Director, Claims Operations Jobs in Philadelphia, PA

Optimize clinical documentation processes across facilities while ensuring regulatory compliance and enhancing reimbursement efficiency. Leverage your expertise in behavioral health and audit readines...

Help us shape compensation strategies that attract and retain top talent. As a Senior Compensation Partner, you'll collaborate with leaders to navigate complex compensation challenges and enhance our...

Drive the strategy for retirement and financial well-being products, overseeing funding, governance, and vendor management to enhance employee financial security and ensure sustainable outcomes across...

Reimagine client partnerships by managing complex relationships, driving performance, and leading recovery strategies. Collaborate with executives to ensure client success and identify growth opportun...

Champion data-driven decision-making by establishing a unified product metrics framework. Collaborate across teams to enhance product health insights, streamline reporting, and drive strategic initiat...

Transform your career by leveraging your clinical and coding expertise to defend appeals for healthcare claims. This role demands independent analysis, strong communication, and proficiency in AI tool...

Champion legal operations excellence by driving process improvements, metrics establishment, and AI integration to enhance workflow efficiencies and support the Legal team in dynamic, fast-paced envir...

Drive the resolution of complex Surety Claims through investigation, evaluation, and negotiation. Collaborate with internal and external resources while mentoring junior staff to ensure effective clai...

Transform client relationships by delivering exceptional service and support, ensuring seamless communication and issue resolution while collaborating with internal teams to enhance client satisfactio...

Shape the future of our strategic initiatives by leading high-impact projects that drive innovation and collaboration across teams. Partner closely with executive leadership to deliver measurable resu...

Champion best practices in vendor management with a focus on strategic sourcing, risk mitigation, and client relationship cultivation to drive operational excellence and maximum value across client en...

Unlock potential by leading data analytics for the U.S. Oncology market, transforming complex data into actionable insights. Collaborate with cross-functional teams to drive commercial performance and...

Champion innovative risk adjustment solutions by leveraging deep expertise to enhance payer and provider strategies. Collaborate with cross-functional teams to deliver impactful presentations and driv...

Empower a dynamic HR team by leading recruitment efforts and HR initiatives that enhance organizational success, ensuring compliance with employment laws and fostering employee development and perform...

Contribute to strategic commercial leadership for early oncology assets, assessing market dynamics and patient needs. Collaborate with cross-functional teams to shape development strategies and drive...

Drive the evolution of the Marketing PMO, enhancing planning, governance, and execution across functions. Lead strategic programs, optimize workflows, and establish metrics to ensure predictable outco...

Engage in managing global insurance programs, overseeing operations, and collaborating with stakeholders. Utilize strong analytical skills and insurance expertise to drive effective risk management an...

Lead the charge in optimizing warehouse operations, ensuring timely deliveries and exceptional service. Drive performance and efficiency in a fast-paced environment while managing logistics, inventory...

Join a team that's redefining scientific data management in drug discovery. Lead the scientific data team, bridging scientists and engineers to ensure data integrity, quality, and innovative solutions...

Lead the PL Product Development portfolio, driving execution from ideation to design. Collaborate with cross-functional teams to align strategic priorities, enhance product offerings, and ensure effec...

Lead the charge in transforming core insurance technology platforms, overseeing a large team while ensuring operational excellence and driving modernization from legacy systems to Guidewire solutions...

Drive strategic decision-making by evaluating investment alternatives and lifecycle opportunities. Collaborate with cross-functional teams to optimize portfolio value and support program planning thro...

Transform patient care by assessing clinical needs, coordinating services, and mentoring staff. Drive quality outcomes through effective communication and advocacy, ensuring a seamless continuum of ca...

Inspire the evolution of commercial systems, enhancing integration and automation across platforms like Salesforce and HubSpot. Drive AI adoption to streamline workflows, ensuring data integrity and r...

Lead the charge in managing client-facing security operations, overseeing a high-performing team, and acting as a trusted advisor. Drive incident response, tool management, and process improvement to...