Director, Claims Operations — Strategy & Excellence
Medica
Medica is seeking a Director of Claims Operations responsible for overseeing all claims functions within a dynamic environment. The ideal candidate will have over 10 years of experience in healthcare and claims operations, with at least 5 years in leadership. The role includes enhancing operational performance, collaborating cross-functionally, and driving continuous improvement. The position requires on-site work three days a week and is located in Minnetonka, MN. #J-18808-Ljbffr Medica
$100.3k - $172k
...member feels valued. The Senior Pharmacy Strategy & Operations Project Lead plays a critical role in... ...- Support long‑term project delivery excellence. Required Qualifications -... ...Knowledge of pharmacy benefit administration, claims operations, formulary management,...ClaimsFull timeWork experience placementWork at office3 days per week$113.4k - $170.1k
Medica is seeking a Director, Claims Operations to oversee end-to-end claims functions, ensuring top-tier service delivery. This office role requires onsite work, averaging three days a week, ideally for candidates near Minnetonka, MN or Madison, WI. The ideal candidate...ClaimsWork at office3 days per week$110.2k - $211.7k
...and start doing your life's best work.(sm)The Provider Operations Business Strategy Director reports to the Vice President of Optumcare Operations. The... ..., but not limited to demographics, contract detail, claim pick, provider outreach and data mismatch reconciliation...ClaimsContract workWork experience placementRemote workWork from home$113.4k - $194.4k
...norm and every member feels valued. Director, Claims Operations The Director, Claims Operations oversees... ..., and engagement Drive operational excellence through issue resolution, root cause... ...and execute an optimized workforce strategy, including BPO partnerships, to drive...ClaimsWork experience placementWork at office3 days per week$50k
...Management Electronic Commerce Director HealthPartners is... ...and direction for strategies, functions and operations of provider electronic commerce... ...collaborative goals with Claims, Network Management and the... ...in management role. # Excellent leadership skills with a...Claims$260k - $390k
...VP, Core Operations The Vice President, Core Operations... ...teams including Claims Operations, Electronic... ...will drive operational excellence, collaborate with internal... ...of experienced Senior Directors & Directors and will... ...Accountabilities: Lead strategy and execution for the...ClaimsTemporary workWork experience placementWork at office- ...global CRM (Salesforce) and CPQ strategy, adoption, and continuous... ...account data integrity, and operational rigor. Lead AI initiatives... ...pricing, Quotes & Agreements Claims, Credits & Post-Sale Pricing... ...Operations, Commercial Excellence, or related functions 5+ years...Claims
$3,500 per month
...Overview Director Operations – Eden Prairie, MN. Primary purpose is to be responsible for the technical... ...assure compliance to best practices, claims management services standards, state... ...Strong technical claims knowledge Excellent oral and written communication, including...ClaimsWork at officeLocal areaFlexible hours- ...Like to Lead at MOJO As a MOJO Director of Operations, you’re the steady hand behind a full... ...and the leader who drives operational excellence through people. You support, develop,... ...Help resolve escalations and damage claims with professionalism and empathy. Conduct...ClaimsLocal areaDay shift
$3,500 per month
...Workplaces in Financial Services & Insurance Director Operations Our teams connect! We collaborate... ...must live near one of our centers of excellence: Eden Prairie, MN : 11000 Prairie... ...assure compliance to best practices, claims management services standards, state regulations...ClaimsWork at officeLocal areaFlexible hours$134.6k - $230.8k
....The Clinical Program Director of Health Technology Innovation... ...related therapeutic strategies for metabolic,... ...the United Healthcare operating model for horizon scanning... ...Design:Use clinical, claims and quality data and... ...outcomeProficiency with MS-Word, Excel, and...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote workFlexible hours$134.6k - $230.8k
...Connecting. Growing together.The Director of Actuarial within UHC... ...critical data analysis, SAS/SQL/Excel modeling, and actuarial analytics... ...support regulatory filing strategy and activitiesAnalytics and Performance... ...analytical assessments of claim trends, pricing and overall...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$134.6k - $230.8k
...together.As the AI and Data Science Strategy Leader within the Crimson AI team, you... ..., driving innovation and practice excellence across the enterpriseLead the design... ...particularly working with clinical, claims, or healthcare operational dataPreferred Qualifications:Experience...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...Description Join Our Team as Regional Director of Operations! Are you an operational leader who... ...performing teams, driving organizational excellence, and leading communities through... ...development, recruitment, and retention strategies. Support community leaders through...Work at officeLocal areaRemote workNight shift
$171k - $273k
