Director, Claims Operations Jobs in Saint Louis, MO

Lead the charge in client service excellence by managing relationships, coordinating projects, and implementing solutions for successful FWA program operations. Collaborate internally and externally t...

Transform the Claims Domain testing process by leading strategic test planning, ensuring quality, and fostering collaboration with teams. Leverage your expertise in healthcare to drive success in MMIS...

Join a dynamic team to drive operational excellence across Business Units, ensuring accurate forecasting, insightful reporting, and effective execution. Collaborate closely with GMs to enhance perform...

Support strategic growth initiatives by collaborating with diverse teams to enhance Go-To-Market efficiency, optimize resources, and drive revenue improvements in a dynamic, fast-paced environment foc...

Transform complex insurance challenges into tailored solutions while leading a dynamic analytics team, driving policy enhancements, and optimizing risk management strategies for a diverse client base...

Drive inventory strategy and planning for Payer Retrieval, aligning client demand with operational capacity. Lead cross-functional collaboration to enhance retrieval outcomes while managing performanc...

Take ownership of defining and operationalizing a customer ROI framework across teams, fostering strategic growth initiatives through measurable value outcomes while enabling effective customer engage...

Unlock new business potential by driving revenue growth in Life and InsurTech markets through strategic sales efforts. Engage with C-level executives to foster relationships, identify opportunities, a...

Elevate your career by leading transformative strategies that enhance operational excellence and drive organizational performance across a complex health plan. Partner with executive leadership to tra...

Lead the charge in optimizing utilization management by assessing medical necessity, ensuring compliance with standards, and collaborating on case management strategies to enhance patient care outcome...

Transform the Enrollment Operations team, ensuring quality execution and compliance while driving operational efficiency. Guide staff in delivering high-quality service and adapt to regulatory changes...

Manage a caseload of complex general liability claims, ensuring timely resolutions and communication with stakeholders. Leverage your experience in litigation and risk analysis to deliver high-quality...

Oversee the end-to-end Medicare Advantage product experience, driving member engagement and care delivery. Collaborate with cross-functional teams to create scalable solutions that meet unique Medicar...

Engage your expertise in evaluating complex liability claims, ensuring thorough investigation, negotiation, and resolution. Collaborate with internal teams and external clients, delivering exceptional...

Champion impactful technology initiatives by leading complex IT projects, managing budgets, and mentoring teams. Develop relationships with stakeholders to drive efficiency and improve processes while...

Empower a culture of safety by leading risk management initiatives, collaborating across departments, and implementing strategies to mitigate risks, ensuring a secure environment for patients, staff...

Lead assessments of Workers' Compensation claims by conducting investigations, analyzing medical reports, and ensuring adherence to legal guidelines. Enhance customer service and cost control while gu...

Shape the future of finance by leading a dynamic FP&A team, driving insights, forecasting, and strategic decision support to enhance business profitability and efficiency in a fast-paced environment...

Unlock financial insights as a strategic partner in FP&A. Lead a dynamic team to deliver impactful reports, drive budget forecasts, and enhance business profitability through data analysis, collaborat...

Join our team to lead in Physical Medicine and Rehabilitation, providing oversight, improving utilization, and guiding medical policy. Collaborate with staff and external partners to enhance healthcar...

Unlock your potential by providing leadership in medical policy development, overseeing staff, analyzing data, and conducting research in physical medicine. Collaborate with healthcare professionals t...

Transform your career by providing operational leadership for remote teams managing Release of Information services. Drive excellence, ensure compliance, and foster relationships while traveling to de...

Advance and lead a dynamic Data Operations team, ensuring exceptional service delivery for asset management clients while driving innovation in data management practices...

Champion the design and execution of commercial learning strategies to enhance organizational capability and drive performance across a diverse business landscape, empowering teams to improve onboardi...

Lead the charge in optimizing pharmacy network financial performance by implementing effective pricing strategies, managing reconciliation processes, and driving corrective actions to achieve reimburs...