Director, Claims Operations Jobs in Cincinnati, OH

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...

Shape high-impact growth in retail partnerships by overseeing field operations, driving application volume, and enhancing point-of-sale conversion rates. Collaborate with teams to optimize strategies...

Design and deliver impactful training programs to enhance sales capabilities, ensuring alignment with corporate objectives. Collaborate with cross-functional teams to drive effective onboarding and co...

Drive enterprise Quality and Regulatory governance for U.S. operations, ensuring compliance with FDA regulations and overseeing manufacturing quality in the therapeutic radiopharmaceutical sector whil...

Shape the future of pharmacy network operations by leading a team of attorneys, providing strategic legal counsel on regulatory, operational, and transactional matters within the PBM landscape, while...

Transform financial services by leading complex banking operations and technology projects. Collaborate with clients to enhance performance, drive innovation, and shape a new practice within a dynamic...

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

Unlock the potential of enterprise learning by leading a dynamic training function. Collaborate with cross-functional teams to design and implement effective onboarding and development programs that a...

Manage the planning and execution of CMC operations across multiple development programs, ensuring alignment with regulatory milestones and efficient collaboration with cross-functional teams and CDMO...

Drive revenue cycle optimization by enhancing Epic Professional Billing workflows, collaborating with stakeholders, and resolving claims challenges to improve overall operational efficiency and ensure...

Unlock potential by joining a dynamic team as a Workers’ Compensation Claims Specialist. Leverage your expertise to investigate, resolve, and manage claims while ensuring compliance and delivering exc...

Lead provider performance engagement initiatives to enhance health outcomes and cost efficiency. Collaborate with partners to implement tailored plans, assess results, and drive continuous improvement...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Champion operational excellence by leading teams to enhance efficiency and care delivery. Drive AI integration, manage P&L, and collaborate cross-functionally to support growth and sustainability in h...

Drive leadership and innovation in SIU operations, overseeing analytics and lab functions while ensuring compliance and collaboration with internal and external partners to enhance fraud detection and...

Drive operational excellence by leading multi-team managers in executing compliant money movement flows. Collaborate cross-functionally to enhance customer experiences while ensuring risk mitigation a...

Lead organizational change initiatives, driving employee adoption and engagement through strategic communication and training. Collaborate with leaders to assess readiness, mitigate resistance, and en...

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Drive strategic risk management initiatives by leading regulatory audits, enhancing operational processes, and fostering cross-functional collaboration to minimize financial impacts and improve audit...

Transform the future of claims management by leading a remote team in commercial transportation. Drive operational effectiveness through technology and analytics while balancing leadership and hands-o...

Shape the digital marketing strategy and execution for a multi-business-unit enterprise. Lead a diverse team, drive digital transformation, and optimize performance while collaborating with cross-func...

Transform healthcare delivery by leading operations for a growing telehealth practice. Collaborate with clinical teams to enhance patient care through innovative solutions and efficient workflows, ens...

Champion the evaluation of insurance risks and premium rates for complex employer groups, ensuring compliance with underwriting guidelines while collaborating across departments to enhance accuracy an...