Director, Claims Operations Jobs in Princeton, NJ

Lead the negotiation and management of provider contracts, ensuring compliance with healthcare regulations. Collaborate with teams to develop innovative payment models and expand network access to enh...

Drive financial integrity by overseeing billing, grant compliance, and reporting. Lead a dedicated team to manage invoicing, budgets, and audits while ensuring adherence to regulatory standards and ma...

Drive operational excellence by leading a 150+ member team, optimizing workflows, and enhancing member experiences through strategic program development and data-driven insights...

Join our North America Claims team as a Subrogation Claims Specialist, managing complex claims and driving recovery efforts. Utilize your expertise to identify opportunities, negotiate settlements, an...

Drive the acquisition and usability of clinical data to enhance healthcare outcomes. Collaborate with diverse teams to analyze data gaps, implement integrations, and optimize processes, ensuring timel...

Shape high-impact growth in retail partnerships by overseeing field operations, driving application volume, and enhancing point-of-sale conversion rates. Collaborate with teams to optimize strategies...

Champion client onboarding excellence for financial partners by leading a results-driven team to enhance operations and ensure compliance. Collaborate cross-functionally to optimize processes and elev...

Design and deliver impactful training programs to enhance sales capabilities, ensuring alignment with corporate objectives. Collaborate with cross-functional teams to drive effective onboarding and co...

Empower our strategic initiatives by leading high-impact projects and enhancing portfolio governance. Collaborate with executives to prioritize and deliver measurable outcomes while driving adoption a...

Drive enterprise Quality and Regulatory governance for U.S. operations, ensuring compliance with FDA regulations and overseeing manufacturing quality in the therapeutic radiopharmaceutical sector whil...

Engage in direct supervision of shift supervisors, ensuring high-quality service delivery and compliance with regulations. Collaborate with the Program Director to oversee operations, building mainten...

Transform operations by leading a dedicated team, ensuring high-quality service delivery, compliance with regulations, and effective crisis intervention. Collaborate with various stakeholders to enhan...

Transform operations by supervising staff, ensuring compliance, and enhancing client services. Drive quality service delivery through training, documentation, and effective crisis intervention while m...

Shape the future of pharmacy network operations by leading a team of attorneys, providing strategic legal counsel on regulatory, operational, and transactional matters within the PBM landscape, while...

Transform financial services by leading complex banking operations and technology projects. Collaborate with clients to enhance performance, drive innovation, and shape a new practice within a dynamic...

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

Unlock the potential of enterprise learning by leading a dynamic training function. Collaborate with cross-functional teams to design and implement effective onboarding and development programs that a...

Manage the planning and execution of CMC operations across multiple development programs, ensuring alignment with regulatory milestones and efficient collaboration with cross-functional teams and CDMO...

Lead the charge in private market operations, executing fund activities and client services while developing scalable processes across teams. Enhance workflow designs and manage cross-functional proje...

Drive revenue cycle optimization by enhancing Epic Professional Billing workflows, collaborating with stakeholders, and resolving claims challenges to improve overall operational efficiency and ensure...

Join a dynamic sales team to drive revenue growth by identifying and closing opportunities within a diverse account territory. Leverage consultative selling skills to build lasting relationships and e...

Join a dynamic claims team to manage complex Employer's Liability claims, investigating and resolving issues while collaborating with internal stakeholders and external partners in a fast-paced and im...

Elevate your career by managing complex Employer's Liability claims, driving resolutions through expert investigation, negotiation, and collaboration across stakeholders in New York and Illinois for a...

Drive operational excellence at a leading agency by overseeing project management, enhancing team collaboration, and implementing best practices to ensure successful delivery of client campaigns acros...

Unlock potential by joining a dynamic team as a Workers’ Compensation Claims Specialist. Leverage your expertise to investigate, resolve, and manage claims while ensuring compliance and delivering exc...