Director, Claims Operations Jobs in Boston, MA

Champion compliance excellence by preparing and reviewing complex filings, mentoring team members, and ensuring adherence to service standards while fostering a collaborative environment for continuou...

Join a team that champions proactive advocacy within healthcare policy. Lead government affairs initiatives, engage with federal agencies, and strengthen strategic partnerships to ensure impactful rep...

Lead data analytics solutions by managing projects, ensuring client alignment, and implementing innovative technologies to enhance data management and governance in financial services, while driving t...

Unlock potential by joining a dynamic team where you’ll drive strategic sales, develop key relationships, and influence go-to-market strategies for a rapidly evolving payments landscape, making signif...

Empower our technology evolution by leading IT strategy and modernization. Collaborate across teams to deliver innovative solutions, drive operational efficiency, and maintain regulatory compliance wh...

Lead strategic reserving efforts for North America, guiding a skilled team in generating accurate analyses, building strong cross-functional partnerships, and ensuring compliance while effectively add...

Oversee the North America Reserving function, ensuring accurate reserve analysis and communication of findings. Lead a large team, collaborate with key stakeholders, and drive strategic insights to im...

Lead the charge in data transformation by overseeing project managers, ensuring agile delivery, and fostering collaboration with product teams. Drive initiatives that enhance enterprise data architect...

Develop effective nursing strategies to enhance care delivery and uphold regulatory standards. Lead a dedicated team in providing high-quality, efficient nursing services while promoting staff growth...

Partner with us to enhance employee benefits solutions for clients, driving strategic relationships and delivering tailored strategies that align with business goals while fostering long-term retentio...

Contribute to client acquisition strategies in the financial services sector. Partner with leadership to develop a strong pipeline of opportunities and optimize relationships with CPA networks. Drive...

Join a team that's dedicated to streamlining prior authorization processes, overseeing staff and workflows, while applying clinical knowledge to ensure efficient service delivery in drug and laborator...

Play a key role in overseeing prior authorization operations, ensuring staff apply medical knowledge effectively, resolving complex cases, and collaborating with clinical teams and third-party payers...

Join us to lead operations in a dynamic distribution center, driving efficiency, and fostering a productive environment. Collaborate with management to enhance performance, support staff development...

Optimize member care by authorizing medically necessary services. Engage with a collaborative team using clinical skills to enhance health outcomes while ensuring efficient utilization management and...

Engineer robust data and solution architectures that drive enterprise data products, ensuring designs are reusable and production-ready. Collaborate with engineering teams to transform architectural c...

Discover an opportunity to shape the future of operations by leading a strategic team focused on driving revenue growth and enhancing go-to-market efficiency. Collaborate across functions to optimize...

Lead the charge in improving healthcare delivery through expert Epic clinical project management. Balance hands-on consulting and stakeholder coordination to optimize operational performance and enhan...

Transform technical program management by building and leading a high-impact team. Oversee complex, cross-functional initiatives, establish scalable practices, and ensure program launch readiness to d...

Contribute to a dynamic Compliance Investigations Program by leading investigations, analyzing findings, and collaborating with cross-functional teams. Drive ethical standards and ensure regulatory co...

Unlock potential by leading product management for innovative Salesforce solutions, ensuring customer-centric service in healthcare. Collaborate cross-functionally to enhance performance and drive suc...

Accelerate progress at user adoption initiatives for modern federal survey data platforms. Lead change management and training activities ensuring smooth transitions with a focus on stakeholder engage...

Champion the development and oversight of scientific content across diverse therapeutic areas while managing client relationships and brand strategy for multiple accounts, ensuring high-quality and im...

Join a team that's shaping the future of communication infrastructure through innovative cloud and AI solutions. Drive modernization and operational excellence in a regulated environment, enhancing bo...

Lead the charge in executing compliance risk assessments across the organization. Foster a collaborative environment while guiding a team of professionals, driving effective investigations, and ensuri...