Director, Claims Operations Jobs in Philadelphia, PA

Develop and lead actuarial processes for Medicare Value-Based Care, managing monthly results, payer settlements, and special projects. Collaborate with cross-functional teams to enhance analytics and...

Lead the charge in transforming operational data into actionable insights that enhance sales and profits. Collaborate with cross-functional teams to drive measurable improvements and support strategic...

Lead technology operations for global teams, optimizing systems and support. Collaborate on strategic AI solutions, ensuring compliance and enhancing workflows. Drive efficiency and innovation in a dy...

Analyze complex Workers Compensation claims to deliver innovative solutions while ensuring timely adjudication. Collaborate with clients across various industries in a dynamic environment that fosters...

Engage with clients as a trusted partner, driving satisfaction and growth through effective management of healthcare operations and strategic initiatives. Collaborate across teams to enhance service d...

Join a team that's redefining healthcare product management through innovative supply chain solutions. Lead cross-functional initiatives and shape the future of resilience in healthcare with strategic...

Join a dynamic team to develop and support SQL-based ETL processes, ensuring data quality and integration performance across business applications. Collaborate with technical teams to enhance data exc...

Innovate enrollment processes by leading teams to ensure timely, compliant transactions across various health plan channels. Drive operational efficiency and strategic initiatives while fostering a co...

Champion the development of Provider Direct Connect capabilities, driving product vision and strategy while collaborating with cross-functional teams to enhance provider engagement and deliver scalabl...

Join a team that's driving project success by leading technical initiatives, resolving complex challenges, and aligning outcomes with client objectives. Your expertise will enhance profitability and o...

Drive independent credit review and risk management for all counterparties, ensuring compliance and security across diverse financial entities. Collaborate with cross-functional teams to uphold rigoro...

Elevate your career by leading cross-functional projects, ensuring timely deliverables and driving process improvements through collaboration and expert project management methodologies...

Lead the charge in optimizing marketing operations by managing workflows, enhancing processes, and ensuring compliance. Drive cross-functional alignment to support efficient execution of marketing ini...

Shape the future of healthcare real estate by leading a dynamic transaction management team. Oversee negotiations, staff development, and strategic planning to drive client success and enhance operati...

Join a team that's dedicated to ensuring data integrity and quality. Lead QA activities for enterprise data validation and reporting, managing onshore and offshore teams while enforcing best practices...

Champion quality assurance efforts for enterprise data warehouse and reporting initiatives. Lead a diverse QA team, ensuring adherence to standards while driving testing strategies, data validation, a...

Manage a team to optimize revenue cycle operations, ensuring client satisfaction and performance excellence. Drive continuous improvement initiatives while overseeing accounts receivable functions for...

Transform enterprise learning by leading a team to design impactful solutions. Drive employee development, align training with business goals, and optimize learning technologies for enhanced performan...

Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...

Drive clinical excellence as you lead a team of BCBAs and RBTs, overseeing daily operations and ensuring high-quality ABA therapy through collaboration, supervision, and training. Make a meaningful im...

Elevate financial performance by leading FP&A initiatives, deriving insights from GAAP metrics, capital considerations, and operational KPIs to support informed decision-making and strategic planning...

Lead the charge in enhancing rehabilitation operations across multiple facilities. Drive clinical excellence, manage staff, and ensure compliance while fostering a supportive environment for both pati...

Transform healthcare interoperability by leading product strategy and market growth. Leverage deep industry insights to enhance payer-provider collaboration, drive operational excellence, and oversee...

Lead the charge in overseeing financial operations, ensuring compliance and exceptional service while managing billing, Medicaid processes, and team support in a dynamic healthcare environment...

Lead the charge in driving enterprise growth within healthcare by building relationships with national and regional health plans. Own new logo acquisition and expansion, leveraging a robust support sy...