Director, Claims Operations Jobs

Unlock potential by leading a multidisciplinary team that drives strategic provider issue resolution. Build scalable operating models and partner across functions to elevate provider service and opera...

Lead the charge in establishing a refined model for escalated provider issue resolution, collaborating with multiple operational teams to drive improvements, streamline processes, and enhance provider...

Empower your career by leading a multi-disciplinary team in resolving complex provider issues. Drive operational improvements and enhance service governance. Collaborate with cross-functional leaders...

Elevate operational performance and drive revenue strategy across diverse healthcare functions, ensuring top-tier financial integrity, regulatory compliance, and patient experience. Lead teams through...

Champion exceptional value through your legal expertise as you handle complex litigation, mentor junior attorneys, and build strong client relationships, delivering proactive case management and unwav...

Join a team that's dedicated to delivering high-quality legal support while mentoring less experienced attorneys. Utilize your expertise in handling complex litigation cases, ensuring exceptional clie...

Transform service delivery strategy to enhance customer experience and operational efficiency. Collaborate across departments to develop innovative solutions, optimize performance, and drive sustainab...

Transform Medicaid rebate operations by leveraging automation and data-driven strategies. Lead a team to optimize compliance, drive operational excellence, and eliminate revenue leakage while enhancin...

Transform claims management by overseeing diverse liabilities, optimizing outcomes, and collaborating with teams to mitigate risks. Utilize your expertise in communication and negotiation to drive eff...

Lead the charge in strategic claims management, driving growth and collaboration across teams. Foster innovative solutions, resolve conflicts, and guide your team towards achieving objectives within a...

Join a team that's focused on developing strategies and solving complex claims issues. Lead and motivate a dedicated group, ensuring compliance and fostering relationships while driving efficiency in...

Explore the dynamic field of risk management and compliance as you manage claims, balance outcomes, and collaborate with diverse teams to reduce liability while enhancing organizational integrity and...

Transform your career by leading a dynamic Medical Underwriting team, driving risk management strategies, and optimizing complex clinical evaluations to enhance service excellence and improve client o...

Drive strategic clinical risk management initiatives by leading and mentoring a high-performing Medical Underwriting team. Oversee accurate data analysis, mentor staff, and collaborate cross-functiona...

Lead the charge in transforming health plan operations by assessing current technologies, crafting future-state roadmaps, and building business cases that streamline processes and enhance operational...

Unlock potential by leading underwriting strategies and teams in public entity and education markets, enhancing profitability and collaboration while fostering industry relationships and managing over...

Unlock success by leading a dynamic sales team focused on driving strategic growth and enhancing client relations. Shape sales processes, mentor talent, and utilize insights for data-driven decision-m...

Advance your career as a Data Product Owner, collaborating between underwriting and data teams to define and deliver critical data solutions and reporting. Ensure clarity of requirements and foster st...

Join a team that's enhancing employee experience and driving HR excellence. Lead daily operations in benefits, employee relations, and compliance while fostering a high-performing workplace culture al...

Shape provider network strategies through leadership in complex contract negotiations. Drive initiatives that enhance network performance, affordability, and quality while ensuring alignment with ente...

Champion strategic provider network contracting initiatives, driving negotiations and collaborations across business units. The role demands leadership in developing robust strategies to enhance care...

Drive success by leading a team managing casualty claims, enhancing coverage strategies, and promoting best practices while fostering strong partnerships and nurturing talent for professional growth...

Lead a dynamic team in managing casualty claims, overseeing investigations, providing strategic direction, and maintaining strong relationships across disciplines to drive exceptional claims outcomes...

Lead the charge in managing a high-performance claims team, overseeing casualty programs by evaluating liability, guiding strategic direction, and fostering internal relationships to optimize claims p...

Champion a high-performing casualty claims team, guiding strategic direction, fostering talent, and managing complex disputes. Collaborate across units to ensure effective claims management while supp...