in a...

Transform regulatory strategies for rare disease and cardio-pulmonary drug-device programs. Collaborate with cross-functional teams to ensure compliance and drive successful submissions globally, supp...

Oversee a dynamic team to execute media strategies, optimize campaigns, and ensure resource alignment with business goals, driving performance and compliance across various advertising channels...

Shape the future of procurement by leading strategic sourcing initiatives, enhancing vendor relationships, and driving financial transparency. Collaborate across teams to streamline processes and leve...

Transform client relationships and drive growth strategies within HHS, leveraging market insights and technology to identify opportunities and enhance mission impact. Engage directly with stakeholders...

Drive strategic leadership in underwriting, enhancing performance and scalability across lending channels. Collaborate with cross-functional teams to ensure sound credit decisions and regulatory compl...

Lead the charge in driving sales of retirement plans to small and mid-sized markets. Build relationships with financial intermediaries and manage a territory to achieve company objectives while enhanc...