Director, Claims Operations Jobs in Philadelphia, PA

Transform healthcare delivery by leading clinical operations initiatives, managing complex projects, and driving performance improvements across diverse healthcare settings. Collaborate with stakehold...

Drive your career with a strategic role in Product Operations, partnering with leaders to transform complex challenges into actionable insights, while enhancing cross-functional collaboration and leve...

Transform business operations by leading systems and technology initiatives that enhance efficiency, drive AI enablement, and streamline processes across the organization, ensuring a robust foundation...

Join a team that manages comprehensive client relationships, navigating technical needs and project challenges from discovery to launch while ensuring successful implementations and ongoing support...

Drive managed care relationships to enhance referrals and steerage opportunities. Lead strategic initiatives, educate payors on service value, and monitor performance to ensure quality care in a colla...

Accelerate progress at the forefront of the US Gastrointestinal business, driving strategic initiatives and enabling executive leadership to achieve measurable outcomes while enhancing customer relati...

Accelerate product development by leading end-to-end processes, integrating advanced technologies, and driving outcomes across a suite of digital solutions for legal service operations, while ensuring...

Transform underwriting strategies by managing excess casualty business, fostering relationships with wholesale partners, and ensuring profitable outcomes while adhering to company guidelines and marke...

Empower healthcare delivery by leading clinical reviews, provider education, and quality improvement initiatives. Collaborate with teams to enhance member care standards and support compliance with re...

Own the end-to-end B2B2C enrollment funnel by transforming data into actionable insights, optimizing processes, and leading cross-functional collaboration to enhance growth and ensure successful membe...

Lead the strategic development and continuous improvement of clinical programs, focusing on optimizing patient care across the continuum. Oversee a multidisciplinary team to enhance outcomes, reduce h...

Champion innovative healthcare solutions by leveraging clinical expertise to enhance value-based strategies, drive operational excellence, and foster strategic partnerships for improved member care an...

Drive operational excellence in ambulatory practices, ensuring patient-centered care and fiscal viability. Collaborate with leadership to enhance strategic, operational, and financial performance whil...

Lead the charge in risk management by identifying and mitigating threats to the organization's financial and operational integrity. Collaborate across divisions to implement strategies that ensure com...

Elevate payment integrity operations by leading a team focused on dispute resolution, compliance, and provider education. Drive data analysis and operational excellence to enhance collaborative relati...

Empower the distribution strategy by designing and managing rate content across channels, ensuring accurate delivery and partner trust. Collaborate with cross-functional teams to build scalable progra...

Shape the future of actuarial science by leading innovation, guiding strategies, and enhancing financial performance through advanced modeling and regulatory compliance. Collaborate with senior leader...

Lead the charge in shaping portfolio-level product strategy for P&C insurance technology. Collaborate across multiple product lines to drive data-driven investment decisions and enhance overall portfo...

Champion operational excellence in clinical trials by leading a team of Clinical Trial Managers. Drive strategic initiatives, ensure compliance, and enhance sponsor relationships while delivering stud...

Join a dynamic team as you oversee daily operations, manage event setups, and ensure facility readiness. Collaborate with various departments to enhance service quality and implement safety protocols...

Drive best-in-class travel support through strategic leadership and operational excellence. Oversee lodging, flights, and customer advocacy, fostering a culture of continuous improvement and exception...

Join a team that's advancing enterprise talent strategy through data-driven performance management, succession planning, and organizational effectiveness, partnering with leaders to build high-perform...

Unlock potential by leading client service strategies that enhance relationships, drive satisfaction, and foster retention. Collaborate across teams to deliver tailored solutions for complex client ne...

Lead the charge in driving operational excellence and strategic direction for a high-performing underwriting team, ensuring quality Medicare underwriting services that support profitable growth and bu...

Champion the future of healthcare analytics by leading product discovery and delivery for AI-driven claims processing solutions. Collaborate with cross-functional teams to enhance operational efficien...