Associate Director Business Process - Claim and Appeal Operations - Remote in US
$112.7k - $193.2kUnitedHealth Group
- Remote job
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Associate Director Business Process, Claim & Appeal Operations serves as a key strategic partner to the Claim & Appeal Operations VP, driving execution of operational, financial, and strategic priorities across the organization. This role is responsible for coordinating enterprise-level initiatives, leading financial planning and performance management, and ensuring alignment across operations, finance, and executive stakeholders. The Associate Director Business Process operates in a highly matrixed environment, managing complex initiatives, advancing cost‑efficiency strategies, and delivering data‑driven insights that inform decision‑making and improve operational outcomes across Claim & Appeal Operations. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities Financial Management & Business Performance Lead financial planning, budgeting, forecasting, and expense management activities Identify and track cost savings opportunities in partnership with finance and operations Develop financial models, dashboards, and reporting to monitor business performance Create and manage cost‑benefit analyses (CBAs), ensuring alignment with finance and executive reporting Provide insights through analysis of performance metrics and recommend improvements Strategic Leadership & Executive Support Partner directly with the Claim & Appeal Ops VP to drive execution of key operational and strategic priorities Manage information flow, resolve issues, and provide analysis and counsel on critical business decisions Represent the VP in leadership forums and respond to executive‑level requests as appropriate Facilitate leadership forums to align organizational goals, priorities, and initiatives Support development and execution of short- and long‑term strategic plans and MBOs Operational Execution & Governance Coordinate and oversee monthly business reviews and performance tracking against objectives Manage requisition processes and operational controls to ensure compliance and efficiency Govern organizational structures, engagement models, and role clarity across teams Maintain and update business continuity plans to ensure risk mitigation and operational resilience Support change management for strategic initiatives and organizational priorities Portfolio & Project Management Lead and oversee a portfolio of strategic projects from inception through implementation Prioritize initiatives, track progress, and ensure alignment with enterprise objectives Coordinate special assessments, deep dives, and evaluations as requested by leadership Direct cross‑functional teams to solve complex business challenges impacting multiple groups Workforce Planning & Process Improvement Partner with operational leaders on staffing strategies and workforce analytics to inform resource allocation Analyze data to improve operational efficiency, customer outcomes, and employee experience Drive continuous improvement efforts across processes and performance outcomes Executive Reporting & Communication Consolidate and deliver executive‑level reporting and presentations Present data‑driven insights and recommendations to senior leadership Ensure timely, accurate, and high‑quality responses to executive and ad‑hoc requests Required Qualifications 5+ years of experience in healthcare operations, strategy, consulting, or business management 3+ years of experience in finance, accounting, operations, or strategy within a large, matrixed organization 2+ years of experience leading complex projects or strategic initiatives Proficiency in financial modeling, forecasting, reporting, and business analytics Proven solid business acumen with ability to influence and consult across operational and technical teams Proven Advanced Microsoft Office skills (Excel, PowerPoint, Word, Outlook; Visio preferred) Demonstrated ability to manage multiple priorities in a fast‑paced environment Proven solid analytical, problem‑solving, and process improvement capabilities Proven excellent communication and executive‑level presentation skills Benefits Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $112,700 – $193,200 annually based on full‑time employment. We comply with all minimum wage laws as applicable. Application Deadline This posting will be available for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. Equal Employment Opportunity Statement UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. Drug‑Free Workplace All candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr UnitedHealth Group
$155.54k - $188.48k
...Working with Us... ...are usually associated with a job.... ...The Associate Director, US Medical... ...changes, and business reviews As... ...initiatives aimed at process improvements... ...promotional claims to ensure they... ...operations and may also... ...Employees in remote-by-design or...Remote workOperationsClaimsHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaFlexible hoursShift work$183k - $217k
