Director, Claims Operations Jobs in Philadelphia, PA

Elevate operational excellence by leading process design and transformation initiatives. Drive automation, quality management, and continuous improvement to enhance client data operations and ensure s...

Drive quality assurance excellence by leading the development of scalable processes that enhance student recruitment and enrollment, ensuring compliance and continuous improvement across all interacti...

Optimize market access strategies in Trade channels, aligning cross-functional teams to enhance product access and profitability. Lead pricing, contracting, and execution while driving innovation for...

Drive efficiency and innovation in pharmacy operations, ensuring top-tier patient support and budget management. Collaborate cross-functionally to implement programs that enhance patient care and oper...

Unlock customer insights by leading analytics and product teams to enhance credit card strategies. Drive growth through innovative customer management and collaborate with executives to optimize portf...

Lead the charge in driving AI initiatives for claims operations, collaborating with stakeholders to enhance efficiency and client service. Own the product backlog and ensure alignment with measurable...

Lead the charge in managing operational risk within Protection Solutions and Savings & Investment. Collaborate with stakeholders to embed risk management practices, ensuring effective monitoring, miti...

Shape the future of clinical trials by expertly managing contracts, ensuring compliance, and improving timelines and communication with key stakeholders. Leverage your negotiation skills and industry...

Lead the charge in developing and scaling the product operating model, ensuring organizational effectiveness, agile execution, and strategic alignment. Collaborate across teams to foster a culture of...

Transform healthcare sales by leading a team of specialists to enhance physician referrals and imaging volume. Drive strategic initiatives, develop talent, and foster relationships to achieve sustaina...

Lead and optimize commercial operations to drive growth, enhance revenue strategies, and streamline processes. Collaborate with cross-functional teams to ensure effective execution of sales initiative...

Transform client experiences by driving complex absence implementations, acting as a strategic authority. Collaborate with stakeholders to ensure high-quality discovery, compliance, and successful onb...

Unlock potential by leading actuarial strategies that drive innovation and performance. Oversee a team, develop statistical models, and engage with regulators to ensure compliance and support business...

Lead the charge in delivering tailored surety bond solutions, managing complex client accounts with autonomy. Collaborate with clients and carriers to ensure compliance and execution quality while men...

Transform your career by partnering with teams to drive strategic growth through legal expertise in healthcare contracts, negotiations, and compliance. Collaborate with leadership to optimize performa...

Join a team that's dedicated to enhancing patient access through strategic design and management of support programs. Oversee vendor relationships and ensure compliance while driving initiatives that...

Oversee enterprise testing strategy for business transformation initiatives, ensuring solutions meet operational readiness and quality standards, while minimizing risk and disruption during deployment...

Optimize transformation readiness by leading enterprise testing strategies. Collaborate with key stakeholders to ensure business solutions meet operational needs, minimize risks, and validate readines...

Join a team that's dedicated to enhancing client satisfaction and profitability. As a key player, you'll manage client relationships, support sales processes, and ensure seamless communication between...

Drive successful delivery of complex, multi-year programs in a dynamic environment. Collaborate with cross-functional teams to manage scope, budget, and timelines while ensuring client satisfaction an...

Develop and manage continuing education programs, ensuring compliance with accreditation standards while driving healthcare innovation and enhancing educational offerings for professionals in the phar...

Join a team that drives operational excellence in population health, overseeing revenue cycle management, financial analysis, and strategic goal monitoring to enhance healthcare delivery and optimize...

Champion innovative solutions by analyzing complex general liability claims. Engage with clients across industries to ensure timely resolutions while leveraging a global network of experts for profess...

Analyze complex general liability claims to ensure timely resolution and compliance with industry standards. Collaborate with clients and vendors to deliver innovative solutions while managing litigat...

Help us manage diverse projects that drive strategic growth and collaboration across teams. As a key member of the EPMO, you'll ensure project success through effective stakeholder management and cont...