Director, Claims Operations Jobs in Wayne, PA

Advance market access strategies for cardiovascular and metabolic brands, ensuring optimal payer coverage and patient affordability while collaborating cross-functionally to support product commercial...

Empower clients by leveraging vocational rehabilitation expertise to enhance disability management and facilitate return-to-work strategies, ensuring informed decisions through comprehensive assessmen...

Transform healthcare data environments by developing advanced cloud data platforms. Lead a technical team to innovate, assess, and build robust solutions that enhance AI deployment, effectively removi...

Shape the future of enterprise data engineering and applications by leading strategic initiatives, managing a high-performing team, and ensuring robust data infrastructure that supports business growt...

Lead the development of employer-sponsored healthcare solutions and commercial growth initiatives. Collaborate across teams to design innovative products, support payer strategies, and oversee strateg...

Partner with us to drive business development in your region, leveraging your expertise to generate high-value sales and establish market leadership, all while achieving aggressive performance targets...

Shape billing processes and enhance accuracy through audits, validations, and data analysis. Collaborate cross-functionally to drive compliance, efficiency, and continuous improvement in the Opportuni...

Drive impactful health program initiatives by collaborating with client and internal teams to ensure effective strategy execution and sustainable outcomes across major health systems...

Drive new revenue growth by leading strategic sales initiatives in facilities management across the U.S. Leverage your expertise to build relationships, exceed sales quotas, and contribute to a high-p...

Transform employee experiences by leading strategic Payroll, HR, and compliance services to ensure operational excellence, efficient team performance, and integrated service delivery across a large, d...

Lead and manage Medicaid operations, ensuring compliance and enhancing processes. Oversee rebate claims and analytics, drive team performance, and maintain strong relationships with state agencies for...

Accelerate progress at healthcare organizations by leading impactful engagement transformations. Collaborate with clinical teams to implement and sustain operational excellence through innovative tech...

Champion market strategies across the Carolinas region, driving growth and establishing key relationships in the healthcare and human services sectors while coordinating business development efforts t...

Develop and lead a high-performing team to enhance service delivery, foster client relationships, and drive continuous improvement through insight-led problem solving and data-driven decision-making...

Lead the end-to-end insurance filing process, managing regulatory submissions and collaborating with teams to ensure timely approvals and precise documentation across multiple lines of business and st...

Elevate pharmacy network performance by leading pricing strategy execution and reconciliation processes. Ensure financial alignment with contractual expectations and foster collaboration across multip...

Unlock the potential of financial insights by joining a dynamic team focused on strategic actuarial analysis, financial reporting, and performance optimization, influencing key business decisions thro...

Drive the execution of A2A payment solutions, enhancing bank-direct payment capabilities while collaborating across teams to achieve innovative, scalable products that meet partner demands and improve...

Drive exceptional sales performance and lead a high-impact team in the NYC Metro district. Build customer relationships, implement strategies, and foster a culture of accountability and development to...

Lead transformative learning strategies for the US Oncology team, driving capability development and operational excellence through innovative learning solutions and strong collaboration with cross-fu...

Lead the charge in revolutionizing healthcare delivery by owning the entire product ecosystem. Drive innovation across patient applications, clinician workflows, and AI integrations to shape impactful...

Take ownership of product development by drafting policies and endorsements. Collaborate with legal and underwriting teams to provide high-quality regulatory support for innovative insurance solutions...

Oversee strategic project execution while driving governance and performance enhancements within the PMO. Collaborate with senior leaders to optimize workflows and ensure exceptional outcomes across a...

Drive operations excellence by leading multiple communities, enhancing financial performance, and mentoring teams. Implement strategies for revenue growth and operational efficiency while ensuring com...

Lead a dynamic team in overseeing commercial real estate transactions, from lease negotiations to property disposals. Shape client strategies with expertise, manage workflows, and mentor staff while e...