Director, Claims Operations Jobs in Philadelphia, PA

Deliver impactful audit and compliance management for North America Claims by enhancing quality frameworks, overseeing assessment programs, and improving operational performance to elevate claims hand...

Lead the charge in overseeing and enhancing claims systems operations, ensuring compliance, performance, and support for your team while actively engaging in system configurations and issue resolution...

Manage and evaluate complex casualty claims, guiding junior adjusters and ensuring compliance with legal frameworks. Utilize expertise in New York Labor Law and collaborate across teams to uphold best...

Unlock potential by leading high-performing teams in biopharma operations, ensuring GMP compliance and strategic project success. Drive efficiency and innovation in drug product manufacturing while fo...

Join a team that's redefining claims management, overseeing complex claims and guiding junior staff. You'll ensure fair outcomes while managing relationships with TPAs and maintaining data accuracy in...

Take ownership of clinical trial operations, ensuring execution within budget and compliance. Lead cross-functional teams, manage timelines, develop SOPs, and mentor staff to deliver results and maint...

Shape transformative operational strategies by leading process standardization and performance optimization, ensuring impactful service delivery through cross-functional collaboration and innovative s...

Transform healthcare navigation through analytical insights and hands-on clinical support. Drive optimal member outcomes by collaborating with cross-functional teams while enhancing best practices in...

Engage with clients as a trusted advocate, fostering strong relationships, identifying opportunities, and delivering innovative solutions within the commercial Property & Casualty insurance sector...

Optimize marketing strategy to elevate our presence in healthcare AI. Lead cross-functional initiatives to generate impactful content, drive revenue growth, and establish Qualified Health as the trust...

Elevate your career by leading underwriting performance strategies for a top Fortune 20 company. Drive insights and optimization while fostering relationships ensure competitive claims experience and...

Redefine the future of surety claims as a Senior Counsel. Engage directly with legal teams, clients, and management to strategically resolve complex claims, manage litigation, and oversee performance...

Drive operational excellence in medical record management; collaborate with teams to enhance retrieval processes and support audits. Utilize strong analytical skills to drive insights, ensuring compli...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Join a team that's driving transformative decisions in claims management by leading analytical initiatives that enhance financial outcomes and improve processes. Inspire a culture of critical thinking...

Join a team that's transforming strategic delivery excellence. Drive the design and execution of enterprise-level initiatives while developing the next generation of delivery leaders. Your impact shap...

Pioneer innovative approaches in healthcare network management, leading initiatives in provider relations, quality outcomes, and strategic growth. Collaborate with diverse teams to enhance operational...

Transform the management of complex liability claims by overseeing high-value cases across the U.S., fostering collaboration, and ensuring compliance with best practices within a dynamic and innovativ...

Transform service delivery strategy to enhance customer experience and operational efficiency. Collaborate across departments to develop innovative solutions, optimize performance, and drive sustainab...

Lead the charge in transforming health plan operations by assessing current technologies, crafting future-state roadmaps, and building business cases that streamline processes and enhance operational...

Advance your career as a Data Product Owner, collaborating between underwriting and data teams to define and deliver critical data solutions and reporting. Ensure clarity of requirements and foster st...

Drive success by leading a team managing casualty claims, enhancing coverage strategies, and promoting best practices while fostering strong partnerships and nurturing talent for professional growth...

Empower client relationships, drive revenue growth, and enhance satisfaction while collaborating closely with teams to deliver exceptional service and execute strategic account plans effectively...

Take ownership of complex commercial claims management, ensuring efficient resolution strategies while delivering exceptional service to clients and stakeholders. Contribute to team success through ex...

Transform the data landscape by leading a new data governance initiative. Collaborate with cross-functional teams to ensure data assets are accessible, trustworthy, and compliant. Drive standards and...