Director, Claims Operations Jobs in Baltimore, MD

Elevate the Red Team Program by managing engagements, coordinating stakeholders, and tracking outcomes. This role requires strong organizational skills and relationship management to enhance cybersecu...

Lead the charge in transforming provider escalation operations by leveraging AI and digital workflows. Drive proactive solutions and enhance provider relationships while ensuring operational excellenc...

Lead the charge in transforming operational effectiveness in our Network Escalations team, enhancing provider partnerships through innovative solutions and AI automation. Drive metrics-based performan...

Join this dynamic team to lead customer service operations and training initiatives. Oversee daily operations, build strong customer relationships, and drive continuous performance improvement to ensu...

Help us drive excellence by managing strategic finance initiatives that enhance funding strategies and develop analytical frameworks across multiple business units, ensuring accountability and measura...

Serve as a key driver in defining product vision and strategy, collaborating with stakeholders to ensure successful execution. Leverage clinical data expertise to create a single source of truth, opti...

Lead end-to-end project delivery and business oversight of IT products while ensuring alignment with strategic objectives. Drive success through stakeholder collaboration and process improvements, man...

Lead business oversight and project delivery for innovative IT products, integrating evolving technologies to meet business needs. Collaborate with stakeholders to drive product success and optimize s...

Lead financial operations for a large business unit, managing budgeting, forecasting, and reporting. Collaborate with cross-functional teams to improve performance and streamline processes while provi...

Pioneer the development and execution of innovative stop-loss products, leading cross-functional initiatives and leveraging data analytics to enhance competitiveness and market growth in risk-based in...

Champion operational excellence by leading a high-performing team to drive scalable processes, enhance efficiency, and implement innovative AI solutions that position the organization for global growt...

Shape policy strategies by monitoring state regulations impacting managed care pharmacy, advocating for improved patient access to medications through analysis and collaboration with stakeholders and...

Transform your career as a Senior Production Underwriter, leading strategic growth by cultivating agency relationships and executing critical underwriting decisions in a dynamic team environment...

Shape the future of clinical risk management by leading initiatives, mentoring staff, and enhancing safety practices. Collaborate with claims and loss prevention teams to implement effective strategie...

Lead the charge in developing and scaling an innovative AI solution for denials management. Drive insights from user feedback while collaborating across teams to enhance product performance and busine...

Elevate your career by leading innovative retirement planning initiatives. Leverage your expertise in ERISA and IRC to guide strategy and empower financial professionals in enhancing client services a...

Shape the future of client management by leading a team dedicated to strategic account growth and retention. Collaborate across departments to drive success for high-value clients while ensuring excep...

Grow your career with a dynamic role managing operations for B2B partnerships. Collaborate cross-functionally to enhance customer success, drive efficiencies, and shape strategic account management pr...

Unlock potential by serving as the primary coordinator for Board activities, managing executive logistics, travel, and communications. You'll ensure seamless execution of governance processes while su...

Transform your future by leading strategic pursuits in complex transformation deals. Collaborate across disciplines to craft compelling narratives that resonate with executives. Drive impactful outcom...

Shape the future of healthcare by leveraging your clinical expertise to conduct evidence-based case reviews and collaborate with physicians to ensure optimal patient care...

Develop and execute quality management frameworks in federal IT and cybersecurity environments while ensuring compliance and continuous improvement in program delivery and governance...

Join a team that's dedicated to delivering successful projects by managing resources, budgets, and stakeholder communication. Lead cross-functional efforts in IT and business to align with strategic g...

Drive market access strategies that enhance patient access and support the growth of innovative medical technologies. Collaborate cross-functionally to ensure effective reimbursement initiatives and e...

Lead impactful coordinating center projects while managing and developing a team committed to delivering excellence in copay assistance for specialty pharma programs, ensuring top-notch customer servi...