Director, Claims Operations Jobs

Drive quality improvement initiatives in Clinical Operations & Audit, focusing on HEDIS, STARS, and performance reporting. Lead and develop staff, ensuring compliance and excellence in healthcare prog...

Lead the charge in enhancing executive productivity and organizational effectiveness while gaining broad operational exposure. This role supports key initiatives, strengthens management routines, and...

Drive compliance and operational excellence by overseeing charge audits and collaborating with clinical departments. Utilize your expertise in healthcare reimbursement to enhance billing accuracy and...

Execute underwriting strategies while managing relationships with agents. Drive profitable growth through innovative risk solutions, ensuring high service quality and maintaining a robust portfolio ac...

Explore opportunities by leading financial and actuarial engagements across diverse client portfolios. Drive impactful strategy implementation and enhance benefit programs while guiding teams and cult...

Unlock potential by leading financial and actuarial engagements for diverse clients, driving strategic insights that elevate health and benefit programs, while mentoring junior colleagues and developi...

Support the financial analysis team in translating insights into strategies that drive informed decision-making and enhance business outcomes, while leading financial professionals in executing plans...

Lead the charge in risk management for Data & AI, advising executives and guiding strategic decision-making. Collaborate with cross-functional teams to ensure responsible innovation and regulatory com...

Elevate your career by leading risk management efforts in Data & AI. Drive innovation while ensuring compliance and governance, partnering with executives to navigate complex regulatory landscapes and...

Innovate by leading the strategic risk management efforts within our Data & AI Management function, ensuring alignment with business objectives and regulatory standards while fostering a culture of re...

Join a team that provides expert legal counsel on insurance coverage matters, guiding claims professionals and management through complex legal landscapes while fostering collaboration across all busi...

Champion success by providing expert legal counsel for claim professionals, focusing on coverage issues and collaborating across teams to ensure compliance, risk management, and effective claim handli...

Support high-quality home health services by overseeing daily operations, ensuring regulatory compliance, and leading clinical staff. Drive operational goals, enhance patient care, and cultivate a col...

Elevate your career by driving transformative generative AI initiatives that enhance business operations. Collaborate with diverse teams, translating complex requirements into actionable solutions tha...

Lead the charge in managing a dedicated team of Workers Compensation claim professionals, ensuring product quality, performance, and team development through strategic oversight and continuous engagem...

Join our dynamic team to enhance Workers Compensation claim performance. Lead, mentor, and develop a talented staff while ensuring high quality service and strategic execution to drive optimal busines...

Pioneer API operational excellence, leading site strategy and ramp-up of a new pharmaceutical facility. Collaborate cross-functionally to establish governance, optimize processes, and ensure safety co...

Champion the product lifecycle by defining strategy, prioritizing features, and translating customer needs into actionable plans. Collaborate across teams to drive product success, ensuring alignment...

Manage operational support for hedge fund clients, optimizing middle- and back-office functions while fostering relationships with internal teams and external counterparties, and ensuring smooth proce...

Accelerate client success by providing top-notch middle and back-office operational support, managing reconciliations, trade processing, and enhancing relationships with hedge fund clients and interna...

Unlock operational excellence by supporting hedge fund clients with vital middle and back-office functions including reconciliations, trade support, and cash management across diverse investment produ...

Drive client relationships by managing a portfolio of small business accounts, ensuring exceptional service, and achieving growth objectives through collaboration and proactive issue resolution...

Join a team that's driving innovative provider network strategies. Lead complex contract negotiations and relationship development while impacting large health systems in Colorado with your expertise...

Shape the future of commercial claims management by adjudicating complex General Liability Property Damage claims, ensuring resolution with high technical accuracy and financial outcomes while collabo...

Drive compliance and efficiency in regulatory operations, overseeing labeling, post-market reporting, and UDI governance. Lead a team to ensure global adherence to standards, enhancing processes for a...