Director, Claims Operations Jobs in Fresno, CA

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...

Advance healthcare innovation by optimizing platform operations, collaborating across analytics and technology teams to enhance rebate administration processes. Help us drive efficiency and improve de...

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...

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...

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...

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...

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...

Transform healthcare by leading systems optimization in credentialing and enrollment. Drive initiatives for seamless provider experiences, leveraging data insights and vendor relationships while colla...

Innovate dealer pricing strategies and enhance operations for streamlined support. Lead contract management, improve workflow efficiencies, and ensure scalability across dealer networks, collaborating...

Grow your career with us as you architect and scale innovative GTM systems. Lead operational excellence while leveraging AI to enhance efficiency across sales, marketing, and customer success teams in...

Shape the future of packaging and labeling operations by leading strategic initiatives, ensuring regulatory compliance, and enhancing product lifecycle management through effective collaboration with...

Champion product strategy and operations, bridging gaps between teams to enhance collaboration, scale product offerings, and drive AI integration, all while creating a positive operational framework f...

Advance your career by leading innovative product strategies, focusing on AI solutions and team alignment. Collaborate with diverse stakeholders and drive initiatives that tackle systemic challenges i...

Unlock potential by delivering technical expertise and solutions across diverse client environments, enhancing system performance and aligning with business needs through collaborative efforts and pro...

Drive efficiency and excellence in billing operations, leading a dynamic team to enhance accuracy, accelerate cash flow, and ensure compliance. Collaborate with cross-functional teams to implement str...

Lead the delivery of ERISA compliance services for retirement plans, advising clients on regulatory matters, plan design, and fiduciary responsibilities while managing a dynamic Legal Team and support...

Elevate healthcare innovation as you lead complex assessment initiatives, drive data-driven insights, and collaborate with C-suite leaders to enhance revenue cycle performance, ensuring client satisfa...