...be our next Associate Director Field Reimbursement... ...job is fully remote. You will... ...of the US patient experience... ...interpreting benefits, claims and... ...and assessing business impacts and... ...applicable KPIs and operational best... ...authorization and appeals processes,...Remote workOperationsClaimsWork at officeWorldwide$156.9k - $247k
...Human Health (DHH) US Market Engagement Team. This team operates as part of the US... ...DHH demand and associated business requirements aligned... .... The Associate Director will be... ...sources (including claims/EMR Data and other... ...to the business processes and strategies. Derive...OperationsClaimsFull timeFor contractorsLocal areaRelocationVisa sponsorshipFlexible hoursShift work$182.07k - $220.63k
## Associate Director, US Policy Research & EconomicsWashington... ...strategies for business‐critical policy... ...pharmaceutical claims data, healthcare... ...and manufacturing operations and may also be limited... .... Employees in remote-by-design or lab-... ...recruitment process, reasonable workplace...Remote workOperationsClaimsHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaFlexible hoursShift work$112.7k - $193.2k
UnitedHealth Group seeks an Associate Director for Business Process, focused on Claim & Appeal Operations, in Eden Prairie, MN. This key role involves financial management... ...$112,700 to $193,200 annually. A flexible remote work arrangement is available. #J-18808-Ljbffr...Remote jobOperationsClaimsFlexible hours- ...Description: Title: Associate Director, Contact... ...; 1 day remote FLSA... ...About Us : Brighton... ...Contact Center Operations is responsible... ...support new business lines and organizational... ...people, processes, technology,... ...services, claims, prior... ...authorizations, and/or appeals. ~...Remote workOperationsClaimsFull timeWork at officeLocal area
$105k - $115k
OVERVIEW Position: Associate Director - Spending Account Operations Location: Remote. Preference to Boston,... ...largest broker of U.S. business. We are passionate... ...collaboration allows us to offer national resources... ...team focused on claims processing, funding reconciliation...Remote workOperationsClaimsLocal areaFlexible hours$170.65k - $206.79k
## Associate Director, Aseptic & Sterile Process EngineeringDevens - MA - USFind out... ...job**Working with Us** Challenging. Meaningful... ...and robotic operations, closed or functionally... ...health insurance, business travel protection,... ...centers. Employees in remote-by-design or lab-...Remote workOperationsHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaFlexible hoursShift work- ...Summary: The Associate Director, FSP Clinical Operations is responsible... ...Clinical Operations business objectives,... ...plans/processes, as applicable... ...travel expense claims). Manage compliance... ...experience working in a remote office... ..., which in the US includes race,...Remote workOperationsClaimsTemporary workFor subcontractorLocal areaFlexible hours
$111.8k - $175.67k
...employment application process with Takeda... ...Contracting Operations Lead and work... ...data governance, business process... ...Gather Payer claim level data files... ...requests from US OBU Patient Value... ...documentation to Director, Commercial Contracting... ...'s Hybrid and Remote Work policy....Remote workOperationsClaimsMinimum wageFull timeContract workTemporary workLocal areaFlexible hours- ...more about what makes us different and how you... ...make your mark as our Business Process Leader, AI and Innovation... ...insurance brokerage operations. This role will focus... ...underwriting support, and claims) by integrating AI... ...development opportunities Remote work Charitable...Remote workOperationsClaimsWork at officeLocal areaFlexible hoursNight shift
$144.06k - $205.8k
Lead, Data Quality, Operations & Governance About... ...governance, and operational processes that support... ...they meet defined business and quality... ...sales performance, claims, and field execution... ...Northbrook, Illinois. Remote work from anywhere in the US is available. At Astellas...Remote workOperationsClaimsWork at officeWork from homeWorldwide$122.85k - $136.5k
...application to be correctly processed please sign-in... ...with us!Job TitleProcess Manager... ...Commercial Casualty Claims -... ...Casualty Claims - Remote (Open)LocationCalifornia... ...today’s way of doing business. At Mobilitas, we... ...enterprise vision, operating plan and strategy...Remote jobOperationsClaimsHourly payTemporary workH1bWork from homeFlexible hours$141.5k - $268.5k
...Mid-Stream Operations Lead AbbVie's mission... ...strategies to align with business goals. This role's... ...management processes. The lead will also... ...Veterans/Disabled. US & Puerto Rico only... ...or communication claiming to be from AbbVie,... ...be performed remotely. Employees who are...Remote workOperationsClaimsContract workWork at officeImmediate startMonday to Friday$145.5k - $205k
