Director, Claims Operations Remote Jobs

Unlock operational potential by leading cross-functional initiatives, optimizing performance and enhancing efficiencies across multiple teams, contributing to strategic business goals through collabor...

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...

Accelerate growth by fostering partnerships and driving sales through the broker channel. Leverage established relationships in the Mid-Atlantic to enhance client engagement and achieve revenue target...

Advance provider network contracting by overseeing recruitment, compliance, and strategy development while leading a team to enhance business efficiency and financial performance across diverse market...

Collaborate to oversee and enhance key actuarial functions, providing insights and recommendations for Medicare ACOs. Manage resources, execute complex modeling, and mentor junior analysts to drive fi...

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

Drive strategic initiatives in fraud, waste, and abuse management while ensuring compliance with state and federal regulations. Lead investigations, develop educational resources, and maintain the int...

Elevate financial security by analyzing risk and underwriting proposals while fostering strong producer relationships. Collaborate across teams to ensure growth and exceptional customer service within...

Champion strategic leadership and operational excellence in our General Liability claims organization. Drive innovation, enhance service delivery, and empower a high-performing team while maintaining...

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...

Drive operational governance and strategic execution in Retirement & Wealth. Collaborate with leaders across risk, compliance, and technology to strengthen accountability, enhance operational effectiv...

Lead project teams to deliver high-quality outcomes on time and within budget. Collaborate with clients and internal teams to manage project scope, timelines, and communications, ensuring effective re...

Drive excellence in claims management by leading complex investigations, negotiating settlements, and managing a large inventory of claims. Elevate your career while ensuring compliance and building r...

Transform healthcare management by leading a team that ensures optimal utilization of services. Oversee review processes and improve care quality while fostering collaboration and adherence to complia...

Pioneer impactful strategies in value-based care operations, leading cross-functional initiatives and partnerships to enhance risk stratification insights and support practices in delivering sustainab...

Manage and enhance integrated care programs for dual eligible and LTSS models. Drive operational improvements, collaborate with stakeholders, and support strategic initiatives for efficient delivery o...

Shape the future of clinical operations by leading a team of nurses in delivering exceptional patient care, ensuring compliance, and fostering a high-performance culture in a dynamic specialty pharmac...

Help us optimize clinical operations by leading a team of nurses in delivering exceptional patient care and enhancing workflow adherence, quality, and compliance in a specialty pharmacy program...

Transform client relationships as you oversee account management, ensuring exceptional service delivery and retention while leading a dedicated team in a dynamic environment focused on growth and oper...

Elevate your career by leading and scaling a Revenue Operations practice. In this senior player-coach role, you'll manage a team while engaging directly with clients to deliver high-quality strategic...

Lead and optimize performance within the Out-of-State Medicaid function, driving operational excellence across teams to enhance client outcomes and achieve strategic revenue goals through effective le...