Director, Claims Operations Jobs in Philadelphia, PA

Lead impactful projects that improve global health outcomes. Engage with diverse stakeholders while mentoring your team. Drive vital improvements in health equity, quality, and population health throu...

Shape the future of complex healthcare technology contracts by leading governance improvements, optimizing workflows, and advising stakeholders to balance business growth with risk management across t...

Lead the charge in advancing pricing strategy and profitability across the portfolio. Collaborate with actuarial and underwriting teams to enhance analytical solutions that drive business growth and s...

Take ownership of innovative customer data products that enhance payer, HCP, and engagement strategies. Drive product vision, roadmap, and performance while collaborating across teams to deliver scala...

Lead the charge in developing and executing a strategic data roadmap, collaborating with business and technology teams to enhance data insights and solutions that drive business outcomes while promoti...

Elevate client satisfaction by managing employee benefits accounts and developing tailored coverage strategies. Collaborate with team members to respond to inquiries, maintain accurate records, and su...

Lead the charge in developing and implementing pricing and contracting strategies, ensuring sustainable patient access while optimizing revenue across multiple channels within a dynamic pharmaceutical...

Accelerate patient care by leading case management practices across multiple facilities, ensuring compliance with standards and developing impactful quality programs. Collaborate with team members to...

Join a team that's advancing healthcare by owning the Quality Management System for a regulated medical device program, driving design controls, V&V strategies, and risk management while ensuring comp...

Join a dynamic team as you lead complex actuarial projects, manage health policy, and collaborate on innovative solutions within government services, while mentoring future actuaries in a technology-d...

Elevate provider experiences by managing onboarding and training for a growing therapy network, ensuring operational efficiency and high-quality support while fostering cross-functional collaboration...

Take ownership of translating product visions into actionable requirements. Collaborate across teams to refine priorities and ensure successful launch of software solutions while maintaining a strong...

Shape the future of compensation programs by leading initiatives in job evaluation, market analysis, and compliance. Manage incentive structures and develop strategic compensation solutions while coll...

Join us to lead and scale innovative contracting operations for Advisory Solutions. Collaborate with leadership to ensure efficient processes while mentoring your team and improving workflows that dri...

Drive operational excellence as a trusted advisor, managing high-impact client accounts to translate complex data into strategic insights, guiding executive decision-making, and fostering client relat...

Drive transformational change by managing a national enterprise SaaS account portfolio. Engage deeply with customers in the CX and Contact Center industries to optimize performance through AI and ML t...

Unlock your potential by leading the implementation of a global clinical talent strategy aimed at enhancing efficiency, compliance, and quality in healthcare delivery. This role involves collaboration...

Join a team that's committed to enhancing patient care through effective management of a diverse clinical team. Lead initiatives, collaborate with care providers, and ensure quality service delivery w...

Grow enterprise relationships by leading post-sale success and driving outcomes for major accounts, enhancing onboarding, renewals, and multi-location expansions with a strategic, collaborative approa...

Inspire and lead a talented software development team, ensuring seamless integrations and timely delivery of high-quality solutions that meet business needs and drive innovation across various departm...

Bring your expertise to a dynamic team as you lead high-impact medical content development. Collaborate cross-functionally, mentor talent, and strategize with clients to enhance medical education and...

Collaborate with stakeholders to drive innovation and explore high-potential solutions within the GRS business. Design and incubate new insurance products, enhancing strategies aligned with evolving m...

Advance business growth by driving new sales and nurturing existing accounts. Collaborate with teams to exceed client expectations and financial targets while fostering a competitive sales culture and...

Join a dynamic team focused on driving business success through new client acquisition and account growth. Leverage your networking skills and sales expertise to build strong relationships and achieve...

Build and lead US Payer Analytics to transform data into strategic insights, optimizing patient access. Collaborate with cross-functional partners to influence strategy and enhance commercial performa...