Director, Claims Operations Jobs in San Francisco, 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...

Lead and optimize a Claims team, ensuring compliance and quality in processing complex health claims while fostering staff development and enhancing operational efficiency...

Lead the charge in transforming legal operations by designing scalable support models, managing a dedicated team, and leveraging technology to enhance service delivery across Legal & Public Policy fun...

Optimize complex commercial auto and liability claims management by investigating, negotiating, and resolving issues while ensuring compliance and effective communication with stakeholders throughout...

Lead the Clinical Operations team to ensure high-quality laboratory testing, compliance with regulations, and effective staff training. Oversee daily operations, troubleshoot complex issues, and drive...

Elevate the quality of clinical operations by managing laboratory staff, ensuring compliance with regulations, and overseeing testing processes. Lead initiatives to enhance laboratory efficiency and m...

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...

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...

Join a dynamic team as you oversee strategic operations across multiple locations, driving client satisfaction and operational excellence while fostering employee engagement and supporting long-term g...

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...

Drive the growth of commercial insurance products, leading strategic market analysis and development for optimized customer experiences and product profitability...

Transform regulatory operations by leading global submissions and document management. Collaborate with cross-functional teams to ensure compliance and efficiency while driving continuous improvement...

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...

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...

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...