Director, Claims Operations Jobs in Boston, MA

Transform actuarial services by validating third-party data, establishing loss assumptions, and independently reserving gross/ceded/net. Lead technical support for the Reserve Committee while enhancin...

Empower members by delivering comprehensive care management, enhancing access to services, and improving clinical outcomes through innovative virtual programs and collaborative teamwork with healthcar...

Join a team that's dedicated to enhancing member care through innovative telehealth solutions, chronic disease management, and collaborative practices to improve health outcomes and access to quality...

Lead the charge in client implementations of our Singularity platform, driving high-impact projects in investment operations for insurance firms. Ensure seamless onboarding and exceptional client expe...

Lead client implementations of the Singularity platform, driving complex projects and ensuring exceptional onboarding experiences for insurance firms. Collaborate with stakeholders to enhance investme...

Shape the future of revenue operations by leading cross-functional teams, optimizing processes, and driving strategic initiatives to enhance pipeline efficiency and forecasting accuracy in a dynamic e...

Transform Financial Crime compliance by overseeing risk and regulatory obligations across diverse business units, while serving as a trusted advisor to senior leaders in a highly visible and influenti...

Join our dynamic Network team to lead complex projects, enhance provider experiences, and drive strategic initiatives. Collaborate with cross-functional teams to optimize network infrastructure and en...

Unlock potential by leading operational excellence in healthcare professional engagement programs. Drive cross-functional collaboration, enhance compliance, and improve processes to support successful...

Optimize global trade compliance by leading initiatives that ensure adherence to import, export, and customs regulations while balancing operational efficiency and commercial objectives across diverse...

Unlock potential by leading actuarial functions for Commercial and Medicare Dental Business. Drive financial performance, reserving, and pricing strategies while collaborating cross-functionally to en...

Drive impactful medical cost-savings initiatives by leading a high-performing team and managing strategic programs. Collaborate with stakeholders to enhance payment integrity and ensure alignment with...

Engage with a talented team to drive growth and innovation in pharma sales. Own the sales cycle from strategic prospecting to closing high-impact deals, while developing key relationships that enhance...

Unlock potential by leading the Automated Operations capability within Member Services. Oversee AI support experiences, enhance team productivity, and drive continuous improvement to elevate member in...

Transform your career by leading a dynamic team in hospital-based acute dialysis operations. Oversee multiple sites, manage a substantial P&L, and drive strategic initiatives to enhance patient care a...

Advance operational excellence by leading a portfolio of acute dialysis programs, managing a team of ~100, and driving strategic initiatives to enhance patient care and financial performance across mu...

Transform operations by leading a portfolio of acute dialysis programs. Oversee financial performance and team development, ensuring ethical patient care while implementing strategic initiatives for c...

Empower our commercial legal function by providing strategic legal guidance on pre-launch and market access initiatives. Collaborate across teams to ensure compliance and support successful product la...

Elevate the insurance verification and authorization process by managing staff, developing strategies, and ensuring excellent service delivery while resolving complex patient financial needs in a coll...

Shape the future of quality operations by leading teams to enhance product excellence and consumer satisfaction across global markets, driving continuous improvement and strategic initiatives in a dyn...

Lead the oversight of contractual matters across departments, serving as a trusted advisor to internal stakeholders from pre-clinical to commercial readiness. This role emphasizes collaboration and ex...

Lead the charge in shaping and evolving a global web ecosystem, overseeing strategy, operations, and governance to deliver high-performing digital experiences that drive engagement and business growth...

Unlock potential by leading enterprise-scale data and AI solutions, modernizing actuarial processes, and driving cloud-native transformations. Collaborate with stakeholders to enhance decision-making...

Drive operational excellence by leading a 150+ member team, optimizing workflows, and enhancing member experiences through strategic program development and data-driven insights...

Drive the acquisition and usability of clinical data to enhance healthcare outcomes. Collaborate with diverse teams to analyze data gaps, implement integrations, and optimize processes, ensuring timel...