Director, Claims Operations Jobs in Fountain Valley, CA

Drive growth and enhance market presence for Clinical Services programs by optimizing sales strategies, overseeing deliverables, and fostering partnerships with clients. Mentor teams and analyze trend...

Lead the charge in managing complex provider contracts and strategic partnerships, enhancing network value, and optimizing reimbursement strategies to support local market initiatives and improve heal...

Partner with us to drive strategic relationships and enhance partner success in healthcare. Own critical collaborations, deliver insights, and ensure growth while aligning internal teams to meet opera...

Manage complex workers' compensation claims, driving safety enhancements and operational efficiency across multiple divisions while collaborating with legal and insurance partners to ensure compliance...

Lead EPMO Operations & Enablement to enhance project delivery and foster excellence across processes, tools, and knowledge management, collaborating with key stakeholders to drive transformative outco...

Lead the renewal marketing process for commercial lines, collaborating with sales and service teams to ensure effective coverage, negotiate terms, and deliver proposals. Build strong relationships wit...

Take ownership of operational leadership for strategic client engagements, ensuring efficiency, risk governance, and robust delivery. Drive complex issue resolution while fostering strong stakeholder...

Drive executive compensation strategy by analyzing pay structures, governance, and board presentations. Collaborate with leadership to ensure competitive pay practices and compliance with regulatory r...

Empower our coding operations by leading a team to ensure accurate coding and compliance. Drive quality assurance, mentoring, and education while collaborating with healthcare professionals to optimiz...

Empower a diverse product management team to drive EHR connectivity and innovative specialty solutions. Collaborate cross-functionally to deliver scalable integrations, enhance provider workflows, and...

Optimize risk management strategies, enhance patient safety, and ensure compliance by leading the development and execution of comprehensive programs designed to minimize risk and promote high standar...

Grow your career by delivering expert underwriting analysis and risk assessments. Collaborate with producers to build strong relationships, manage a book of business, and ensure compliance while excee...

Deliver strategic leadership to a high-performing actuarial team, managing valuation, financial reporting, and forecasting for diverse health products, ensuring compliance and accuracy in financial op...

Lead operational excellence and risk management initiatives across the university. Drive cross-department collaboration, ensuring adherence to priorities, and empower informed decision-making for sust...

Innovate as you shape the future of insurance billing by leading product enhancements, aligning market trends with customer needs, and driving automation to optimize the operational efficiency of P&C...

Manage and optimize underwriting and service operations for insurance solutions, driving performance and profitability while ensuring compliance with underwriting guidelines across multiple carrier pa...

Engage with executive leadership to drive enterprise risk management, compliance, and strategic guidance. Oversee contract risk, insurance, and cross-functional initiatives, fostering a proactive cult...

Drive impactful financial strategies by leading FP&A initiatives, analyzing performance metrics, and guiding cross-functional teams. Leverage your expertise to enhance operational planning and achieve...

Transform the landscape of SNF case management by driving efficient care delivery, enhancing clinical outcomes, and building strong provider relationships while leading a dedicated team to optimize re...

Contribute to our industry leadership by mentoring consultants and managing complex commercial auto surveys. Leverage AI and data analytics to drive risk control innovation while collaborating with un...

Explore the future of clinical decision-making by leading data science initiatives, driving predictive modeling, and advancing AI capabilities to enhance patient care. Collaborate with cross-functiona...

Champion innovation and strategy in utilization management, leading product vision and development. Drive transformative solutions to enhance healthcare efficiency while collaborating with cross-funct...

Lead the charge in optimizing operations for a dynamic real estate firm, ensuring smooth workflow management, exceptional client experiences, and seamless transaction coordination. Drive systems impro...

Transform the landscape of Workers' Compensation by managing lost time claims, ensuring fair evaluations and resolutions while fostering collaboration for optimal outcomes and continuous improvement a...

Join a team that's optimizing marketing operations by managing lead strategies, enhancing data integrity, and leveraging tech. Bring your expertise to improve efficiency and drive impactful campaigns...