Director, Claims Operations Jobs in Durham, NC

Transform healthcare processes by leading Risk Adjustment and Quality/HEDIS initiatives. Manage and mentor teams, ensuring compliance and excellence in coding practices while implementing strategic im...

Contribute to proactive change risk assessments and governance support ensuring compliance and audit readiness within the operational risk environment, while partnering with cross-functional teams to...

Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...

Lead and mentor a dynamic team, managing complex forensic accounting engagements while driving business development and ensuring the highest standards of client deliverables in dispute resolution prac...

Drive strategic initiatives to optimize auto insurance products across states, partnering with cross-functional teams to analyze performance, navigate market dynamics, and enhance customer satisfactio...

Lead the accounting and financial reporting functions within a growing healthcare organization. Drive integrity across multiple entities, ensure compliance, and strategize cash management while suppor...

Shape the future of product delivery by leading Agile teams to transform strategies into actionable outcomes. Collaborate with stakeholders and manage backlogs to ensure alignment with customer needs...

Lead the charge in operational excellence and strategic initiatives for multiple value-based primary care practices, enhancing clinical outcomes and financial performance while ensuring compliance and...

Drive excellence in quality performance across operations by defining standards, harnessing AI tools, and leading collaborative teams to elevate customer experiences and operational outcomes at scale...

Lead transformative enterprise IT services for domestic and international teams, enhancing employee technology and service maturity across multiple regions while driving strategic initiatives and oper...

Join a team that's redefining operations through AI and automation. As a strategic consultant, you'll partner with various stakeholders to shape transformation initiatives, streamline processes, and a...

Drive company-wide execution as a strategic thought partner. Work cross-functionally to enhance collaboration, build operational systems, and transform complex data into actionable insights, ensuring...

Lead the charge in evaluating, pricing, and managing medical underwriting for a diverse book of business, serving as a subject matter expert and mentor while ensuring high standards of productivity an...

Collaborate in a high-growth, cross-functional role to transform ambiguous challenges into strategic outcomes, driving key initiatives that propel company growth and operational excellence...

Lead the charge in establishing a robust risk management framework across the company, integrating insurance, claims oversight, and risk assessment strategies to enhance operational resilience and str...

Pioneer business transformation in Consumer Banking, leading engagements from strategy to execution. Build senior client relationships, deliver impactful results, and support practice growth through i...

Lead operational excellence in complex healthcare programs, optimizing workflows and performance. Collaborate with cross-functional teams to enhance quality outcomes, ensuring adherence to standards w...

Empower patients by overseeing complex pharmacy reimbursement cases, coordinating timely actions, and ensuring seamless communications among stakeholders. Drive quality improvements and mentor colleag...

Drive strategic product management and governance for advanced eSource platforms, ensuring compliance and enhancing decentralized and hybrid trials. Collaborate cross-functionally to shape product vis...

Grow your career with a strategic leader driving product growth and innovation. Influence product positioning, enhance go-to-market effectiveness, and lead cross-functional teams to optimize solutions...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Take ownership of managing complex IT initiatives, driving Agile transformation, and ensuring project delivery aligns with organizational goals while overseeing collaboration between technology and bu...

Help us drive strategic growth and collaboration with key national accounts to enhance sales effectiveness and market share. Leverage your expertise in relationship management and sales strategy execu...

Champion your career with this dynamic remote role, supporting customers through their life insurance journey. Leverage your sales expertise to personalize coverage, drive conversions, and provide exc...

Advance brokerage operations by leading daily management and ensuring compliance, accuracy, and scalability. Collaborate with cross-functional teams to optimize trading processes and implement innovat...