Director, Claims Operations Jobs in Fountain Valley, CA

Unlock potential by leading fraud prevention strategies across diverse platforms, managing real-time decisioning and investigations. Drive operational excellence while collaborating cross-functionally...

Join a team that's dedicated to resolving complex liability claims while ensuring adherence to best practices and regulatory standards. Leverage your expertise to conduct thorough investigations and n...

Shape the future of claims management by providing strategic oversight and guidance for contingent claims. Ensure quality decision-making through monitoring and advisory support in small claims matter...

Join a team that's dedicated to maximizing reimbursements through oversight of clinical denials and appeal processes. Lead a team in enhancing operational efficiency and navigating payer regulations w...

Help us manage and resolve Workers' Compensation claims efficiently, addressing related issues to ensure injured workers receive the necessary support and return to work appropriately. Collaborate and...

Strategize managed care revenue functions, ensuring financial integrity and optimizing payer relationships while leading finance and analytics teams for sustained performance...

Innovate in claims management by overseeing Workers' Compensation Lost Time claims, ensuring effective evaluations and support for claimants while collaborating across teams to drive outcomes and impr...

Elevate compliance standards by implementing a robust financial framework, partnering with cross-functional teams, and driving a culture of control excellence for a scaling healthcare technology compa...

Transform disputes operations by owning the full lifecycle of chargebacks and buyer/seller issues. Lead a team to optimize recovery rates while ensuring compliance with regulatory standards and card n...

Transform the provider and member appeals landscape by leading effective strategies, ensuring compliance, and optimizing performance while developing a high-performing team that drives quality and ope...

Shape the future of digital strategy by driving enterprise-wide innovation. In this leadership role, you will connect customer needs with business priorities, leveraging AI and personalization to enha...

Lead the charge in driving operational excellence within the Neurology Business Unit, ensuring data-driven decisions enhance client and patient services while supporting sustainable growth and complia...

Lead innovative initiatives in clinical operations, driving excellence in primary care delivery while overseeing medical directors. Optimize participant satisfaction and operational metrics to enhance...

Unlock operational excellence by leading global veterinary services, managing clinical supply, and scaling a network of professionals. Drive strategy and execution to enhance service delivery while en...

Shape and resolve moderate to complex claims while providing operational support. Utilize your expertise in documentation, litigation, and negotiation to enhance claims management and drive best pract...

Join a dynamic team to enhance workflows and deliver exceptional service. Lead safety and sanitation programs while fostering professional development and ensuring client satisfaction in a fast-paced...

Optimize member interactions by building AI systems to elevate performance across frontline teams and AI agents. Collaborate with leaders to redefine quality monitoring and coaching workflows to ensur...

Shape the future of claims management by leading complex general liability investigations from inception to resolution, ensuring superior customer service and high-quality outcomes throughout the liti...

Pioneer enterprise identity security by leading IAM transformations, overseeing identity lifecycle governance, and implementing risk reduction strategies in a modern, AI-driven environment while colla...

Accelerate progress at shaping digital product strategy and execution across multiple domains, collaborating across functions to enhance customer experience and drive impactful solutions that align wi...

Transform your career by leading a high-performing sales team focused on innovative retail and commercial solutions. Drive growth through strategic market opportunities and executive relationships in...

Champion growth by driving sales excellence, managing client relationships, and utilizing innovative marketing tools to achieve targets while ensuring renewal success and compliance with best practice...

Join a dynamic team to drive sales growth, manage client relationships, and leverage expertise. Utilize innovative marketing tools and strategies to meet goals and ensure high renewal rates within a f...

Elevate patient care by leading clinical programs, coordinating utilization management, and fostering collaborative relationships to enhance outcomes and operational efficiencies in healthcare setting...

Lead the development of knowledge technology strategies to drive AI integration and scalability. Collaborate across teams to enhance content management, leverage AI capabilities, and empower stakehold...