Director, Claims Operations Jobs in San Diego, CA

Lead the charge in implementing an integrated risk framework across the enterprise, enhancing resilience and oversight while guiding teams in risk management, business continuity, and crisis response...

Drive revenue operations excellence by leading clean-claim workflows, overseeing claim accuracy, and enhancing cross-functional collaboration. Partner with various departments to ensure timely billing...

Shape the future of healthcare by driving risk adjustment solutions that enhance interoperability, improve documentation accuracy, and ensure compliance across Medicare, Medicaid, and ACA programs thr...

Join us to lead product strategy and development, driving innovation and performance in healthcare solutions. Collaborate cross-functionally to align business needs with customer expectations and ensu...

Engage in the management of complex workers' compensation claims, driving investigations and strategies from start to resolution. Build relationships, ensure compliance, and mentor team members while...

Drive team performance and enhance customer experience by overseeing policy administration and contact center operations. Collaborate on goals, manage staffing, and ensure compliance with regulations...

Unlock potential by managing complex workers' compensation claims, driving investigations, and shaping strategies. Build relationships, ensure compliance, and mentor others while making a direct impac...

Manage and lead clinical operations for trials, ensuring strategic execution from start to finish. Oversee cross-functional teams, vendor relationships, and compliance with regulatory standards while...

Lead and develop a high-performing team in managing short-term disability and absence claims. Drive operational excellence through analytics, coaching, and collaboration, ensuring compliance and excep...

Join a dynamic team as you lead enterprise-wide manufacturing strategy, ensuring performance and scalability across multiple facilities while driving cross-functional collaboration and continuous impr...

Lead the charge in establishing a new PMO, driving complex initiatives and leveraging AI tools to enhance project delivery and governance. Collaborate with cross-functional teams to ensure alignment a...

Build and lead a robust Service Management Office to enhance IT operations, ensuring effective governance, accountability, and continuous improvement across a complex 24x7 environment, while fostering...

Transform state performance by driving growth and profitability through strategic management of pricing, underwriting, and market analysis. Collaborate across departments to enhance compliance and eff...

Partner with us to lead global regulatory submissions and document management. Drive operational excellence and compliance while collaborating with cross-functional teams to enhance processes and syst...

Lead the charge in transforming operations by integrating AI and technology to enhance member and clinician experiences, ensuring efficient care delivery and operational excellence across a distribute...

Drive enterprise-wide risk management initiatives to enhance safety, minimize risks, and protect assets. Collaborate with leadership to foster a culture of safety and ensure compliance across operatio...

Champion the development of clinical operations by managing a network of providers, establishing policies, and enhancing quality programs. Collaborate with leadership to ensure operational excellence...

Shape the future of value-based payments by leading product strategy, overseeing team development, and driving market innovations within a collaborative, cross-functional environment...

Drive the creation and oversight of a risk framework that balances growth with security. Partner with cross-functional teams to implement risk strategies operationally, while conveying insights to exe...

Lead and develop a team of Case Managers while managing an active patient portfolio. Ensure service excellence and patient progression through collaboration with cross-functional teams and effective p...

Drive patient access operations by leading a dedicated team, ensuring efficient authorization processes, and enhancing workflow effectiveness while maintaining hands-on involvement in patient cases an...

Unlock potential by leading claims adjudication logic to enhance accuracy and efficiency. Drive strategic improvements, collaborate across teams, and ensure compliance while optimizing operations in a...

Lead the charge in evaluating complex clinical scenarios and authorizing services based on national guidelines and regulatory compliance. Collaborate with healthcare professionals to ensure quality ca...

Champion growth and profitability by leading territory management, developing client relationships, and executing sales strategies. Collaborate cross-functionally to ensure successful onboarding and m...

Transform territory management by leading sales initiatives, building client relationships, and collaborating cross-functionally to achieve growth and profitability targets in the healthcare sector...