Director, Claims Operations Jobs in Groveport, OH

Transform health care delivery by harnessing clinical insights for case management and medical necessity reviews. Collaborate across teams to enhance patient outcomes and advocate for customer needs i...

Join us to lead a team of clinicians in delivering superior results while managing inpatient utilization and population health initiatives. Drive clinical excellence by collaborating across business u...

Join a dynamic team to conduct medical case reviews, collaborate with healthcare professionals, and leverage your clinical skills to ensure appropriate patient care through evidence-based decision-mak...

Tackle new opportunities in the healthcare sector by driving sales and strategy. Engage with C-suite executives, implement effective sales policies, and analyze market trends to maximize revenue growt...

Transform healthcare denials management by analyzing data and creating metrics, tracking trends, and identifying root causes. Collaborate across departments to enhance processes and ensure timely resp...

Empower our brokerage operations by leading strategic development, enhancing business growth, and managing resources effectively. Drive compliance and operational excellence to foster strong relations...

Join a team that's redefining market access through innovative data partnerships. Lead strategic collaborations, ensure data compliance, and drive insights that enhance decision-making and patient ser...

Drive operational excellence by transforming data insights into actionable improvements. Lead cross-functional projects, manage strategic initiatives, and ensure accountability while embedding with bu...

Architect a thriving Account Management function focused on buyer retention and value delivery. Your proactive outreach will foster strong partnerships, driving growth and innovation in the lead distr...

Elevate operational performance through strategic leadership and coaching. Drive growth, service stability, and accountability in a multi-unit service environment, ensuring sustained business improvem...

Elevate your career as a Program Manager focused on optimizing risk and compliance for vendor credentialing, enhancing processes and frameworks, and collaborating with cross-functional teams to ensure...

Transform the enterprise reporting landscape by leading cross-functional initiatives, developing performance dashboards, and establishing data infrastructure to enhance decision-making and drive impac...

Pioneer innovative training programs for audit teams, driving excellence in quality and compliance through comprehensive learning interventions that enhance performance and utilize cutting-edge AI too...

Drive superior service by managing and evaluating lost time workers' compensation claims, ensuring cost-effective resolutions while collaborating with stakeholders for best outcomes and continuous imp...

Pioneer innovative accounting solutions by leading cross-functional initiatives that enhance financial reporting, streamline processes, and support business growth through data-driven decision-making...

Transform healthcare management by leading a team that ensures optimal utilization of services. Oversee review processes and improve care quality while fostering collaboration and adherence to complia...

Pioneer impactful strategies in value-based care operations, leading cross-functional initiatives and partnerships to enhance risk stratification insights and support practices in delivering sustainab...

Manage and enhance integrated care programs for dual eligible and LTSS models. Drive operational improvements, collaborate with stakeholders, and support strategic initiatives for efficient delivery o...

Shape the future of clinical operations by leading a team of nurses in delivering exceptional patient care, ensuring compliance, and fostering a high-performance culture in a dynamic specialty pharmac...

Help us optimize clinical operations by leading a team of nurses in delivering exceptional patient care and enhancing workflow adherence, quality, and compliance in a specialty pharmacy program...

Transform client relationships as you oversee account management, ensuring exceptional service delivery and retention while leading a dedicated team in a dynamic environment focused on growth and oper...

Elevate your career by leading and scaling a Revenue Operations practice. In this senior player-coach role, you'll manage a team while engaging directly with clients to deliver high-quality strategic...

Lead and optimize performance within the Out-of-State Medicaid function, driving operational excellence across teams to enhance client outcomes and achieve strategic revenue goals through effective le...

Engage in leading clinical management for DME and IRF programs, advancing guidelines and improving processes. Collaborate closely with medical and operational teams to enhance service quality and ensu...

Empower clients as you lead a dedicated team, driving growth, enhancing relationships, and delivering exceptional service across national accounts while fostering a culture of collaboration and contin...