Director, Claims Operations Jobs in Philadelphia, PA

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...

Lead and innovate within the Outsourcing team, driving strategic partnerships and operational excellence in drug metabolism and bioanalytical development, while managing a diverse team to enhance scie...

Champion operational excellence by leading teams to enhance efficiency and care delivery. Drive AI integration, manage P&L, and collaborate cross-functionally to support growth and sustainability in h...

Transform compliance operations by leading a dedicated team, ensuring adherence to regulatory standards, and fostering continuous improvement while collaborating with key stakeholders to drive organiz...

Join a dynamic team as you lead the marketing operations, managing budgets, performance metrics, and event strategies to drive member engagement and revenue. Your expertise will shape impactful media...

Elevate pharmacy innovation by collaborating with clients and leading strategic engagements. Drive value and revenue growth while influencing the future of healthcare delivery through strong partnersh...

Redefine the future of legal advocacy by managing a diverse caseload, utilizing your litigation expertise to deliver exceptional client service and strategic case resolutions while fostering strong pa...

Shape the future of employee experience by designing and managing People & Culture operations. Collaborate across functions to enhance benefits, compensation, and HR systems, ensuring a seamless and i...

Drive operational excellence by leading multi-team managers in executing compliant money movement flows. Collaborate cross-functionally to enhance customer experiences while ensuring risk mitigation a...

Contribute to a safe and efficient surgical environment by leading nursing operations, ensuring compliance with standards, and enhancing patient care through effective management and staff training...

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Drive strategic risk management initiatives by leading regulatory audits, enhancing operational processes, and fostering cross-functional collaboration to minimize financial impacts and improve audit...

Lead the charge in advancing clinical operations for late-stage cardiovascular studies. Oversee cross-functional teams, manage budgets, and drive innovative strategies to enhance patient outcomes and...

Transform the future of claims management by leading a remote team in commercial transportation. Drive operational effectiveness through technology and analytics while balancing leadership and hands-o...

Transform healthcare delivery by leading operations for a growing telehealth practice. Collaborate with clinical teams to enhance patient care through innovative solutions and efficient workflows, ens...

Join a dynamic team to define and lead product strategy for Family Building Navigation, enhancing member engagement through innovative digital experiences and personalized support while collaborating...

Drive data governance and stewardship for consumer data, ensuring integrity and compliance across US Market domains, while influencing stakeholders and shaping data management strategies for enhanced...

Drive impactful analytics for pharmacy and managed care teams, transforming complex data into actionable insights. Collaborate across departments to enhance data products and support client needs, ens...

Lead strategic production planning and analytics to drive growth, enhance performance, and modernize processes through data-driven insights and AI tools. Collaborate with cross-functional teams to inf...

Shape the future of project management by leading enterprise initiatives, establishing standards, and ensuring effective execution of organizational priorities in a remote setting...

Transform product strategy and execution by leveraging data insights, leading cross-functional teams, and prioritizing customer needs to drive product success and business growth in a dynamic environm...

Champion operational excellence in the Americas, driving revenue performance through strategic leadership in sales, territory execution, and process optimization while fostering collaboration across t...