Director, Claims Operations Jobs in Orange, CA

Transform product strategy by leveraging real-world data analytics and Agile methodologies to drive innovative healthcare solutions. Collaborate with cross-functional teams to deliver market-ready pro...

Join a forward-thinking team to lead and enhance enterprise-wide business processes. Collaborate with stakeholders to optimize workflows, implement changes, and drive innovative solutions that support...

Create and operationalize a comprehensive insurance revenue cycle for behavioral health. Lead processes from eligibility verification to payment collection, focusing on multi-state expansion and compl...

Champion operational excellence by leading technical emergency response efforts across North America, ensuring swift stabilization and continuous improvement of manufacturing performance and capabilit...

Join a dynamic team leading transformative supply chain initiatives. Elevate client performance through strategic insights and hands-on execution while building resilient operations that drive measura...

Lead the charge in developing and executing the enterprise-wide fraud program, ensuring compliance across diverse healthcare lines through advanced analytics and strategic oversight while managing a s...

Lead and mentor a dynamic team, driving patient access strategies through expert virtual education of healthcare providers and optimizing reimbursement processes across a national landscape...

Unlock your potential by partnering with Operations to drive cost efficiency and strategic insights. Collaborate with cross-functional teams to enhance financial processes and support rapid growth in...

Drive the design and implementation of internal controls and risk operations. Collaborate across departments to establish a sustainable control environment and governance framework supporting organiza...

Lead the charge in optimizing a robust contact center to enhance conversion and operational performance. Oversee intake, workforce management, and analytics, directly impacting the firm's revenue and...

Champion the Risk Adjustment strategy and execution, leading cross-functional teams to enhance Medicare Advantage program performance. Drive compliance, optimize revenue accuracy, and ensure organizat...

Manage and evaluate routine to complex claims while ensuring compliance with regulations and fostering effective communication among stakeholders. Collaborate with supervision to facilitate timely res...

Pioneer the management of client projects from inception to deployment, collaborating cross-functionally to deliver successful outcomes on time and within budget while overseeing project scope and res...

Accelerate enterprise-wide risk management and patient safety strategies, driving initiatives across all care settings. Collaborate with leaders to foster a culture of safety, compliance, and continuo...

Join a team that's shaping the future of National Account Agency Operations. You'll manage key accounts, develop strategic plans, and enhance sales profitability while fostering relationships with cli...

Accelerate your career by owning the performance of high-stakes AI workflows. Drive continuous improvement, monitor key metrics, lead diagnosis of issues, and communicate effectively with leadership t...

Unlock potential by leading a high-performance team to enhance risk control services, drive strategic collaborations, and improve operational excellence across multiple disciplines in North America wh...

Transform execution outcomes by bridging enterprise strategy with field operations. Lead Therapeutic Area initiatives, ensuring smooth launches and transitions into steady-state operations while foste...

Contribute to the development and execution of Payment Integrity programs, ensuring effective client implementations and exceptional onboarding experiences through strategic leadership and cross-funct...

Accelerate the development of tailored insurance programs while building strong client relationships and collaborating across teams to meet diverse global property and casualty needs. Drive compliance...

Investigate and adjust complex MPL and General Liability claims. Collaborate with insureds and stakeholders, develop negotiation strategies, and ensure timely documentation while maintaining strong co...

Drive production excellence and team performance in a regulated environment, ensuring safety, quality, and efficiency across CNC, Surface Treatment, and Packaging operations with a focus on continuous...

Shape process improvement initiatives by collaborating with teams to analyze current practices, identify inefficiencies, and implement solutions that enhance operational performance. Drive change thro...

Lead cross-functional pricing operations with a focus on C&I solar and O&M, driving efficient deal execution while managing a team. Engage with stakeholders to streamline processes and enhance pricing...

Engage with clients to deliver exceptional insurance account management and service, ensuring their needs are met through effective communication, relationship-building, and proactive problem-solving...