Director, Claims Operations Jobs near me

Elevate your career by leading transformative strategies that enhance operational excellence and drive organizational performance across a complex health plan. Partner with executive leadership to tra...

Lead the charge in optimizing utilization management by assessing medical necessity, ensuring compliance with standards, and collaborating on case management strategies to enhance patient care outcome...

Transform the Enrollment Operations team, ensuring quality execution and compliance while driving operational efficiency. Guide staff in delivering high-quality service and adapt to regulatory changes...

Manage a caseload of complex general liability claims, ensuring timely resolutions and communication with stakeholders. Leverage your experience in litigation and risk analysis to deliver high-quality...

Oversee the end-to-end Medicare Advantage product experience, driving member engagement and care delivery. Collaborate with cross-functional teams to create scalable solutions that meet unique Medicar...

Champion impactful technology initiatives by leading complex IT projects, managing budgets, and mentoring teams. Develop relationships with stakeholders to drive efficiency and improve processes while...

Lead assessments of Workers' Compensation claims by conducting investigations, analyzing medical reports, and ensuring adherence to legal guidelines. Enhance customer service and cost control while gu...

Join our team to lead in Physical Medicine and Rehabilitation, providing oversight, improving utilization, and guiding medical policy. Collaborate with staff and external partners to enhance healthcar...

Unlock your potential by providing leadership in medical policy development, overseeing staff, analyzing data, and conducting research in physical medicine. Collaborate with healthcare professionals t...

Transform your career by providing operational leadership for remote teams managing Release of Information services. Drive excellence, ensure compliance, and foster relationships while traveling to de...

Champion the design and execution of commercial learning strategies to enhance organizational capability and drive performance across a diverse business landscape, empowering teams to improve onboardi...

Lead the charge in optimizing pharmacy network financial performance by implementing effective pricing strategies, managing reconciliation processes, and driving corrective actions to achieve reimburs...

Help us drive growth and engagement in provider partnerships. Lead strategy, operations, and relationship management for our provider relations team, ensuring alignment with organizational goals and e...

Transform sales execution across diverse regions and channels by driving disciplined pipeline management, ensuring forecast accuracy, and collaborating with leadership to enhance operational effective...

Partner with us to enhance consultant relationships in healthcare. Drive business growth by cultivating partnerships, optimizing engagement strategies, and aligning internal teams to effectively posit...

Unlock potential by leading the product strategy for B2B email and identity data solutions. Collaborate with cross-functional teams to drive product launches, enhance capabilities, and engage with cli...

Lead the charge in overseeing multiple teams handling workers compensation claims, ensuring quality adjudication and training, while optimizing processes to enhance client relationships and operationa...

Unlock insights as you bridge business needs with technology, enhancing commercial insurance solutions. Collaborate, analyze, and support projects to drive quality, ensure alignment, and facilitate co...

Advance your leadership in delivering complex SaaS programs that reshape insurance technology. Engage deeply in execution, ensuring exceptional results through a hands-on approach while driving client...

Join us to optimize our GTM operations, driving efficiency and insights across sales, marketing, and customer success. Leverage data and technology to enhance processes, support leadership, and ensure...

Transform healthcare operations by leading innovative home infusion services. This role requires strategic vision to enhance patient experiences and operational efficiency while fostering a culture of...

Transform marketing operations by enhancing CRM systems and automation, ensuring alignment between teams to optimize family and provider engagement throughout the application process while leveraging...

Take ownership of product strategy and execution by driving innovative development, informed by market insights and customer feedback, to create competitive health product offerings that align with bu...

Empower employee experiences by managing benefits administration, enhancing communication, and overseeing process improvements for health, retirement, and wellness programs with a focus on maximizing...

Engage with a talented team to drive growth and innovation in pharma sales. Own the sales cycle from strategic prospecting to closing high-impact deals, while developing key relationships that enhance...