Director, Claims Operations Jobs in Groveport, OH

Champion healthcare value through rigorous health economics and analytics. Lead a small team to measure and quantify clinical outcomes, translating them into defensible economic value for payers, whil...

Oversee Phase 1-3 clinical trials by managing internal teams, CROs, and vendors. Ensure on-time execution and compliance with regulatory standards while addressing challenges for successful operations...

Transform execution outcomes by bridging enterprise strategy with field operations. Lead Therapeutic Area initiatives, ensuring smooth launches and transitions into steady-state operations while foste...

Drive your career forward by managing complex life insurance applications, diagnosing issues, and collaborating with cross-functional teams to ensure timely resolution and identify process improvement...

Unlock enterprise-wide efficiencies by leading and evolving a robust Business Process Improvement framework. Partner with stakeholders, drive measurable enhancements, and foster a culture of continuou...

Unlock potential by managing portfolio strategies, financial accountability, and team alignment within Enterprise Data Services or Applied AI, ensuring collaboration with executive stakeholders and ma...

Shape strategy and execution by leveraging Lean methods to align investment priorities with Enterprise-wide Data and AI strategies, ensuring financial performance and organizational alignment across a...

Unlock insights by leading projects that enhance operational efficiency and drive data-informed decision-making. Collaborate with cross-functional teams to support Specialty Underwriting's strategic g...

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Lead cross-functional initiatives to optimize state-level operations and strategies, ensuring data accuracy and actionable insights in alignment with organizational goals. Drive collaboration across t...

Lead the charge in product strategy for employer onboarding and member enrollment, ensuring efficiency and accuracy across client operations. Collaborate with engineering and various stakeholders to e...

Lead the charge in developing strategic medical content while collaborating cross-functionally and ensuring high standards of accuracy and clarity, influencing multiple therapeutic projects for a dive...

Lead the charge in shaping strategic direction for high-exposure casualty claims. You will oversee a team managing complex portfolios, drive performance through analytics, and collaborate with stakeho...

Accelerate operational excellence as you lead the Treatment Site Operations team, ensuring seamless patient coordination, enhancing communication across stakeholders, and driving timely progress throu...

Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance perfo...

Transform Accounts Receivable operations by leading strategic planning, directing teams, and implementing best practices. Drive continuous improvement and manage key metrics to enhance performance wit...

Join a dynamic team to enhance Medicare Plan Finder operations, ensuring compliance, optimizing processes, and delivering impactful insights. Collaborate across functions while driving efficient submi...

Join a team that's dedicated to leading clinical review audits, managing operations, and ensuring quality outcomes. Utilize your nursing expertise to support remote staff and drive strategic initiativ...

Empower organizational compliance by overseeing policy governance, ensuring a clear, navigable framework for corporate standards, driving effectiveness, and mitigating risks while enhancing productivi...

Take ownership of complex internal projects and programs, ensuring seamless execution from initiation to completion while independently managing dependencies, risks, and communications across teams in...

Elevate your career by leading cross-functional teams to drive successful product launches. This role emphasizes collaboration, strategic planning, and operational readiness to enhance product offerin...

Pioneer innovative business transformation by leading teams, optimizing processes, and driving accountability. Build a high-performance culture committed to quality and continuous improvement, fosteri...

Unlock potential by leading GTM analytics and revenue operations. Partner with leadership to enhance forecasting, reporting, and efficiency across the organization. Drive strategic planning while deve...

Lead the charge in managing and optimizing partnerships with Community Health Centers. This strategic role focuses on enhancing collaboration, driving growth, and ensuring program success through effe...

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...