Director, Claims Operations Jobs in Philadelphia, PA

Join us to lead a team of clinicians in delivering superior results while managing inpatient utilization and population health initiatives. Drive clinical excellence by collaborating across business u...

Join a dynamic team to conduct medical case reviews, collaborate with healthcare professionals, and leverage your clinical skills to ensure appropriate patient care through evidence-based decision-mak...

Tackle new opportunities in the healthcare sector by driving sales and strategy. Engage with C-suite executives, implement effective sales policies, and analyze market trends to maximize revenue growt...

Transform regulatory operations by providing strategic leadership for global compliance and efficient processes across medical device labeling, reporting, and governance, while managing a skilled team...

Transform healthcare denials management by analyzing data and creating metrics, tracking trends, and identifying root causes. Collaborate across departments to enhance processes and ensure timely resp...

Empower product performance across multiple lines of business through strategic analysis, collaboration, and improvement initiatives, ensuring robust financial performance and compliance with regulato...

Lead the charge in enhancing service delivery operations, driving seamless new business onboarding and client transitions. Collaborate with multifunctional teams to uphold quality standards and foster...

Lead the growth of our Wrap-Up construction insurance portfolio by managing submissions, conducting underwriting analyses, and developing strategic market relationships. Foster team development while...

Join a team that's redefining market access through innovative data partnerships. Lead strategic collaborations, ensure data compliance, and drive insights that enhance decision-making and patient ser...

Lead the charge in managing client relationships and overseeing claims processing. Drive operational excellence through effective supervision of adjusters, ensuring compliance with best practices and...

Drive operational excellence by transforming data insights into actionable improvements. Lead cross-functional projects, manage strategic initiatives, and ensure accountability while embedding with bu...

Inspire excellence in clinical operations by leading a dedicated team, overseeing patient services, and enhancing care quality to improve quality of life for patients and families in hospice settings...

Architect a thriving Account Management function focused on buyer retention and value delivery. Your proactive outreach will foster strong partnerships, driving growth and innovation in the lead distr...

Elevate operational performance through strategic leadership and coaching. Drive growth, service stability, and accountability in a multi-unit service environment, ensuring sustained business improvem...

Elevate your career as a Program Manager focused on optimizing risk and compliance for vendor credentialing, enhancing processes and frameworks, and collaborating with cross-functional teams to ensure...

Champion innovative strategies and insights to enhance data science and AI communications, connecting internal projects with external trends to inform leadership and shape narratives in the dynamic he...

Drive impactful strategic communications by synthesizing external insights and translating them into actionable narratives for leadership, enhancing DSDH's alignment with industry trends in data scien...

Advance the development of domain data products by collaborating with key business leaders, defining product strategies, and leading cross-functional teams to create impactful data solutions for decis...

Transform the enterprise reporting landscape by leading cross-functional initiatives, developing performance dashboards, and establishing data infrastructure to enhance decision-making and drive impac...

Lead the charge in optimizing talent management and organizational effectiveness, serving as a strategic HR partner to senior leaders. Drive workforce planning and employee engagement initiatives that...

Lead and optimize ADML delivery for mid-market clients, ensuring client satisfaction and high-quality program management through strong expertise in claims and disability management. Mentor teams and...

Pioneer innovative training programs for audit teams, driving excellence in quality and compliance through comprehensive learning interventions that enhance performance and utilize cutting-edge AI too...

Drive superior service by managing and evaluating lost time workers' compensation claims, ensuring cost-effective resolutions while collaborating with stakeholders for best outcomes and continuous imp...

Pioneer innovative accounting solutions by leading cross-functional initiatives that enhance financial reporting, streamline processes, and support business growth through data-driven decision-making...

Take ownership of clinical operations for GI development programs, leading cross-functional teams to ensure timely, high-quality execution of Phase 1-3 trials while innovating scalable processes in a...