Director, Claims Operations Jobs in Boston, MA

Shape the future of value-based payments by leading product strategy, overseeing team development, and driving market innovations within a collaborative, cross-functional environment...

Drive the creation and oversight of a risk framework that balances growth with security. Partner with cross-functional teams to implement risk strategies operationally, while conveying insights to exe...

Unlock potential by leading claims adjudication logic to enhance accuracy and efficiency. Drive strategic improvements, collaborate across teams, and ensure compliance while optimizing operations in a...

Optimize CG&A operations by leading a team to enhance efficiency, compliance, and client satisfaction. Drive strategic initiatives, manage audits, and implement process improvements while ensuring adh...

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...

Champion quality engineering excellence across diverse technology portfolios, leading teams to enhance delivery quality, automate testing, and drive continuous improvement. Collaborate with cross-func...

Manage operational initiatives within Pharmaceutical Sciences, collaborating with leadership to enhance efficiency and drive strategic priorities. Utilize project management skills to support budgetin...

Optimize patient care by leading therapy services, ensuring compliance, and enhancing operational efficiency. Collaborate with clinicians to develop care plans while managing staff performance and fos...

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...

Elevate client service operations by managing multiple accounts, fostering relationships, and ensuring financial success through strategic oversight and team leadership. Drive client satisfaction and...

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...

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...

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...

Shape your career by driving governance and oversight of business process controls. Collaborate with cross-functional teams to enhance control effectiveness and sustainability, ensuring compliance and...

Transform complex claims management by advocating for clients, analyzing trends, and negotiating optimal coverage. Collaborate with teams to reduce risk and enhance service plans for high-profile acco...

Tackle complex claims advocacy for high-profile Commercial Lines clients, analyzing trends, negotiating with carriers, and developing tailored service plans to mitigate risks and optimize coverage sol...

Lead the charge in providing expert claims advocacy and consulting for complex Commercial Lines clients, optimizing service plans and negotiating with carriers to mitigate risks and enhance client out...

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...

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...

Lead the charge in optimizing operational processes and training within Development, ensuring efficiency, compliance, and continuous improvement through standardized practices and effective stakeholde...