Director, Claims Operations Jobs in Warren, NJ

Join a team that's transforming claims through data-driven insights and AI. Lead analytics initiatives, partner with stakeholders, and drive operational excellence to enhance decision-making and impro...

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...

Champion complex claims handling by leveraging expertise in Allied Healthcare Professional Liability. Drive litigation strategies, mentor team members, and ensure positive outcomes through investigati...

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...

Lead the charge in transforming provider data management by defining product strategy, enhancing workflows, and ensuring data accuracy. Collaborate with cross-functional teams to deliver scalable solu...

Lead a talented team of scientists to drive analytical excellence in large molecule programs, ensuring compliance and operational efficiency while fostering talent development and strategic partnershi...

Lead transformative business analysis initiatives, bridging client needs with innovative SaaS solutions. Collaborate with cross-functional teams to enhance risk assessment processes and deliver except...

Lead the charge in transforming value-based care by driving risk adjustment strategies, enhancing clinical documentation, and collaborating with physician leaders to improve patient outcomes across a...

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 resolution of complex management liability claims, ensuring timely outcomes and effective communication with stakeholders. Collaborate with teams, manage litigation, and provide technical gu...

Accelerate progress at the department by overseeing strategic projects, enhancing communication, and driving operational readiness. Collaborate cross-functionally to implement initiatives and resolve...

Advance your career by leading global regulatory submissions and document management. Drive compliance and efficiency while collaborating with cross-functional teams to enhance operational processes a...

Lead cross-functional teams to enhance operational processes, driving efficiency and effectiveness. Utilize data-driven insights and process improvement methodologies to implement solutions that deliv...

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...

Join a team that's dedicated to managing complex third-party liability claims, ensuring superior customer service while collaborating with internal departments to evaluate and resolve issues effective...

Lead the charge in operationalizing global projects, ensuring compliance and efficiency across teams. Collaborate with local markets and manage budgets while enhancing processes and reporting for seam...

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...

Lead the strategic development and execution of underwriting goals, providing direction and support to teams. Drive profitability and growth while ensuring best practices in underwriting and fostering...

Optimize data exchange processes to ensure accuracy and reliability in pharmacy benefit services. Collaborate with teams to troubleshoot issues, support client onboarding, and enhance operational effi...

Champion the resolution of construction claims by leveraging analytical skills and industry knowledge. Collaborate with insureds, brokers, and legal teams to ensure fair and efficient claims processin...

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...

Join a team that's dedicated to optimizing complaint resolution across departments. Oversee a skilled group focused on member satisfaction and regulatory compliance while promoting process improvement...