Director, Claims Operations Jobs in Philadelphia, PA

Elevate member care by overseeing utilization management and evaluating treatment appropriateness. Collaborate with multidisciplinary teams, ensuring compliance with clinical standards and regulations...

Drive new logo acquisition and revenue growth in the healthcare sector by leading complex sales processes, building executive relationships, and collaborating with cross-functional teams to deliver ta...

Lead daily operations in production and maintenance, ensuring efficiency, safety, and compliance with regulations while fostering a culture of continuous improvement and teamwork...

Drive excellence in client care by managing staff, enhancing service delivery, and building strong relationships with clients and caregivers. Lead strategic initiatives to ensure compliance and financ...

Join a team that's dedicated to ensuring product safety through medical oversight, adverse event review, and ongoing safety surveillance. Collaborate cross-functionally to manage safety issues and mai...

Shape the future of market access analytics by leading payer insights and reporting. Collaborate with cross-functional teams to translate complex data into strategic guidance, enhancing access strateg...

Elevate your career by leading payer sales strategy and team development, driving new business opportunities in healthcare technology. Collaborate with executives to enhance performance and deliver im...

Lead the charge in executing multi-channel projects while fostering collaboration among teams. Your strategic oversight ensures timely, budget-conscious delivery and propels program success in fast-pa...

Optimize client relationships and insurance solutions as you manage a diverse portfolio of commercial accounts. Leverage your expertise to drive growth, ensure compliance, and deliver exceptional serv...

Transform claims operations as you empower clients by driving adoption of innovative solutions, optimizing processes, and enhancing business outcomes in the First Party Casualty landscape across vario...

Elevate your career by leading strategic ambassador and lifecycle programs. Drive enrollment growth through innovative engagement strategies while managing a dynamic team. Collaborate cross-functional...

Shape strategic media relations to enhance visibility and reputation. Tackle complex issues impacting business goals while serving as a spokesperson. Drive integrated communication strategies across v...

Shape the future of client onboarding by leading implementation processes, ensuring satisfaction, and driving best practices in a dynamic environment. Collaborate with teams to enhance client experien...

Deliver impactful reporting solutions by translating measurement needs into actionable requirements, managing backlogs, and collaborating with cross-functional teams to ensure effective execution and...

Lead operational excellence within the Customer Success teams, driving impactful programs that enhance performance and efficiency while fostering collaboration across cross-functional teams in a dynam...

Empower organizational growth by leading the People Business Partner team, translating business strategies into effective workforce and talent priorities, and enhancing leadership effectiveness across...

Drive strategic innovation in early-portfolio alliance management, fostering collaborations to advance oncology projects from discovery through clinical stages. Collaborate with diverse teams to ensur...

Optimize product operations by bridging teams and enhancing workflows. Drive efficiency and collaboration within a high-impact environment, ensuring seamless communication and documentation to acceler...

Unlock your potential by owning complex reinsurance billing processes, collaborating with teams, and driving improvements in efficiency and accuracy. This role requires independent judgment and expert...

Shape the future of seasonal influenza operations by leading cross-functional teams to ensure seamless execution across all channels, from demand planning to delivery. Drive strategic initiatives and...

Elevate your career as a Product Owner, driving Agile execution and roadmap development for Retirement and Government Savings programs. Collaborate with teams to prioritize backlogs, engage customers...

Unlock potential by leading a diverse marketing team to drive strategic initiatives for a multi-billion-dollar healthcare portfolio, ensuring market access and innovative solutions for patients and he...

Lead a high-performing team to execute market access strategies, optimize payer engagement, and enhance product positioning. Drive collaboration across stakeholders to ensure effective reimbursement a...

Lead and innovate in Enterprise Fraud by defining product strategy and technology integration. Drive cross-functional collaboration and deliver scalable solutions to enhance prevention, detection, and...

Transform clinical operations by leading a dedicated team to enhance patient care, ensure compliance, and drive quality improvement initiatives across multiple practice sites, fostering a culture of e...