Director, Claims Operations Jobs in Philadelphia, PA

Take ownership of US logistics operations, ensuring efficient importation, warehousing, and distribution. Lead daily activities, manage vendor performance, and drive compliance while collaborating wit...

Champion operational excellence by overseeing clinical and business activities across multiple OB/GYN offices. Collaborate on strategic planning, optimize staffing, and enhance patient experience whil...

Elevate the insurance verification and authorization process by managing staff, developing strategies, and ensuring excellent service delivery while resolving complex patient financial needs in a coll...

Shape the future of quality operations by leading teams to enhance product excellence and consumer satisfaction across global markets, driving continuous improvement and strategic initiatives in a dyn...

Unlock your potential by leading a dynamic team focused on benefits and medical policy operations. Drive efficiency, enhance quality, and collaborate with partners to deliver impactful solutions in a...

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...

Drive your career by managing the pre-deal to contract process for top accounts. Lead a team to develop pricing strategies, negotiate contracts, and ensure market access for innovative products in a d...

Lead the charge in shaping and evolving a global web ecosystem, overseeing strategy, operations, and governance to deliver high-performing digital experiences that drive engagement and business growth...

Unlock potential by leading enterprise-scale data and AI solutions, modernizing actuarial processes, and driving cloud-native transformations. Collaborate with stakeholders to enhance decision-making...

Lead the negotiation and management of provider contracts, ensuring compliance with healthcare regulations. Collaborate with teams to develop innovative payment models and expand network access to enh...

Drive operational excellence by leading a 150+ member team, optimizing workflows, and enhancing member experiences through strategic program development and data-driven insights...

Join our North America Claims team as a Subrogation Claims Specialist, managing complex claims and driving recovery efforts. Utilize your expertise to identify opportunities, negotiate settlements, an...

Drive the acquisition and usability of clinical data to enhance healthcare outcomes. Collaborate with diverse teams to analyze data gaps, implement integrations, and optimize processes, ensuring timel...

Shape high-impact growth in retail partnerships by overseeing field operations, driving application volume, and enhancing point-of-sale conversion rates. Collaborate with teams to optimize strategies...

Design and deliver impactful training programs to enhance sales capabilities, ensuring alignment with corporate objectives. Collaborate with cross-functional teams to drive effective onboarding and co...

Drive enterprise Quality and Regulatory governance for U.S. operations, ensuring compliance with FDA regulations and overseeing manufacturing quality in the therapeutic radiopharmaceutical sector whil...

Shape the future of pharmacy network operations by leading a team of attorneys, providing strategic legal counsel on regulatory, operational, and transactional matters within the PBM landscape, while...

Transform financial services by leading complex banking operations and technology projects. Collaborate with clients to enhance performance, drive innovation, and shape a new practice within a dynamic...

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

Unlock the potential of enterprise learning by leading a dynamic training function. Collaborate with cross-functional teams to design and implement effective onboarding and development programs that a...

Manage the planning and execution of CMC operations across multiple development programs, ensuring alignment with regulatory milestones and efficient collaboration with cross-functional teams and CDMO...

Drive revenue cycle optimization by enhancing Epic Professional Billing workflows, collaborating with stakeholders, and resolving claims challenges to improve overall operational efficiency and ensure...

Elevate your career by managing complex Employer's Liability claims, driving resolutions through expert investigation, negotiation, and collaboration across stakeholders in New York and Illinois for a...

Unlock potential by joining a dynamic team as a Workers’ Compensation Claims Specialist. Leverage your expertise to investigate, resolve, and manage claims while ensuring compliance and delivering exc...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...