Director, Claims Operations Remote Jobs

Lead the development of comprehensive payer strategies, managing relationships, contracts, and performance to support sustainable growth and optimal reimbursement in a complex healthcare environment...

Transform data management by owning the strategy for a scalable Data Platform, facilitating cross-team collaboration, and enhancing the self-service analytics experience to unlock organization-wide in...

Unlock potential by leveraging your data science expertise to innovate generative AI solutions. Lead cross-functional collaborations, build evaluation frameworks, and drive best practices within a dyn...

Lead and manage a dynamic Knowledge Management team to enhance client support. Drive collaboration, optimize knowledge assets, and ensure high service quality while fostering team development and cont...

Lead the charge in executing core sales operations tasks, enhancing Salesforce, and driving KPIs. This hands-on role transforms strategic decisions into effective operations, ensuring data integrity a...

Join our team to utilize your extensive clinical expertise in reviewing complex Medicare drug appeals while ensuring compliance and quality care for members. Collaborate with interdisciplinary teams t...

Help us drive innovative product strategies in patient services, focusing on access, adherence, and affordability. Lead cross-functional teams to translate business needs into impactful technology sol...

Support the strategic development and execution of Medicare growth initiatives, guiding teams in product strategy, competitive analysis, and bid management to drive profitable growth and successful ma...

Drive excellence in vendor management by developing strategic partnerships, optimizing performance, and ensuring compliance. Lead operational oversight, foster relationships, and mitigate risks for su...

Advance biopharma account growth by leading strategic proposals, fostering collaboration, and developing comprehensive customer insights. Drive innovative accounts development initiatives in a dynamic...

Shape the future of business development by leading strategies, conducting analyses, and collaborating with cross-functional teams to support growth initiatives and enhance proposal management efforts...

Lead the charge in transforming multi-store operations across a broad region, ensuring profitability, high customer satisfaction, and operational excellence while collaborating with managers to achiev...

Lead the charge in enhancing our pre-bill DRG review program, ensuring coding integrity and compliance while imparting expert training to elevate staff competencies and collaborative efforts in revenu...

Elevate clinical coding standards by managing the coding process for adverse events and medications, ensuring accuracy, consistency, and compliance. Collaborate with cross-functional teams to develop...

Lead digital marketing strategies for a diverse client portfolio, enhancing relationships and driving successful campaigns. Collaborate with cross-functional teams to ensure timely execution and optim...

Join us in shaping the future of healthcare operations by ensuring provider network accuracy and compliance. Leverage your expertise in claims analysis and enhance operational efficiency while collabo...

Join a dynamic team to provide advanced actuarial analysis, support pricing models, and lead complex projects across health programs to drive financial forecasting and strategic business decisions...

Empower a dynamic team in managing client delivery, enhancing project success, and driving continuous improvement while fostering exceptional client relationships across global clinical trial operatio...

Unlock potential by strategically leading revenue cycle management operations, enhancing compliance, and ensuring financial performance across clinical research environments, while fostering team deve...

Transform financial processes and enhance strategic alignment across business units, driving operational excellence & improved reporting standards while engaging with executives to communicate key fin...

Lead the charge in driving growth and innovation for life sciences learning solutions. You'll develop and execute business strategies, enhance client engagement, and modernize product offerings within...

Unlock growth at the forefront of client success by managing portfolios, driving revenue, and delivering exceptional consulting services in a fast-paced environment. Collaborate with stakeholders to a...

Drive cybersecurity strategy and governance for enterprise transactions, overseeing a global team to manage risks impacting valuation. Lead due diligence, integration, and compliance while enabling se...

Accelerate progress at a leading BPaaS firm by providing strategic legal counsel, drafting and negotiating complex agreements, and ensuring compliance with regulatory standards in a dynamic, fast-pace...

Unlock potential by leading diverse teams of claims professionals, ensuring effective operations and exceptional service delivery for clients across various industries while promoting growth and proce...