Director, Claims Operations Jobs in Baltimore, MD

Champion operational excellence by leading AI Operations, Incident Management, and Level 2 Application Support. Drive strategic initiatives to enhance service availability, minimize incidents, and fos...

Design and deliver impactful training programs to enhance sales capabilities, ensuring alignment with corporate objectives. Collaborate with cross-functional teams to drive effective onboarding and co...

Drive enterprise Quality and Regulatory governance for U.S. operations, ensuring compliance with FDA regulations and overseeing manufacturing quality in the therapeutic radiopharmaceutical sector whil...

Shape the future of pharmacy network operations by leading a team of attorneys, providing strategic legal counsel on regulatory, operational, and transactional matters within the PBM landscape, while...

Transform financial services by leading complex banking operations and technology projects. Collaborate with clients to enhance performance, drive innovation, and shape a new practice within a dynamic...

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

Unlock the potential of enterprise learning by leading a dynamic training function. Collaborate with cross-functional teams to design and implement effective onboarding and development programs that a...

Manage the planning and execution of CMC operations across multiple development programs, ensuring alignment with regulatory milestones and efficient collaboration with cross-functional teams and CDMO...

Drive revenue cycle optimization by enhancing Epic Professional Billing workflows, collaborating with stakeholders, and resolving claims challenges to improve overall operational efficiency and ensure...

Transform the revenue cycle by leading billing operations, optimizing workflows, and ensuring accurate claims management. Collaborate with teams to enhance financial performance and safeguard revenue...

Unlock potential by joining a dynamic team as a Workers’ Compensation Claims Specialist. Leverage your expertise to investigate, resolve, and manage claims while ensuring compliance and delivering exc...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Lead global HR strategy and execution across a multi-entity organization, collaborating with executives to drive organizational effectiveness, talent management, and employee relations for sustainable...

Champion operational excellence by leading teams to enhance efficiency and care delivery. Drive AI integration, manage P&L, and collaborate cross-functionally to support growth and sustainability in h...

Lead capture strategy and drive growth in federal and commercial health markets. Oversee the entire capture lifecycle, build a qualified pipeline, and collaborate with leadership to achieve strategic...

Drive a comprehensive risk management program, collaborating across departments to assess, mitigate risks, and promote safety culture. Lead investigations, ensure compliance, and develop proactive str...

Join a team that's dedicated to enhancing resident care through effective Quality Assurance programs. Lead initiatives, collaborate with department heads, and ensure compliance with regulatory standar...

Join a dynamic team to oversee and enhance Quality Assurance programs, ensuring compliance and excellence in resident care through effective training and collaboration with department heads...

Innovate solutions in pharmacy benefits management and drive strategic growth. Lead high-impact projects while collaborating with diverse teams to enhance client value and elevate healthcare delivery...

Drive operational excellence by leading multi-team managers in executing compliant money movement flows. Collaborate cross-functionally to enhance customer experiences while ensuring risk mitigation a...

Unlock your potential by managing marketing initiatives across digital channels. Drive project management, optimize tools, and enhance audience engagement while collaborating with diverse stakeholders...

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Drive strategic risk management initiatives by leading regulatory audits, enhancing operational processes, and fostering cross-functional collaboration to minimize financial impacts and improve audit...

Transform the future of claims management by leading a remote team in commercial transportation. Drive operational effectiveness through technology and analytics while balancing leadership and hands-o...

Transform healthcare delivery by leading operations for a growing telehealth practice. Collaborate with clinical teams to enhance patient care through innovative solutions and efficient workflows, ens...