Director, Claims Operations Jobs in Boston, MA

Transform healthcare management by leading clinical utilization teams. Collaborate with seasoned professionals to enhance member care and drive innovative solutions in a supportive and inclusive envir...

Champion the daily operations of utilization management by overseeing clinical staff, driving quality reviews, and optimizing workflow to enhance member care and achieve compliance with regulations in...

Optimize patient care by collaborating remotely with medical professionals, conducting comprehensive case reviews, and utilizing your clinical expertise to ensure appropriate medical necessity decisio...

Shape the future of financial strategy by leading FP&A initiatives, partnering with cross-functional teams, and driving innovative solutions to optimize resource allocation and long-term planning for...

Transform the future of healthcare interoperability by leading strategic initiatives, ensuring compliance, and collaborating across teams to enhance data exchange and clinical outcomes, while managing...

Transform patient access by leading strategic initiatives and operational excellence for support programs. Collaborate across functions to enhance patient and provider experiences while ensuring compl...

Join us to lead operational demand and capacity planning in a key role that enhances the treatment ecosystem, ensures growth, and drives data-driven insights across multiple teams and partners for imp...

Oversee daily operations of the Itemized Bill Review team, ensuring SLA compliance, communication with clients, and identifying process improvement opportunities to enhance efficiency and performance...

Lead cross-functional project implementations, ensuring timely delivery and budget adherence. Coordinate teams and suppliers, manage project plans, and enhance delivery methods for optimal results...

Shape the global consulting offer portfolio by leading cross-functional strategies and driving measurable client outcomes through effective governance and innovative service productization. Collaborat...

Unlock potential by cultivating strong client relationships, driving sales strategy, and fostering collaboration among teams to ensure tailored solutions meet client needs, while effectively managing...

Lead the charge in market access strategies, building relationships with key accounts while ensuring timely coverage and reimbursement for Jazz products, collaborating with internal teams and external...

Lead the design and administration of global benefits programs that enhance employee experience and align with organization goals, fostering a competitive and compliant workplace while ensuring operat...

Drive strategic business development initiatives in the Medicare landscape, fostering key partnerships with national payers to enhance care access. Collaborate cross-functionally to accelerate growth...

Join a team that's driving quality compliance in clinical development. As a strategic leader, you'll oversee QMS effectiveness, risk management, and compliance initiatives, while partnering with stake...

Join a dynamic team to oversee comprehensive business operations, ensuring accurate financial records and supporting sales and inventory analysis. Collaborate closely with leadership to drive efficien...

Shape the future of drug safety by leading pharmacovigilance efforts, ensuring compliance, and managing safety data to inform pivotal decision-making across global product lifecycles...

Lead the charge in evaluating commercial lines risks and pricing for retail agents. Use your underwriter expertise to enhance portfolio profitability while managing compliance and providing top-tier s...

Partner with us to drive exceptional nursing services and care in our chronic hemodialysis facility, enhancing patient outcomes while managing facility operations and fostering a supportive team envir...

Join a dynamic team as a Customer Success Manager driving product adoption, enhancing client relations, and contributing to strategic growth in the Marine Insurance sector through cross-functional col...

Join a team that's combating digital threats as a DFIR Consultant, leveraging your investigative expertise to support clients through complex security incidents, evidence analysis, and clear communica...

Lead strategic initiatives in Clinical Data Management to enhance data quality, compliance, and operational excellence within clinical development programs, fostering effective collaboration across te...

Champion growth by managing underwriting processes, building key relationships, and driving business profitability through effective risk assessment in construction and oil & gas sectors. Your experti...

Drive your career by managing key accounts, building relationships, and negotiating complex insurance solutions in the construction sector. Leverage your expertise to enhance profitability and capture...

Transform operational strategies to ensure seamless execution of individualized therapies, driving cross-functional collaboration and optimizing delivery across the therapy ecosystem to enhance patien...