Director, Claims Operations Jobs

Pioneer operational excellence by enhancing account performance and governance. Collaborate with leadership to streamline processes, manage key metrics, and drive disciplined execution in a fast-paced...

Champion the health and efficiency of key accounts by overseeing operational excellence, ensuring accurate reporting, effective pipeline management, and fostering collaboration among teams to drive gr...

Join a transformative team to enhance insurance operations, driving excellence and compliance through strategic initiatives, cross-functional collaboration, and process improvement while mentoring a d...

Lead the charge in ensuring the integrity of claim audits by overseeing comprehensive evaluations, analyzing discrepancies, and implementing corrective measures to enhance operational efficiency acros...

Lead the charge in executing client implementation activities with operational excellence. Drive strategy into scalable processes while fostering cross-functional collaboration and ensuring successful...

Advance your career by leading operational excellence in provider network management, enhancing relationships, and driving strategy across all lines of business to optimize performance and ensure comp...

Optimize provider network operations while guiding strategic initiatives across divisions. Lead performance monitoring for key areas, ensuring compliance and efficiency while enhancing provider relati...

Transform revenue strategy by optimizing sales processes and enhancing data-driven insights to drive growth. Collaborate across teams to mitigate revenue leakage and establish a robust operations ecos...

Elevate patient care by leading strategic operations of oncology clinics, ensuring high-quality service delivery while collaborating with healthcare teams and continuously improving performance to ach...

Join a dynamic team to lead and optimize Provider Network operations, ensuring compliance and performance across Medicaid, Medicare, and Commercial lines. Drive strategic initiatives to enhance provid...

Transform provider network operations by leading strategic initiatives and ensuring compliance across divisions. Collaborate cross-departmentally to enhance performance metrics and provider satisfacti...

Optimize provider network operations by managing key functions, enhancing performance, and fostering collaboration across departments to ensure compliance and operational excellence in a dynamic healt...

Join a team that's committed to excellence in provider network operations. Oversee essential functions in provider relations, data management, and system interoperability to drive strategic initiative...

Transform strategic planning at a high level, collaborating with senior leadership to manage frameworks, facilitate discussions, and turn insights into actionable plans. Drive clarity and alignment ac...

Shape the future of our actuarial department by leading operations, guiding analytics initiatives, and collaborating with executives to enhance business strategies and drive growth...

Lead and shape strategic vision for Medicare products, driving operational excellence and client satisfaction while influencing enterprise-wide initiatives and forging strong partnerships...

Oversee strategic direction and execution for Medicare-related products, driving growth and compliance in a regulated market. Lead high-performing teams and deliver value through innovative solutions...

Shape the future of regulated market strategies by leading product initiatives, driving operational excellence, and ensuring compliance. Collaborate with stakeholders to deliver impactful solutions an...

Analyze operational service issues, validate claims, and drive improvements through collaboration across departments. Own the dispute process, uncover root causes, and enhance service resolution effic...

Join a team that's dedicated to optimizing revenue cycle operations. Lead financial strategies, enhance patient experiences, and drive collaboration across departments to ensure efficient billing, col...

Lead the charge in designing and implementing competitive benefits strategies. Collaborate across regions to ensure compliance and alignment with organizational goals while enhancing employee experien...

Lead the Employee Benefits strategy, ensuring competitive and compliant offerings across regions, collaborating with HR and Finance to drive processes and efficiencies, while influencing the organizat...

Join a team that drives strategic project success and development. As a key leader, you’ll oversee a talented project management team, ensuring effective delivery, fostering growth, and enhancing prog...

Transform your career by leading statewide operational initiatives, ensuring clinical excellence and compliance while fostering staff development and driving growth opportunities across all programs i...

Manage and coordinate integrated healthcare services, ensuring program effectiveness and compliance. Lead diverse teams, analyze data for decision making, and represent office management in various op...