Director, Claims Operations Jobs in Dallas, TX

Lead the charge in transforming operations by integrating AI and technology to enhance member and clinician experiences, ensuring efficient care delivery and operational excellence across a distribute...

Champion the development of clinical operations by managing a network of providers, establishing policies, and enhancing quality programs. Collaborate with leadership to ensure operational excellence...

Drive operational excellence by leading strategies that enhance service quality, improve processes, and foster a high-performing team culture, ensuring exceptional client experiences and business grow...

Lead the charge in optimizing operational strategies and enhancing service quality. Drive team performance, foster collaboration, and ensure compliance while championing client-focused initiatives and...

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...

Lead the charge in supervising claims teams, enhancing processes, and driving quality assurance for liability claims. Collaborate with management to identify trends and ensure compliance while fosteri...

Join a team that's redefining clinical appeals management. Leverage your nursing expertise to develop strategies for complex claim denials, collaborating across departments to enhance reimbursement ou...

Shape the future of quality engineering by leading strategic initiatives across technology portfolios. Drive team performance, embed quality practices, and enhance delivery speed and stability through...

Join us to lead innovative product strategies in the Life Insurance sector, translating market insights into actionable opportunities. Collaborate across teams to enhance product design and drive ente...

Unlock potential by managing moderate complexity claims, conducting investigations, analyzing policies, and negotiating settlements. Collaborate with stakeholders to ensure compliance and effective cl...

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...

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...

Drive strategic client relationships and consultative services, managing large accounts in the healthcare benefits sector. Collaborate with internal teams to ensure client satisfaction and deliver tai...

Support the governance and oversight of business process controls, enhancing effectiveness and sustainability across the organization. Collaborate with stakeholders to drive continuous improvement and...

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...