Director, Claims Operations Jobs in Baltimore, MD

Drive the strategic direction of Complaints, Grievances & Appeals operations, enhancing efficiency and compliance while leading a dedicated team. Oversee training, audits, and process improvements to...

Lead the charge in evaluating complex clinical scenarios and authorizing services based on national guidelines and regulatory compliance. Collaborate with healthcare professionals to ensure quality ca...

Transform product operations by leading strategy and execution, ensuring cross-functional alignment, optimizing tools, and driving AI enablement. Oversee a team of product delivery managers to enhance...

Unlock potential by managing complex claims with a focus on legal inquiries and resolutions. Collaborate with clients and experts to deliver innovative solutions while enjoying flexibility and profess...

Pioneer operational excellence in Design leadership, managing workflows, prioritizing projects, and developing talent. Collaborate cross-functionally to enhance Design integration in AI-driven product...

Join us to lead a dynamic team in optimizing revenue cycle operations for multiple clients. Drive continuous improvement and ensure client satisfaction while managing performance metrics and fostering...

Support compliance initiatives by monitoring claims activities, analyzing data, and collaborating cross-functionally to enhance operational standards and address compliance gaps. Drive project trackin...

Lead the charge in overseeing claims compliance activities, enhancing operational quality, and ensuring audit readiness. Collaborate cross-functionally to identify gaps, monitor KPIs, and drive improv...

Drive excellence in claims management by supervising a team of adjusters, ensuring quality service delivery, and maintaining compliance with legal standards. Foster staff development and oversee the i...

Shape the future of provider data operations by driving accuracy and efficiency across the lifecycle. Lead initiatives to enhance data quality, oversee offshore teams, and implement innovative solutio...

Lead the charge in managing high-severity, complex insurance claims, focusing on EPL and Professional Liability. Serve as a subject matter expert, ensuring compliance and strategic resolution while ad...

Drive strategic growth by establishing and nurturing key partnerships with Enterprise Claims carriers, ensuring service excellence and collaboration across internal teams to enhance business outcomes...

Advance client management strategies for self-funded healthcare partnerships, ensuring exceptional client retention and operational excellence. Lead a high-performing team while driving profitable gro...

Take ownership of client management for a diverse portfolio, ensuring client retention, profitable growth, and operational excellence while leading and developing a high-performing team of professiona...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Analyze complex commercial claims, ensuring thorough investigations and effective resolutions. Collaborate with internal and external parties to manage litigated and non-litigated claims, leveraging s...

Unlock potential by leading enterprise-wide Cost of Care solutions. Drive scalability, optimize deployment, and enhance operational effectiveness across diverse markets, collaborating with stakeholder...

Deliver impactful product strategies and roadmaps for Agency Solutions, collaborating with cross-functional teams to drive client value and business growth. Lead initiatives from vision to execution w...

Manage data management operations to ensure high-quality clinical trial services, driving process improvements and team development while maintaining data integrity and adherence to timelines and regu...

Champion growth by optimizing payer partnerships and driving strategic initiatives. Collaborate with cross-functional teams to enhance contract performance and ensure operational excellence, while fos...

Champion the management of complex liability claims, ensuring thorough investigations, negotiations, and settlements. Collaborate with internal and external stakeholders to maintain high standards of...

Transform the claims landscape by managing commercial property claims, collaborating with diverse teams, and enhancing your expertise in global and excess lines. Join a dynamic environment focused on...

Unlock operational excellence as a strategic leader driving cross-functional initiatives, enhancing escalation processes, and fostering collaboration to achieve measurable outcomes in a dynamic enviro...

Join a dynamic team to lead and enhance billing and coding operations, ensuring quality and compliance across multiple markets. Drive performance, coach leaders, and collaborate cross-functionally to...

Lead a dynamic team to adjudicate complex liability claims, driving innovative solutions for diverse clients. Collaborate with experts to enhance processes and ensure exceptional service in a rapidly...