Director, Claims Operations Jobs in Alpharetta, GA

Take ownership of health plan operations, driving financial and clinical outcomes while fostering collaboration. Lead a team in achieving market goals, enhancing quality, and navigating a matrixed env...

Transform local health plan operations through strategic oversight, driving financial efficiency and clinical outcomes. Lead collaborative teams to enhance member experience and ensure compliance whil...

Drive strategic direction and innovation in Actuarial Science, leading teams in pricing, forecasting, and financial analysis while ensuring regulatory compliance and enhancing operational efficiency a...

Lead the charge in the successful delivery of technology initiatives, collaborating across departments to ensure high-quality outcomes. Drive Agile practices and champion team performance while aligni...

Elevate the Promotional Review Committee's effectiveness by leading the compliant review process of promotional materials. Drive cross-functional collaboration, enhance operational workflows, and ensu...

Accelerate progress at managing financial infrastructure and oversight for health plan operations. Lead vendor financial management and compliance frameworks, ensuring sound fiscal practices and stron...

Lead the charge in managing complex general liability claims, ensuring efficient resolution through expert analysis and strategic direction while promoting adherence to guidelines and optimizing vendo...

Join a transformative team to enhance insurance operations, driving excellence and compliance through strategic initiatives, cross-functional collaboration, and process improvement while mentoring a d...

Lead the charge in executing client implementation activities with operational excellence. Drive strategy into scalable processes while fostering cross-functional collaboration and ensuring successful...

Transform revenue strategy by optimizing sales processes and enhancing data-driven insights to drive growth. Collaborate across teams to mitigate revenue leakage and establish a robust operations ecos...

Optimize provider network operations while guiding strategic initiatives across divisions. Lead performance monitoring for key areas, ensuring compliance and efficiency while enhancing provider relati...

Join our team as you drive operational excellence in technology delivery, managing production support and customer interactions for a mid-size HealthPlan. You'll play a key role in ensuring seamless c...

Analyze insurance claims with a focus on liability exposure, manage high-volume caseloads, and collaborate with underwriters and teams to drive efficient resolutions and optimal outcomes while ensurin...

Lead the charge in enhancing value-based care operations by driving quality initiatives and optimizing processes across ACO programs. Collaborate with providers and stakeholders to ensure compliance a...

Transform the actuarial landscape by leading a high-performing team dedicated to optimizing loss ratios and driving profitable growth within the property insurance sector through data-driven insights...

Transform analytics practices by leading data integrity initiatives and implementing frameworks. Collaborate with cross-functional teams to enhance client onboarding experiences and drive effective pa...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Lead advancements in benefits accounting by providing expert guidance on financial reporting and technical standards. Collaborate with teams and clients to enhance understanding of US GAAP, IFRS, and...

Optimize clinical operations by leading multiple teams to achieve quality, compliance, and client objectives. Drive strategic initiatives and develop talent while fostering a culture of accountability...

Champion the risk function by leading and developing a high-performing team, while ensuring effective management of underwriting, fraud prevention, and compliance to support robust growth in the freig...

Shape the strategy and execution of provider integration initiatives, enhancing overall provider experience through innovative leadership and cross-functional collaboration in a dynamic, remote work e...

Drive key commercial initiatives and strategic partnerships while leading cross-functional execution and managing stakeholder alignment to accelerate growth and operational effectiveness within a high...

Unlock potential by leading cross-functional initiatives to drive operational excellence, enhance transparency, and ensure strategic goals are achieved through effective execution and stakeholder coll...

Engage healthcare providers by educating them on reimbursement processes and access strategies. Collaborate with sales and services teams to streamline patient access to products, ensuring compliance...

Shape the future of agency partnerships by leading a dynamic team to drive growth and profitability across multiple states through strategic relationships and advanced distribution tactics in the comm...