JOB DESCRIPTION Job Title Director of Clinical Operations Job Description Director of... ...Finance to shape large-scale research strategy, analyze industry trends, advise stakeholders... ..., process improvement, and excellence. You are able to supervise exempt and...Full timeContract workWork at officeLocal areaImmediate startWork visaRelocation package3 days per week$91.7k - $130k
...The Global Brand & Campaign Strategy Manager is responsible for defining... ...aligned, and executed with excellence across channels. In addition... ..., including product claims, complaints, and reputational... ...during major brand transitions.Operational Campaign LeadershipOwns...ClaimsFull timeContract work$122.4k - $183.6k
...& Spinal Technologies (CST) operating unit advances surgical care for... ...that support Medtronic CST strategies and objectives. The primary responsibility... ...proficiency with Excel Spreadsheets, Smartsheets, Power... ...receive a suspicious message claiming to be from Medtronic, do not...ClaimsFull timeContract workH1bWork at officeLocal areaImmediate startRemote workWorldwideFlexible hours$88.8k - $152.3k
...Wellframe, translating business strategy into executable plans across... ..., and enable scalable operational capabilities. Performs other... ...across multiple stakeholders Excellent communication and stakeholder... ...Background in healthcare operations, claims, or clinical services This...ClaimsWork experience placementWork at office3 days per week$90k - $135k
...Michigan. We are growing and adding a Director of Planning Operations to our team, which serves clients... ...advisors to support client planning strategy, meeting preparation and preparing advisor... ...internal payment of policies, death claims and opportunities. Ensure accuracy and...ClaimsFull timeWork at officeLocal areaFlexible hours3 days per week$90k - $145k
...establish client relationships, guide project strategy, lead acquisitions and relocations, and... ...tenants, including relocation planning, claims coordination, and move estimate review... ...quality of life through engineering excellence and client satisfaction. From advocating...ClaimsTemporary workLive inLocal areaRelocationRelocation packageFlexible hours$93k - $154k
The Swan Food Company is seeking a Senior Operations Business Manager to lead supply chain strategy and drive cross-functional initiatives. This role involves managing new product development, optimizing costs, and ensuring successful execution across product stages. Candidates...$112k - $210k
...Sr Manager, Sales Operations - Image Guided Therapy... ...and execute high-impact strategies that enable sales performance... ...and operational excellence for the IGT Devices portfolio... ...directly to the Director of Go to Market Strategy... ...such as procedure claims data, etc. Partner...ClaimsFull timeWork at officeImmediate startWork visaRelocation package3 days per week$155k - $410k
...LevelDirectorJob Description & SummaryThe OpportunityAs a Sales Strategy and Operations Director, you will specialize in providing consulting services... ...implementation of sales operations and customer service excellence initiatives- Building and maintaining strong client...Full timeH1b- ...directing and optimizing daily pharmacy operations across assigned settings. Ensures the... ...and financial indicators; and implements strategies to control costs and improve... ...quickly recovering from setbacks. • Excellent written and verbal communication skills...Full timeWork at officeFlexible hours
$112.7k - $193.2k
...Growing together.The Director, Health Plan Enablement... ...leader responsible for the strategy, performance, and... ...across Account Management, Operations, Implementation,... ...satisfaction, operational excellence, cost avoidance, and... ..., issue management, claims adjudication, and client...ClaimsMinimum wageFull timeWork experience placementSeasonal workLocal areaRemote work- A dynamic insurance claims organization is seeking Licensed Claims Adjusters to join their team in Wayzata, Minnesota. This role offers excellent flexibility and competitive compensation. Ideal candidates will have experience handling claims, and those without experience...ClaimsFlexible hours
- ...trends, and driving resolution strategies in collaboration with... ...inform payer negotiations and operational improvementsDevelops and presents... ...knowledge of healthcare claims processing-OR-An approved equivalent... .../ Skills/ Abilities:Excellent problem solving skillsKnowledge...ClaimsFull timeContract work
$150k - $180k
...known worldwide for engineering excellence, application expertise, and... ..., we help customers achieve operational excellence today while... ...with disciplined operational strategies and purpose-driven growth, Barry... ...world.Job Description:The Director, Site Operations is accountable...Full timeLocal areaWorldwideShift work$170k - $205k
The Director of Environmental, Health, Safety & Security... ...leads enterprise EHS strategy, standards, and... ...compliant, and sustainable operations across all locations while... ...operational excellence and protecting employees... ...partnerships to ensure effective claims management, cost...ClaimsFull timeFor contractorsWork at officeLocal area2 days per week- ...jewelers, and other commercial operations. Our network of operations... ...a dynamic and strategic Director of Lean Operations to lead the... ...transformation toward operational excellence. This high-impact role will... ...and implementation of Lean strategies that directly support...Full timeLocal areaWork from home
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