Director, Claims Operations Jobs in Philadelphia, PA

Champion enterprise-wide operational excellence by leading Central Operations, integrating reliability, training, and innovation to enhance performance, reduce risk, and drive measurable results acros...

Shape the future of pet insurance by developing and enhancing policy forms, ensuring compliance, and collaborating with cross-functional teams to meet customer needs and regulatory standards...

Drive product operations by managing the backlog and coordinating QA efforts to support cross-functional teams. You’ll facilitate collaboration between engineering, design, and clinical operations to...

Join a team that's dedicated to delivering exceptional client service and operational excellence. As a Program Manager, you'll oversee program execution, account management, and financial oversight wh...

Join a team that's redefining security operations by leading a dynamic Cyber Defense unit. You'll manage SOC performance, drive AI integration, and ensure effective incident response while mentoring e...

Empower our sales team by driving strategic growth in key accounts. Leverage your expertise in Enterprise SaaS to navigate complex sales in the Life Sciences sector, fostering partnerships and deliver...

Partner with us to navigate complex patient cases and ensure seamless access to care. Utilize critical thinking and communication skills to manage authorizations and appeals, collaborating with divers...

Transform the insurance landscape by leading product innovation and development initiatives, enhancing personal Property products to meet member needs and drive profitable growth while ensuring market...

Lead the charge in transforming pharmacy benefit programs by analyzing data, managing complex projects, and collaborating with a team of experts to deliver innovative solutions that enhance client out...

Drive analytics excellence by leading a team to deliver impactful insights, enhance reporting capabilities, and support strategic decision-making across diverse business functions. Foster collaboratio...

Drive operational excellence in patient access and reimbursement programs, optimizing performance and compliance through strategic leadership and cross-functional collaboration. Influence outcomes whi...

Grow your career with a dynamic team focused on client success, managing relationships, and delivering tailored solutions. Drive satisfaction and retention while collaborating across departments to en...

Drive the success of multiple claims teams by supervising operations, providing technical guidance, and ensuring quality standards. Collaborate with management to enhance processes and maintain strong...

Optimize multi-site pharmacy operations by overseeing daily workflows, staffing, and performance metrics. Collaborate with leadership and Pharmacists-in-Charge to ensure compliance and efficiency acro...

Accelerate progress at transforming data solutions by building production-grade assets. Leverage your expertise in data engineering and business fluency to create trusted, reusable data products that...

Engage in building production-grade data solutions by transforming architectural designs into trusted data products. Collaborate with cross-functional teams to ensure quality and governance while deli...

Join a dynamic team to lead strategic statistical programming initiatives, ensuring top-quality deliverables and compliance across diverse clinical trials. Collaborate with cross-functional partners t...

Manage and optimize Epic Professional Billing workflows, focusing on Claims and Remittance. Serve as a key resource for end-users, troubleshooting issues and enhancing billing processes to ensure accu...

Transform the future of revenue accounting by leading the integration of consumer revenue streams into a unified, automated process. Drive accuracy and efficiency while building a high-performing team...

Lead the charge in underwriting E&S commercial property and casualty accounts. Manage risk assessments, develop competitive quotes, and collaborate with carriers to optimize profitability while achiev...

Grow your career by leading a customer-centric team dedicated to operational excellence and safety in service delivery. Collaborate with leadership to achieve business goals and enhance customer relat...

Lead the charge in driving growth across insurance platforms by building strategic alliances, developing executive relationships, and executing market strategies to enhance revenue and expand opportun...

Optimize revenue cycle management by leading a dynamic team to enhance processes, drive automation, and ensure compliance in a fast-paced telehealth environment. Collaborate with cross-functional team...

Join a team that enhances operational efficiency by overseeing complex financial transaction reviews, ensuring compliance, coaching staff, and driving process improvements to achieve strategic busines...

Provide executive-level technical leadership for a WealthTech platform, shaping engineering vision and strategy. Lead high-performing teams, drive platform modernization, and ensure compliance while c...