Director, Claims Operations Jobs in Wayne, PA

Unlock potential by leading Client Success initiatives and building lasting client relationships. Guide teams to meet operational standards, analyze performance metrics, and ensure compliance in a dyn...

Lead the charge in managing complex provider contracts and strategic partnerships, enhancing network value, and optimizing reimbursement strategies to support local market initiatives and improve heal...

Manage and resolve complex general liability claims, focusing on California-based catastrophic cases. Collaborate with legal partners and maintain meticulous documentation throughout the claim process...

Join a team that's redefining operations with AI, leading transformative projects that enhance efficiency, deliver real-world solutions, and inspire a diverse group of analysts and engineers to succee...

Drive healthcare excellence by leading HEDIS audits, data collection, and analysis, ensuring compliance and quality reporting to empower management decision-making across departments. Guide your team...

Lead the charge in defining and evolving our payer strategy, translating complex narratives into cohesive messages that resonate with payers, stakeholders, and market leaders. Collaborate cross-functi...

Lead EPMO Operations & Enablement to enhance project delivery and foster excellence across processes, tools, and knowledge management, collaborating with key stakeholders to drive transformative outco...

Shape the future of data architecture by leading multi-cloud strategy and governance, aligning innovative solutions with business goals while driving performance and scalability in a complex ecosystem...

Lead a team driving AI-powered claims solutions, defining vision and strategy to enhance healthcare operations. Collaborate across functions to bring impactful products from concept to delivery in a f...

Grow your career with a strategic role in talent acquisition, driving full cycle recruitment by sourcing, assessing, and securing top talent for a range of positions, all while collaborating closely w...

Drive executive compensation strategy by analyzing pay structures, governance, and board presentations. Collaborate with leadership to ensure competitive pay practices and compliance with regulatory r...

Empower our coding operations by leading a team to ensure accurate coding and compliance. Drive quality assurance, mentoring, and education while collaborating with healthcare professionals to optimiz...

Lead operational efficiency across multiple facilities, implementing strategies to enhance performance and customer satisfaction while managing budgets and fostering leadership development within the...

Deliver strategic operational governance and process oversight for key customer accounts while fostering collaboration across cross-functional teams and ensuring alignment with business objectives thr...

Deliver strategic leadership to a high-performing actuarial team, managing valuation, financial reporting, and forecasting for diverse health products, ensuring compliance and accuracy in financial op...

Reimagine the purchase and underwriting landscape by leading innovative transformation initiatives that enhance customer and advisor experiences while optimizing operational efficiency and effectivene...

Drive market leadership in risk control for commercial auto, leading assessments, mentoring consultants, and collaborating with cross-functional teams to enhance safety and optimize solutions in a dyn...

Innovate as you shape the future of insurance billing by leading product enhancements, aligning market trends with customer needs, and driving automation to optimize the operational efficiency of P&C...

Manage and optimize underwriting and service operations for insurance solutions, driving performance and profitability while ensuring compliance with underwriting guidelines across multiple carrier pa...

Engage with executive leadership to drive enterprise risk management, compliance, and strategic guidance. Oversee contract risk, insurance, and cross-functional initiatives, fostering a proactive cult...

Accelerate progress at the forefront of clinical trial management by establishing and optimizing frameworks that ensure exceptional quality across Portfolio Development, collaborating with diverse tea...

Lead the charge in orchestrating the successful delivery of a complex IT portfolio, ensuring alignment and transparency while managing dependencies and risks. Foster collaboration across teams to enha...

Architect strategic initiatives to enhance operational excellence in 503a compounding pharmacies, driving facility performance, regulatory compliance, and sustainable growth through leadership collabo...

Lead the charge in optimizing procurement strategies for IT categories, driving cost reduction and vendor performance. Collaborate with stakeholders to enhance vendor governance and ensure compliance...

Explore the future of clinical decision-making by leading data science initiatives, driving predictive modeling, and advancing AI capabilities to enhance patient care. Collaborate with cross-functiona...