Director, Claims Operations Remote Jobs

Drive rebate optimization strategies and enhance formulary compliance to maximize corporate revenue. Lead collaboration with pharmaceutical manufacturers and clients while leveraging advanced analytic...

Pioneer operational excellence and governance in a dynamic clinical environment, overseeing site contracts, budgeting, and payment accuracy. Lead a high-performing team to drive digital transformation...

Transform state strategies by leveraging data insights, driving financial planning, and collaborating with cross-functional teams to enhance product performance and achieve P&L objectives in the Perso...

Elevate clinical data quality as a key leader in trial execution. Oversee data management deliverables, process optimizations, and compliance within cross-functional teams to support clinical developm...

Empower growth in pharmacy solutions by leading strategy and execution, driving innovation and market expansion while enhancing financial performance and building effective partnerships to meet organi...

Drive market expansion as a commercial leader, building relationships and delivering revenue growth while establishing a strong presence in the healthcare community and executing strategic plans align...

Pioneer new business lines in a fast-growing consumer market. Drive strategies from concept to revenue, collaborating across teams. Embrace hands-on operation to scale innovative solutions that levera...

Shape the future of media strategy by managing programmatic and direct media initiatives, fostering client relationships, and collaborating with cross-functional teams to drive impactful results acros...

Drive efficient resolution of provider production incidents and manage cross-functional workflows. Collaborate with technology and business teams to identify root causes and monitor issue status, ensu...

Lead the charge in building a robust implementation framework, optimizing client launches, and enhancing project management practices to ensure seamless operations and superior service delivery across...

Accelerate strategic initiatives by aligning cross-functional teams and driving growth from concept to execution. Leverage AI tools to optimize operations while fostering collaboration across division...

Lead and shape change management strategies that drive successful transformation outcomes across various commercial initiatives, ensuring effective stakeholder engagement and adoption across the organ...

Serve as a registered Principal focused on reviewing business social media profiles, ensuring compliance with regulatory standards. Collaborate across disciplines to enhance supervisory practices and...

Pioneer innovative healthcare solutions by bridging technology with strategic business needs. Lead cross-functional teams to shape high-impact concepts and guide emerging opportunities that align with...

Shape operational excellence by owning the annual operating plan, leveraging data for informed decision-making, and collaborating with senior leaders to enhance performance and efficiency in a high-im...

Shape the future of healthcare finance by managing contracts in Epic, recovering underpayments, and collaborating with teams to refine reimbursement strategies for hospital and ASC operations...

Unlock potential by leading the development and oversight of innovative commercial insurance programs within the mobility sector. Collaborate cross-functionally to ensure effective delivery and compli...

Lead the charge in designing reusable data products, transforming institutional data into a secure and scalable analytics foundation. Collaborate across functions to establish standards and practices...

Explore the complexities of claim resolution as you evaluate coverage, assess exposures, and collaborate with diverse stakeholders to ensure compliant, timely outcomes that support member needs in a d...

Transform category management initiatives into strategic growth drivers across acquisition, retention, and new treatment launches, leveraging cross-functional partnerships to maximize P&L effectivenes...

Drive high-impact email and CRM campaigns while leading a dynamic team. This role demands hands-on execution, strategic oversight, and expertise in Salesforce Marketing Cloud to optimize customer jour...

Transform claims management by delivering expert evaluation and resolution for complex MPL and General Liability claims, ensuring exceptional service for policyholders through meticulous investigation...

Join us to provide strategic sales and technical guidance in advanced insurance planning, enhancing our value proposition while driving growth in life insurance and annuities through collaboration wit...

Unlock the potential of actuarial solutions through technology as you design and operationalize advanced models, bridging actuarial insights with executive-level business strategies to drive impactful...

Join a team that's focused on expanding and managing dental provider networks, enhancing relationships with Dental Support Organizations while ensuring compliance and operational efficiency. Drive gro...