Director, Claims Operations Jobs in Philadelphia, PA

Champion compliance excellence by leading innovative technology integration and regulatory strategies across Medicare Advantage and Part D channels, ensuring seamless operations and enhanced agent eff...

Engage in developing impactful training programs for new and existing staff, enhancing clinical knowledge and sales performance. Collaborate with teams to ensure compliance and effectiveness in traini...

Join a team that's redefining communications design by leading innovative planning initiatives, ensuring excellence in client deliverables, and fostering collaboration across teams to drive impactful...

Transform clinical quality by supporting training initiatives, monitoring clinician performance, and ensuring compliance with quality standards for successful operational processes and clinician suppo...

Transform complex challenges into actionable strategies as a Product Owner, driving the vision for small commercial quote navigation. Collaborate cross-functionally to enhance agent experiences and op...

Champion the growth of strategic travel partnerships by leading enterprise sales efforts, securing high-value accounts, and leveraging modern sales frameworks to drive commercial success in a fast-pac...

Manage the end-to-end onboarding of clients, ensuring exceptional outcomes through strong relationships, effective project management, and data analysis in a fast-paced, high-growth environment...

Shape the future of operations by leading a dynamic team to enhance service delivery, streamline processes, and drive performance excellence in a fast-paced environment. Collaborate with management to...

Transform safety culture by developing and implementing comprehensive policies, ensuring compliance and engagement across all levels, while analyzing data to drive continuous improvement and support e...

Champion quality control and operational risk management by executing reviews, identifying issues, and collaborating with senior leadership to enhance processes and controls in a dynamic financial ser...

Build and scale the Partner Operations function, turning complexity into leverage by designing systems and processes that enhance partnerships and align with revenue goals for measurable impact and st...

Advance product strategy and innovation by leading cross-functional teams to drive the vision, roadmap, and delivery of shared commercial platforms, ensuring alignment with business priorities and tec...

Transform safety standards across diverse US field operations. Lead, coach, and implement effective safety programs while ensuring compliance and risk management in complex environments. Drive account...

Drive governance and controllership for LTC actuarial models, ensuring compliance and effective controls. Collaborate with cross-functional teams to enhance processes and documentation, supporting mod...

Tackle comprehensive project management for onboarding HME providers, driving digital transformation across healthcare. Collaborate strategically, enhance platform adoption, and leverage data insights...

Engage with healthcare providers to optimize reimbursement processes and patient support. Build strong relationships while delivering education on insurance coverage and claims assistance. Travel requ...

Transform organizational operations by leading strategic initiatives, enhancing program compliance, and driving growth. Collaborate with stakeholders to optimize resources and ensure effective service...

Lead the charge in enhancing resident care and community operations, ensuring compliance with regulations while managing budgets and fostering relationships to drive admissions and community engagemen...

Empower our claims team by managing reinsurance claims with precision and integrity. Collaborate across departments to ensure compliance, enhance operational efficiency, and deliver exceptional servic...

Lead the charge in shaping a skills-powered talent ecosystem, driving strategy and governance for enterprise skills and talent marketplace initiatives that enhance workforce planning and career growth...

Join a team that's dedicated to enhancing underwriting excellence through analytics and innovation. Lead a skilled group of underwriters, manage complex cases, and collaborate across teams to improve...

Drive impactful MSSP valuation and reserving, shaping healthcare's future through data-driven insights and cross-functional collaboration, ensuring financial clarity and supporting physician partners...

Lead the charge in delivering complex federal digital services programs, ensuring strategic direction, operational excellence, and strong customer relationships across multidisciplinary teams while ma...

Champion workforce transformation by connecting strategy to execution, driving change, and building scalable mechanisms for talent planning and movement. Collaborate with leaders to enhance organizati...

Unlock potential as a mid-level actuarial analyst, applying statistical techniques to enhance insurance pricing, claims analysis, and profitability studies while progressing through the Actuarial Exec...