Director, Claims Operations Jobs in Philadelphia, PA

Lead and coordinate business development, customer relations, and quality management activities to enhance private pay services, ensuring operational excellence and growth in a dynamic healthcare envi...

Transform healthcare performance by leading integrated optimization programs that enhance clinical, operational, and financial outcomes for hospitals and health systems. Drive measurable results throu...

Unlock your potential as you structure and manage reinsurance programs, collaborating with cross-functional teams to ensure effective risk transfer and operational excellence in a dynamic environment...

Drive growth by identifying and securing new business opportunities in risk management and medical education. Collaborate with teams to develop proposals, manage sales pipelines, and ensure alignment...

Shape clinical quality and network management by leading a dedicated team to enhance provider relationships, ensure compliance, and drive performance improvement across the healthcare network. Engage...

Join a team that's dedicated to managing complex commercial liability claims. You'll negotiate settlements, investigate coverage, and ensure compliance while maintaining high standards in a fast-paced...

Advance sales growth by leading a dynamic team, implementing strategic plans, and enhancing client relationships in a fast-paced environment. Drive performance through coaching and collaboration with...

Unlock potential by managing complex commercial claims with a focus on resolution strategies and customer service. Collaborate with stakeholders to ensure timely outcomes while navigating regulatory l...

Champion transformative call center operations by leading strategic outreach, workforce management, and capacity planning. Drive efficiency and quality through innovative automation and AI solutions w...

Lead national forecasting initiatives by enhancing analytical capabilities, driving process improvements, and translating insights into actionable recommendations. Collaborate across teams to support...

Transform your career by leading underwriting teams, driving pricing strategies, and ensuring financial performance. Collaborate across departments to influence business growth and deliver sustainable...

Unlock innovative healthcare solutions by leading product strategy and lifecycle management for clinical programs. Collaborate across teams to enhance member experiences and drive business value while...

Elevate your career by leading strategic financial planning and analysis across diverse business units. Drive insights, enhance reporting processes, and partner with leadership to optimize decision-ma...

Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...

Shape the success of enterprise health systems by leading full implementations. Collaborate cross-functionally to manage project lifecycles, mitigate risks, and ensure smooth transitions to customer s...

Unlock operational excellence by leading multi-site Ambulatory Surgery Centers. Drive growth strategies, optimize performance, and foster strong partnerships with physician leaders while managing sign...

Unlock your potential by leading branch operations, driving strategic initiatives, and enhancing team performance. Collaborate with stakeholders to achieve financial goals while fostering a culture of...

Lead the charge in driving operational excellence and strategic enablement across global Inside Sales teams, enhancing commercial effectiveness and delivering exceptional client value through innovati...

Pioneer innovative strategies to drive growth and excellence in Personal Lines. Lead a dedicated team, align departmental goals with company objectives, and enhance client satisfaction while ensuring...

Shape the future of our enterprise data platform by leading product strategy, defining capabilities, and ensuring alignment across business and technology teams to deliver scalable, secure, and truste...

Develop innovative healthcare products by collaborating with cross-functional teams. Leverage your technical expertise to enhance platform capabilities and deliver impactful solutions that improve pat...

Engineer trusted, reusable data products by transforming architectural designs and business requirements into production-grade solutions. Collaborate with cross-functional teams to deliver innovative...

Analyze and settle insurance claims, ensuring compliance with policy provisions and applicable laws. Collaborate with stakeholders to evaluate claims, establish reserves, and communicate findings effe...

Help us drive growth as you lead a team focusing on Commercial Claims, enhancing key relationships and achieving sales objectives while managing strategic accounts and fostering talent development wit...

Partner with us to build a scalable sales operations framework across the Americas, enhancing forecast accuracy and pipeline management while fostering strong relationships with field leadership and d...