Director, Claims Operations Jobs in Philadelphia, PA

Engage in vital clinical oversight for payment integrity programs, ensuring reimbursement policies align with medical standards. Collaborate cross-functionally to enhance provider relationships and dr...

Unlock potential by providing clinical oversight in payment integrity programs, enhancing provider engagement and ensuring compliance with reimbursement policies for improved healthcare outcomes and o...

Empower Finance teams by leading integrated data and product strategies to enhance analytics and decision-making across a collaborative environment, driving significant business outcomes and ensuring...

Lead the oversight of contractual matters across departments, serving as a trusted advisor to internal stakeholders from pre-clinical to commercial readiness. This role emphasizes collaboration and ex...

Join us in shaping the future of marine insurance through innovative actuarial and analytic strategies, leading teams to tackle complex challenges and drive performance across business units...

Drive strategic initiatives and operational execution in a collaborative environment, leveraging analytical insights and actuarial expertise to address complex business challenges, and influencing pro...

Join a team that's redefining patient services by optimizing operations, ensuring seamless training, billing, and workforce management, driving efficiency, and improving patient outcomes through innov...

Engage and execute the enterprise narrative, ensuring consistent messaging and cross-functional collaboration while driving executive positioning and market insights into actionable strategies for the...

Join a team that empowers global implementation excellence by leading a dedicated team responsible for complex enterprise initiatives, enhancing customer value, and driving project success in a dynami...

Lead the charge in managing global clinical studies in orthopedic devices, ensuring adherence to regulations and timelines. Collaborate with diverse teams and drive projects from inception to completi...

Empower patient care by leading clinical operations, fostering team collaboration, and ensuring high-quality delivery while meeting critical KPIs. Drive community relationships and oversee strategic i...

Optimize the employee lifecycle by leading a global team focused on enhancing People Operations and experience while ensuring compliance and data integrity across regions, driving a cohesive and effec...

Lead the charge in strategic sales initiatives, cultivating relationships and driving growth within the pharmacy benefits management ecosystem while exceeding targets in a remote work environment...

Champion global clinical operations excellence through strategic leadership, overseeing complex Phase I-IV trials. Drive innovative strategies and foster high-performing teams to deliver on timelines...

Collaborate to enhance business processes by standardizing workflows, utilizing technology, and improving efficiencies in a remote environment. Engage with cross-functional teams to facilitate trainin...

Lead the charge in developing and managing comprehensive payor contracting strategies to optimize reimbursement across various commercial and governmental programs. Build partnerships with leadership...

Lead the charge in transforming health technology with deep expertise in laboratory services. Guide client relationships, drive operational complexities, and implement Epic Beaker solutions to enhance...

Champion end-to-end medical records management, ensuring compliance and data integrity while optimizing performance across teams and driving operational efficiency in personal injury cases...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Lead the charge in retirement plan document management, ensuring compliance and best practices are implemented across the firm's operations while training teams and advising on ERISA and Internal Reve...

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...

Shape client payment policies by ensuring accuracy, delivering specialized requests, and collaborating effectively with internal and external teams to enhance service and compliance within healthcare...

Drive operational excellence and process improvement in a dynamic legal department. Collaborate with attorneys and business leaders to enhance service delivery, optimize technology, and manage legal f...

Lead the charge in financial strategy and analysis, directly influencing decisions for a dynamic reinsurance business. Collaborate with leaders to drive performance and governance for high-impact fina...

Shape the future of enterprise Identity and Access Management strategy, governance, and operational execution, ensuring secure access to business systems while promoting compliance and cybersecurity o...