Director, Claims Operations Jobs in New York, NY

Optimize data exchange processes to ensure accuracy and reliability in pharmacy benefit services. Collaborate with teams to troubleshoot issues, support client onboarding, and enhance operational effi...

Champion the resolution of construction claims by leveraging analytical skills and industry knowledge. Collaborate with insureds, brokers, and legal teams to ensure fair and efficient claims processin...

Shape the future of value-based payments by leading product strategy, overseeing team development, and driving market innovations within a collaborative, cross-functional environment...

Drive the creation and oversight of a risk framework that balances growth with security. Partner with cross-functional teams to implement risk strategies operationally, while conveying insights to exe...

Unlock potential by leading claims adjudication logic to enhance accuracy and efficiency. Drive strategic improvements, collaborate across teams, and ensure compliance while optimizing operations in a...

Lead the charge in evaluating complex clinical scenarios and authorizing services based on national guidelines and regulatory compliance. Collaborate with healthcare professionals to ensure quality ca...

Join a team that's dedicated to optimizing complaint resolution across departments. Oversee a skilled group focused on member satisfaction and regulatory compliance while promoting process improvement...

Empower quality engineering excellence by leading strategic initiatives across diverse technology portfolios. Drive modernization, enhance automation, and foster collaboration to ensure high-quality s...

Shape the future of claims management by investigating, evaluating, and settling moderate complexity claims. Collaborate with stakeholders to ensure compliance and effective resolution while maintaini...

Drive the resolution of moderate complexity claims by investigating, evaluating, and negotiating settlements. Collaborate with stakeholders to ensure compliance and effective claim management while ma...

Unlock potential by managing complex claims with a focus on legal inquiries and resolutions. Collaborate with clients and experts to deliver innovative solutions while enjoying flexibility and profess...

Pioneer operational excellence in Design leadership, managing workflows, prioritizing projects, and developing talent. Collaborate cross-functionally to enhance Design integration in AI-driven product...

Join us to lead a dynamic team in optimizing revenue cycle operations for multiple clients. Drive continuous improvement and ensure client satisfaction while managing performance metrics and fostering...

Lead the charge in overseeing claims compliance activities, enhancing operational quality, and ensuring audit readiness. Collaborate cross-functionally to identify gaps, monitor KPIs, and drive improv...

Drive excellence in claims management by supervising a team of adjusters, ensuring quality service delivery, and maintaining compliance with legal standards. Foster staff development and oversee the i...

Lead the charge in managing high-severity, complex insurance claims, focusing on EPL and Professional Liability. Serve as a subject matter expert, ensuring compliance and strategic resolution while ad...

Drive strategic growth by establishing and nurturing key partnerships with Enterprise Claims carriers, ensuring service excellence and collaboration across internal teams to enhance business outcomes...

Elevate complex Surety claims management by providing strategic oversight, technical guidance, and mentorship to ensure effective resolution and collaboration across teams, driving risk mitigation and...

Oversee complex Surety claims management, providing strategic guidance and mentorship. Collaborate with cross-functional teams to mitigate risks and deliver effective solutions for high-exposure matte...

Unlock potential by leading complex Surety claims management, collaborating with cross-functional teams, and providing technical guidance to enhance organizational success and mitigate risk in high-ex...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Analyze complex commercial claims, ensuring thorough investigations and effective resolutions. Collaborate with internal and external parties to manage litigated and non-litigated claims, leveraging s...

Unlock potential by leading enterprise-wide Cost of Care solutions. Drive scalability, optimize deployment, and enhance operational effectiveness across diverse markets, collaborating with stakeholder...

Manage data management operations to ensure high-quality clinical trial services, driving process improvements and team development while maintaining data integrity and adherence to timelines and regu...

Join an innovative team to oversee Utilization Management across Medicaid, Commercial, and Medicare functions. Drive strategic leadership, operational performance, and regulatory compliance while enha...