Director, Claims Operations Jobs in Philadelphia, PA

Join our team to protect sensitive information by monitoring security systems, investigating incidents, and implementing improvements in a 24/7 environment while collaborating with IT teams to manage...

Empower your career by owning our Real-Time Prescription Benefits product roadmap. Collaborate with Engineering, Compliance, and Clinical teams to ensure accurate benefit checks, guiding prescribers a...

Shape the future of healthcare by leading product innovation and strategy for a top-tier Quality product line, ensuring market excellence and customer satisfaction through AI-driven solutions and cros...

Pioneer IT and business enablement through strategic leadership and hands-on execution. Drive application strategy, data governance, and vendor management while ensuring alignment with clinical-stage...

Lead the development and implementation of impactful training strategies that enhance field performance and drive business outcomes within the TTR franchise while collaborating cross-functionally with...

Drive clinical oversight and management of ECM teams to ensure quality care addressing medical, behavioral health, and social needs for clients, while collaborating with care teams and leading perform...

Join a dynamic team to manage property claims, ensuring exceptional service and compliance. Collaborate with experts to investigate and resolve claims, while providing essential support during catastr...

Champion customer success by leading a dynamic team of managers to drive performance, develop talent, and ensure exceptional client experiences through proactive risk management and consistent operati...

Create innovative clinical claims logic in a high-autonomy role, driving payment integrity across multiple care settings. Engage deeply in research, author new policies, and validate concepts through...

Lead the strategic development and execution of comprehensive marketing programs, driving growth and client retention. Collaborate with teams to enhance brand presence and optimize marketing effective...

Accelerate progress at client satisfaction by serving as a strategic advisor, fostering key relationships, and driving improvements to optimize revenue cycle outcomes. Engage cross-functionally to enh...

Collaborate with a dedicated team of physicians to ensure high-quality inpatient care through clinical expertise, thorough reviews, and utilization management. Advance patient outcomes by utilizing st...

Lead a high-performing team to enhance customer experience, drive sales, and implement strategic initiatives in a retail environment. Foster growth through coaching and development while maintaining o...

Elevate your career by driving product vision and strategy as a key stakeholder. Collaborate with Agile teams, define user stories, and optimize product backlogs to deliver exceptional value while mee...

Contribute to operational excellence by leading multiple senior living communities. Drive growth, enhance resident satisfaction, and mentor teams while maintaining regulatory compliance and strong fin...

Join a team that's reshaping marketing planning and operations. As a key leader, you will drive strategic alignment, enhance budget management, and streamline cross-functional workflows. Influence ini...

Join a dynamic team to drive client success in revenue cycle management, ensuring service excellence and strategic growth. Collaborate with leadership to enhance client metrics and foster long-term, i...

Shape legal strategies by researching and drafting motions, briefs, and appeals, while collaborating with seasoned attorneys on property subrogation and litigation cases to deliver impactful legal arg...

Take ownership of a diverse portfolio of Executive Benefits accounts, acting as the primary point of contact for clients and partners, while delivering tailored solutions and enhancing overall custome...

Build impactful contracting processes by providing strategic legal support throughout the contracting lifecycle. Collaborate with business partners and drive efficiencies in an innovative, hybrid role...

Drive quality intelligence and causal analysis initiatives to enhance audit quality and risk management. Lead data-driven insights that shape strategic decisions and support continuous improvement acr...

Lead the charge in transformative AI initiatives, collaborating with senior leadership to deliver impactful projects from diagnosis to deployment, driving value across the organization through innovat...

Empower product understanding and adoption through clear messaging and strategic go-to-market execution. Collaborate across teams to drive initiatives that elevate product positioning, enhance custome...

Lead the charge in patient advocacy by ensuring continuity of care through collaboration with healthcare teams. This role prioritizes patient needs across various demographics, enhancing service deliv...

Lead the charge in driving profitable growth and market share in the Midwest. Collaborate with sales leaders and independent agents to achieve sales targets while fostering a culture of talent develop...