Director, Claims Operations Jobs in Saint Louis, MO

Inspire quality healthcare outcomes by leading a team of clinicians to optimize member benefits, applying clinical knowledge for effective care coordination, and managing service authorizations with a...

Advance quality member outcomes by leading a team of clinicians to optimize resources and ensure adherence to medical policies while fostering a dynamic and adaptable workplace. Utilize clinical exper...

Transform fraud detection in healthcare by leading end-to-end investigations, coordinating legal support, and leveraging innovative technology to enhance operational integrity and compliance in our Me...

Transform the insurance landscape by connecting strategy with technology, driving innovative product development, and ensuring solutions meet evolving customer needs while collaborating with diverse s...

Contribute to enhancing casualty claims quality and consistency through thorough audits, performance evaluation, and process improvements. Collaborate with teams to uncover insights, ensure compliance...

Transform the disability claims landscape by leading strategic operations, enhancing customer experiences, and driving financial performance while ensuring compliance and operational excellence in a c...

Drive effective resolution of commercial general liability claims through risk transfer analysis, expert investigations, and strategic negotiation to ensure optimal outcomes and comprehensive coverage...

Manage ceded reinsurance processes, oversee claims accuracy, and facilitate team training while ensuring effective communication with leadership and IT to enhance reporting capabilities...

Unlock potential by leading business reporting and analytics strategies, ensuring effective execution of BI initiatives, managing product enhancements, and fostering impactful data-driven decision-mak...

Empower sales operations by managing processes, enhancing Salesforce integrity, and driving data insights to inform strategic decisions across the organization while fostering collaborative partnershi...

Strategize innovative protection solutions for the retail sector, collaborating with leading brands to enhance customer experiences. Drive product strategy and lifecycle management while fostering cro...

Join a team that's dedicated to enhancing medical management and quality improvements. Drive utilization initiatives, collaborate on care strategies, and support performance enhancements to provide ex...

Elevate your career by managing complex professional liability claims, emphasizing legal malpractice. This role requires you to assess risks, negotiate effectively, and ensure timely resolution strate...

Take ownership of key product initiatives within claims operations, driving system enhancements and process improvements. Collaborate with stakeholders to deliver innovative solutions that enhance bus...

Shape the future of sales by leading strategic development and execution for key brands. Drive revenue growth and team performance while managing P&L. Collaborate cross-functionally to innovate and en...

Empower clients by leading innovative health and benefits solutions, managing large-scale engagements, and enhancing client relationships. Contribute to evolving healthcare delivery while driving mark...

Drive transformative Workers' Compensation operations by leading a dedicated team in the oversight and enhancement of claims management, risk mitigation, and administrative processes to optimize outco...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Take ownership of managed care contracting strategies for specialty practices, enhancing payer relationships and ensuring optimal reimbursement performance while navigating a complex healthcare enviro...

Advance our business strategy by leading the analysis and implementation of technology solutions. Collaborate with vendors and stakeholders to streamline processes, derive insights, and drive efficien...

Elevate compliance standards by implementing a robust financial framework, partnering with cross-functional teams, and driving a culture of control excellence for a scaling healthcare technology compa...

Shape the future of healthcare by leading our nationwide Post-Acute Care Utilization Management team, ensuring compliance and optimal member outcomes through strategic oversight and team development...

Shape the future of digital strategy by driving enterprise-wide innovation. In this leadership role, you will connect customer needs with business priorities, leveraging AI and personalization to enha...

Elevate your career by leading digital product strategy across a dynamic portfolio. Drive alignment, enhance cross-channel experiences, and foster an innovative culture to deliver meaningful results f...

Lead the charge in driving operational excellence within the Neurology Business Unit, ensuring data-driven decisions enhance client and patient services while supporting sustainable growth and complia...