Director, Claims Operations Jobs

Join us to lead complex provider contracting and relationships, focusing on large health systems. Drive value-based initiatives as a subject matter expert while mentoring associate resources in a coll...

Join a team that drives provider network development through strategic negotiations, relationship management, and value-based initiatives, focusing on complex health systems and enhancing our contract...

Lead the charge in developing a provider network through strategic negotiations, serving as a subject matter expert, and guiding projects that significantly impact the business unit within a collabora...

Unlock the potential of provider networks by leading complex negotiations and relationship building. Drive value-based initiatives while developing competitive contracts for large health systems and p...

Elevate client relationships and operational leadership in Employee Benefits. Drive retention, expand funding solutions, and enhance service efficiency while mentoring leaders and managing a diverse p...

Lead and optimize healthcare operations by managing daily activities, overseeing logistics, and developing teams to ensure high performance and patient satisfaction in a fast-paced environment. Drive...

Oversee comprehensive corporate legal matters while providing strategic legal guidance. Collaborate with HR and leadership, manage legal risks, and ensure compliance across multistate employment laws...

Drive excellence in casualty claims supervision, overseeing adjusters and TPA operations to ensure top-tier customer service and efficient claims processes while fostering a culture of innovation and...

Champion the resolution of complex ocean marine claims, utilizing your expertise to navigate coverage inquiries, liability assessments, and negotiations, while ensuring timely outcomes and stakeholder...

Optimize ocean marine claims handling from coverage queries to resolution, including property damage and cargo claims. Collaborate with stakeholders, mentor team members, and ensure timely, effective...

Champion the resolution of complex ocean marine claims from coverage enquiries through legal liability assessment, ensuring effective vendor management and timely closure while providing technical sup...

Champion seamless resolution of complex ocean marine claims and disputes. Leverage your expertise to manage claims lifecycle, ensure timely communication with stakeholders, and provide mentorship to t...

Elevate claims handling by resolving moderate to high complexity ocean marine property damage and cargo claims, ensuring timely and accurate resolutions while training team members and managing extern...

Transform the resolution of complex ocean marine claims with minimal oversight. Analyze documentation, manage vendor relations, and negotiate settlements ensuring timely outcomes while training team m...

Unlock potential by effectively managing moderate to complex ocean marine claims, overseeing disputes and resolutions while ensuring communication with stakeholders. This role requires a blend of tech...

Manage strategic risk adjustment operations for Medicare, Medicaid, and ACA programs. Lead cross-functional initiatives, enhance data accuracy, and drive performance improvements while mentoring teams...

Join a team that's driving technology transformation in Claims and Customer Interaction. Lead strategic initiatives, oversee agile delivery, and foster cross-functional collaboration to enhance operat...

Shape the future of organizational excellence by leading strategic initiatives, fostering collaboration, and driving operational efficiency across teams to enhance impact and achieve growth objectives...

Partner with us to manage accounting operations, liaising with program partners, finance, and data teams. Ensure efficient onboarding, accurate financials, and effective communication at all levels wh...

Lead the charge in actuarial analysis to drive strategic business decisions, overseeing performance reporting and collaborating across teams. Shape product profitability and ensure compliance while fo...

Accelerate progress at the intersection of strategy and operations, driving high-performance marketing systems and data governance. You'll partner closely with executive leadership to optimize revenue...

Drive the handling and oversight of complex Property claims, ensuring optimal outcomes through field engagement, investigations, and collaboration with internal and external partners. Lead initiatives...

Champion clinical excellence by guiding clients through pharmacy benefit processes, conducting insightful reviews, and fostering partnerships. Drive innovative strategies that enhance client satisfact...

Unlock potential by leading a dynamic team in operations to enhance efficiency, drive performance, and maintain compliance in a fast-paced, regulated environment while fostering development and collab...

Empower your career by leading a team of pharmacists to optimize clinical programs, drive operational excellence, and enhance medical management solutions while ensuring compliance and accountability...