Director, Claims Operations Jobs near me

Lead compliance for Medicare Advantage and ACO programs, overseeing regulatory adherence and operational excellence. Collaborate with internal teams and external partners to ensure effective complianc...

Drive impactful product management in the pharmacy sector, leveraging market insights to shape strategies, lead cross-functional initiatives, and ensure regulatory compliance. Elevate healthcare solut...

Lead the charge in shaping product strategies and overseeing diverse teams to enhance cross-functional collaboration, drive product innovation, and achieve operational excellence in alignment with cor...

Lead and scale operations in a mission-driven nonprofit, enhancing strategic functions and financial governance while mentoring a high-performing team to drive organizational success and excellence...

Unlock potential by leading data registry standardization across the health system. Drive clinical data accuracy, compliance, and performance improvement initiatives while collaborating with stakehold...

Shape the traveler compensation strategy by enhancing policies for refunds, credits, and goodwill offers. Collaborate with cross-functional teams to optimize operational efficiency and drive measurabl...

Join a dynamic team to lead and optimize fund administration, ensuring compliance and operational efficiency. Drive strategic growth and enhance team capabilities while fostering collaboration across...

Engage with C-suite leaders to develop strategic partnerships that drive growth and adoption of comprehensive oncology solutions, ensuring alignment of objectives across healthcare systems and support...

Unlock potential by providing expert audit and advisory services to enhance risk management and internal controls across subsidiaries, ensuring effective governance and operational efficiency in a dyn...

Advance your career by leading a dynamic proposal management team, orchestrating RFP projects to drive business growth and operational excellence. Collaborate with experts, enhance proposal quality, a...

Drive cross-functional projects that shape strategy and operational excellence. Manage complex initiatives with analytical skills and strategic problem-solving to enhance growth and improve mental hea...

Shape the future of learning by leading scalable programs for healthcare call centers, enhancing onboarding and continuous development to achieve compliance and drive performance. Collaborate across t...

Lead the charge in optimizing coding accuracy and compliance by analyzing complex patient care documentation, providing expert guidance, and enhancing coder education to ensure adherence to ethical st...

Lead the charge in redefining Total Rewards strategy, enhancing compensation, equity, and benefits to attract and retain top talent while anticipating workforce shifts driven by AI and market trends...

Join a team that's redefining HR operations for a diverse, global workforce. Own strategic and tactical HR functions, ensuring compliance and fostering a positive employee experience across multiple c...

Pioneer innovative creative strategies while harnessing data-driven insights. Lead a dedicated team to enhance brand performance across multiple channels, shaping impactful health narratives that reso...

Unlock growth by owning the TPA/PEO sales strategy, managing complex accounts, and driving revenue across diverse deal sizes. Collaborate with cross-functional teams to deliver tailored solutions and...

Shape strategic growth in bioanalytical services through client acquisition, leveraging expertise in biologics and biomarkers while leading national business development efforts to expand presence in...

Drive operational excellence as you manage tech stacks and workflows, delivering data-driven insights and aligning cross-functional teams for revenue growth and partner success...

Elevate quality assurance processes by analyzing claims data, leading audits, and driving improvements. Collaborate with teams to enhance efficiency and mitigate risks, while mentoring peers and prese...

Champion the operational excellence of clinical assessment projects, ensuring compliance with regulations and timely execution. Oversee rater training, manage teams, and collaborate with stakeholders...

Champion data integrity by implementing comprehensive quality controls and metrics. Collaborate with cross-functional teams to optimize data governance and enhance usability across the enterprise. Dri...

Transform the risk control landscape by conducting expert evaluations and developing tailored strategies for diverse policyholders. Collaborate across teams, provide consultative services, and promote...

Unlock your potential as you lead the development and execution of a global benefits strategy, ensuring compliance and consistency across all regions while managing vendor relationships and a diverse...

Partner with us to strategically manage pharmacy contracts, ensuring compliance and network efficiency. Lead negotiations, evaluate vendors, and collaborate across departments to enhance pharmacy serv...