Director, Claims Operations Jobs in Hartford, CT

Lead the charge in transforming clinical decision-making strategies within health insurance, ensuring compliance and quality in medical reviews while advancing innovation in medical management and cro...

Join a team that's driving clinical excellence by overseeing trial execution, managing timelines, budgets, and CROs. Collaborate with stakeholders to ensure compliance and quality while mentoring team...

Join a team that's redefining the Casualty Claim landscape by leading strategic initiatives, managing high-severity claims, and collaborating with industry leaders to drive operational excellence and...

Advance your career by leading the Claims Domain for MMIS health care projects. Drive analysis, documentation, and quality processes while collaborating with clients and development teams to meet cust...

Advance your career by enhancing the efficiency and effectiveness of our Legal and Compliance function. Lead operational improvements, manage budgets, and implement legal technology solutions in a dyn...

Contribute to quality operations initiatives by reviewing study documents, supporting audits, and ensuring compliance with regulatory standards. Collaborate with cross-functional teams to enhance qual...

Lead the strategic execution of commercial planning and sales coverage, aligning cross-functional teams to drive profitable growth. Oversee territory design, customer segmentation, and annual planning...

Drive litigation strategy and outcomes in a dynamic P&C environment, leading a team to enhance operational effectiveness and improve policyholder experiences while managing diverse liability and cover...

Unlock potential by leading strategic government programs, managing P&L, and driving operational excellence. Oversee contract delivery, mentor staff, and foster client relationships to ensure growth a...

Innovate underwriting strategies and technology solutions to enhance decision-making, efficiency, and profitability. Collaborate across teams to implement scalable capabilities that improve customer a...

Elevate channel strategy and partner relationships to drive revenue growth, enhance market positioning, and ensure effective collaboration across teams, while managing negotiations and performance met...

Join a team that's redefining business processes through digital transformation. Lead cross-functional initiatives, ensuring scalable and standardized practices that align with strategic goals while f...

Grow your career with a dynamic team focused on optimizing provider operations. Lead credentialing initiatives, implement AI solutions, and enhance workflows while ensuring compliance and operational...

Unlock potential by leading clinical reimbursement strategies across skilled nursing facilities, ensuring compliance and optimal performance through collaboration with multidisciplinary teams to enhan...

Lead claims operations while managing a high-performing team to drive growth, optimize processes, and enhance customer service within the medical stop loss insurance sector...

Lead a team of specialists in managing absence and claim cases, ensuring operational excellence and high-quality service delivery while fostering a supportive and growth-oriented environment for team...

Champion patient care excellence by leading operational oversight and staff support. Collaborate across service lines to enhance patient experience and achieve strategic goals while ensuring adherence...

Shape the future of Medicare claims technology by leading product strategy, enhancing operational efficiency, and fostering cross-functional collaboration to deliver impactful solutions for millions o...

Join a team that's dedicated to managing complex professional liability claims, focusing on legal malpractice. Leverage your expertise to evaluate coverage, negotiate outcomes, and ensure timely reser...

Lead the charge in managing claims by verifying coverage, initiating customer contact, and resolving complex issues. Collaborate with legal teams and ensure compliance while mentoring junior staff and...

Lead product strategy and execution for TPA, PEO, and Carrier partners, driving innovation and operational excellence. Collaborate with cross-functional teams to enhance platform capabilities and deli...

Join a team that's redefining care management by leading strategic initiatives in utilization and appeals processes. Drive high-quality, cost-effective care while ensuring compliance and fostering a c...

Shape the future of billing operations by leading a team to enhance accuracy, timeliness, and efficiency. Drive process improvements, manage complex accounts, and collaborate across functions to resol...

Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...

Champion the enterprise-wide actuarial valuation reporting process, ensuring clarity and compliance in quarterly and annual deliverables while driving continuous improvement and regulatory readiness a...