Director, Claims Operations Jobs in Washington, DC

Champion digital transformation initiatives, enhancing CRM and commercial systems to drive revenue growth and optimize customer engagement across Sales, Marketing and Operations. Collaborate with exec...

Lead the delivery of projects from initiation to closure, coordinating efforts across multiple teams and managing risks effectively to ensure successful project outcomes while utilizing AI tools for e...

Join a team that leads the behavioral health utilization review process, ensuring high-quality care for members while managing a skilled team. Play a crucial role in compliance, performance monitoring...

Shape the future of clinical risk management by leading initiatives, mentoring staff, and enhancing safety practices. Collaborate with claims and loss prevention teams to implement effective strategie...

Lead the charge in developing and scaling an innovative AI solution for denials management. Drive insights from user feedback while collaborating across teams to enhance product performance and busine...

Shape the future of client management by leading a team dedicated to strategic account growth and retention. Collaborate across departments to drive success for high-value clients while ensuring excep...

Grow your career with a dynamic role managing operations for B2B partnerships. Collaborate cross-functionally to enhance customer success, drive efficiencies, and shape strategic account management pr...

Unlock potential by serving as the primary coordinator for Board activities, managing executive logistics, travel, and communications. You'll ensure seamless execution of governance processes while su...

Develop and execute quality management frameworks in federal IT and cybersecurity environments while ensuring compliance and continuous improvement in program delivery and governance...

Join a team that's dedicated to delivering successful projects by managing resources, budgets, and stakeholder communication. Lead cross-functional efforts in IT and business to align with strategic g...

Drive market access strategies that enhance patient access and support the growth of innovative medical technologies. Collaborate cross-functionally to ensure effective reimbursement initiatives and e...

Lead impactful coordinating center projects while managing and developing a team committed to delivering excellence in copay assistance for specialty pharma programs, ensuring top-notch customer servi...

Lead the charge in implementing complex benefit solutions for large clients, ensuring smooth onboarding and ongoing satisfaction through effective communication and project management. Collaborate wit...

Innovate robust marketing operations systems to transform strategy into scalable success. Lead cross-functional teams, ensuring operational excellence, governance, and continuous improvements while na...

Lead the transformation of marketing operations by designing and implementing systems that ensure clarity, efficiency, and alignment across all functions. Drive best practices, automation, and stakeho...

Deliver strategic legal leadership in complex civil litigation, managing environmental issues and risks while guiding a robust team on case management, advising stakeholders, and ensuring effective r...

Shape the future of risk management by leading the first line of defense across customer operations, ensuring accountability and risk controls are effectively established and maintained for operationa...

Transform product strategy by leveraging real-world data analytics and Agile methodologies to drive innovative healthcare solutions. Collaborate with cross-functional teams to deliver market-ready pro...

Join a forward-thinking team to lead and enhance enterprise-wide business processes. Collaborate with stakeholders to optimize workflows, implement changes, and drive innovative solutions that support...

Execute the strategic direction of Health Information Management operations, ensuring compliance, overseeing staff, managing electronic medical records, and optimizing coding processes for improved he...

Create and operationalize a comprehensive insurance revenue cycle for behavioral health. Lead processes from eligibility verification to payment collection, focusing on multi-state expansion and compl...

Drive supply chain transformation initiatives by leading multidisciplinary teams to enhance operational performance and resilience, while partnering with executives to design and implement scalable so...

Lead the charge in developing and executing the enterprise-wide fraud program, ensuring compliance across diverse healthcare lines through advanced analytics and strategic oversight while managing a s...

Join a dynamic team to provide technical oversight on donor-funded Pharmacovigilance initiatives. Collaborate with regulatory agencies to enhance legal frameworks and lead innovative approaches in glo...

Lead and mentor a dynamic team, driving patient access strategies through expert virtual education of healthcare providers and optimizing reimbursement processes across a national landscape...