Director, Claims Operations Remote Jobs

Take ownership of EPMO operations, leading project management teams to ensure successful delivery of enterprise projects. Foster efficiency through established operational standards and continuous imp...

Drive transformative automation in claims operations, enhancing efficiency and member experience. Lead cross-functional teams to design AI-driven workflows, optimize processes, and ensure operational...

Empower a high-performing remote team as you oversee provider data management and credentialing frameworks. Drive strategic initiatives and optimize infrastructure to ensure accurate, compliant provid...

Join us to lead strategic operations for a dynamic team, driving efficiency and process improvements. You will oversee budgeting, staff development, and policy changes, ensuring alignment with broader...

Shape the future of data operations by leveraging AI to unify and analyze operational data, drive problem management practices, and enhance decision-making across technical teams, ultimately ensuring...

Lead the charge in scaling enterprise growth through effective pipeline management, process optimization, and cross-functional collaboration. Drive meeting generation and support a team focused on ach...

Lead a talented team of analysts to deliver high-quality, scalable data solutions and reporting that drive value for key business stakeholders. Engage with senior leadership to prioritize projects and...

Unlock potential by leading strategic operations in process improvement and customer service. Oversee cross-departmental initiatives, streamline workflows, and enhance service delivery while fostering...

Pioneer your career by leading global financial operations, driving efficiency in AP, AR, and revenue processes while ensuring regulatory compliance and operational excellence across cross-functional...

Champion a team of Claim Specialists, guiding complex claims processes, monitoring trends, and implementing strategies to optimize claims management in alignment with departmental objectives and regul...

Reimagine operational excellence by leading the General Liability program, ensuring alignment in client service, analytics, and strategic initiatives to drive high-quality claim outcomes and foster lo...

Unlock potential by leading the Remote RN Triage service line, enhancing patient care and operational efficiency. Manage a dedicated team, oversee compliance, and drive continuous improvement in a fas...

Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...

Manage and oversee the operational framework of rebate contract processes, ensuring efficient data flow, optimization, and compliance across various stakeholders while enhancing contract performance a...

Champion your career as you provide clinical leadership and strategic guidance across medical management functions, driving innovation and efficiency while partnering with cross-functional teams for e...

Join us to lead centralized production operations, optimizing efficiency and governance. Drive continuous improvement, performance metrics, and stakeholder engagement to ensure operational excellence...

Advance your career by driving strategic program management for profitability, growth, and execution. Collaborate with cross-functional teams to optimize operations while ensuring strong relationships...

Take ownership of clinical programs, enhancing services and client relationships while leading a team to optimize pharmaceutical utilization and ensure operational excellence in a fast-paced healthcar...

Develop and implement audit programs to ensure payment integrity while guiding compliance processes to align with state and federal regulations, enhancing overall operational efficiencies through stra...

Lead the charge in agile delivery management, guiding cross-functional teams to achieve high-impact technology outcomes. Foster a culture of collaboration, drive continuous improvement, and deliver me...

Shape the future of healthcare by driving sales growth through strategic territory management, developing client relationships, and collaborating cross-functionally to cultivate successful client inte...

Transform healthcare delivery by leading medical directors and driving strategic initiatives, ensuring quality care and optimal outcomes for members while overseeing operational management and complia...

Shape the future of clinical operations by managing and enhancing cardiology services. Oversee implementation, quality management, and staff performance while supporting sales through site assessments...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Join a dynamic team as you manage complex high-value property claims, driving negotiations and resolutions. Use your expertise to provide exceptional customer support while ensuring compliance with re...