Director, Claims Operations Jobs near me

Lead the charge in client service excellence by managing relationships, coordinating projects, and implementing solutions for successful FWA program operations. Collaborate internally and externally t...

Drive strategic product management and governance for advanced eSource platforms, ensuring compliance and enhancing decentralized and hybrid trials. Collaborate cross-functionally to shape product vis...

Lead the transformation of product development and governance in a dynamic insurance environment. Drive operational excellence, regulatory compliance, and innovative solutions while managing a large p...

Drive the transformation of product management strategies and operational excellence in the insurance sector, focusing on governance, forms management, and regulatory compliance to enhance product del...

Unlock potential by leading operations for global partner programs, driving efficiency, and ensuring compliance. Collaborate across teams to optimize supplier relations and enhance program performance...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Lead the strategy for high-risk member care, developing innovative clinical programs and AI-enabled solutions to enhance outcomes and affordability. Collaborate with cross-functional teams to drive ex...

Lead a national team to drive clinical excellence in PNS Therapy, ensuring optimal patient outcomes and operational efficiency. Collaborate across functions to enhance support and scale the business e...

Lead strategic revenue operations, managing the entire Salesforce ecosystem and optimizing quote-to-revenue processes. Drive cross-functional collaboration to enhance forecasting accuracy and revenue...

Champion solution messaging by leading a team to develop buyer-centric narratives, ensuring cross-functional alignment with marketing and sales strategies to drive engagement and growth...

Join a team that's transforming sales operations with strategic insights and data-driven execution. Leverage your expertise to drive organizational effectiveness and growth in a dynamic environment fo...

Join a team that empowers legal professionals to excel in title insurance claims. This role involves investigation, strategic resolution, and collaboration with stakeholders to ensure effective claims...

Lead the charge in streamlining state filing operations while managing teams to ensure timely, compliant submissions in a highly regulated insurance landscape. Drive cross-functional collaboration and...

Elevate healthcare delivery by leading a dedicated team in clinical evaluations, ensuring best practices while providing client-facing support and expertise in medical claims, regulations, and emergin...

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 field marketing operations by driving efficiency and scaling programs. Collaborate cross-functionally to execute strategic initiatives and enhance measurement while building a high-performin...

Lead the charge in developing and executing national account strategies, managing key relationships with Payers, GPOs, and PBMs to ensure successful product launch and patient access within a dynamic...

Optimize the management of complex, high exposure auto and liability claims, guiding them through litigation and resolution. Collaborate with legal teams and ensure quality outcomes while exceeding pe...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Transform operational capabilities by designing, building, and supporting IT solutions that enhance clinical and business efficiency, while collaborating with clients to meet their needs and drive suc...

Shape the future of construction claims by managing complex defect exposures, ensuring thorough investigations, and implementing strategic resolution plans for optimal outcomes within a dynamic enviro...

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...

Advance Billing Support operations by leading process improvements, optimizing workflows, and fostering cross-functional alignment in a dynamic, high-volume environment. Leverage data insights to driv...