...Associate Director, Corporate Compliance - Operations United Therapeutics is the first... ...compliance systems, process governance, and... ...and aligned with business and regulatory expectations... ...Statute, False Claims Act, Foreign... ...to hire this role remotely within the United...Remote workOperationsClaimsWork at office- ...Grievances And Appeals Nurse Pride Health... ...-known client! (Remote Contract)... ...provider, and/or claim processing appeals and customer... ...of Health Plan operations and business unit processes,... ...claims functions ~ Associate's degree in a... ...please contact us. Only...Remote workOperationsClaimsContract workWork experience placementLocal areaDay shift
$99.47k - $141.8k
## Associate Director, Business Operations, InnovationApplyremote type: Hybridlocations: Somerville... ...all applicants to join us and experience what it... ...• Designs and implements process improvements to streamline... ...Details (if applicable)****Remote Type**Hybrid**Work Location...Remote workOperationsContract workShift work$88k - $147k
The operations process management team is focused on... ...changing clients and business needs. This... ...registration, payments and claims. Ensure the data... ...and encouraging associate development... ...for results #LI-remote Pay Range: $88,00... ...World Connect with us. Bring us your best...Remote workOperationsClaimsFull timeContract workLocal area$169.22k - $253k
...health. As an Associate Director, Biostatistician... ..., Maryland. Remote arrangements can... ...time based on business needs. You... ...s work tools, processes, and policies.... ...and clinical operation and ability to... ...submission process in US and EU... ...fee, even if claimed you will be reimbursed...Remote workOperationsClaimsTemporary workInterim roleLocal areaWorldwideFlexible hours$152.6k - $283.4k
...opportunity for an Associate Director, Content Approval Operations, to lead the... ...to Core Claims, Reference Librarian... ...Material Approval Process (MAP). The... ...to be located remotely. Please note that... ...defined by the business (domestic and or... ...equity awards. US-based eligible...Remote workOperationsClaimsLocal areaRelocation- ...Denials Appeals Specialist At Aspirion... ...accident claims, workers' compensation... ...of healthcare operations while making a... ...revenue by processing denial claims.... ...environment Remote work experience... ...applicable to business practices; this... ...obligations US remote-based colleagues...Remote workOperationsClaimsPermanent employmentWork experience placement
$94.9k - $130.5k
...community The Process Improvement Lead... ...effectiveness of existing business processes and... ...Analyze operational data to... ...and determine claims impacts Collaborate... ...right to require associates to upgrade their... ...While this is a remote position,... ...-16-2026 About us About Humana: Humana...Remote workOperationsClaimsWeekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- ...Category Sales & Marketing Operations Job Description... ...Amgen team. Join us and transform the lives... ...career. CD&A - Associate Director, Agentic AI Business Solutions What you... ...comms, onboarding, and process readiness steps.... ...work models, including remote and hybrid work arrangements...Remote workOperationsWork at officeFlexible hoursShift work2 days per week3 days per week
$117.77k - $161.93k
...Overview Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere... ..., and innovative products across our Business Lines. The processes we put in place now will become the... ...contributor role for someone ready to operate at the enterprise level—leading...Remote workOperationsTemporary workWork at officeLocal area- ...therapy science into reliable, patient-ready operations that scale? In this role, you will shape... ...—by building the standards and processes that teams and treatment centers rely on... .... Ability to work in an environment of remote collaborators. Integrity and high ethical...Remote workOperationsWork at office
$145.6k - $279.4k
...Associate Director, Regulatory Affairs - Biosimilars (US) Sandoz continues to go through... ...monthly workday remotely. This role will not... ...and alignment with business objectives.... ...development and technical operations teams to ensure... ..., guidance, and processes applicable to...Remote workOperationsWork at officeRelocation packageFlexible hours$219.66k - $266.18k
## Director, Commercial Operations Process and OrchestrationSeattle 1616 Eastlake - WA - USFind... ...will lead the business processes and operating workflows... ...include:**Paid Time Off* US Exempt Employees: flexible... ...capability centers. Employees in remote-by-design or lab-based...Remote workOperationsHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaImmediate startFlexible hours$182.75k - $221.45k
## Associate Director, Worldwide Forecasting and... ..., Business Development, Commercial... ...enterprise planning processes, including... ...assets* Conduct claims data analyses... ...both US and ex-US (worldwide... ...manufacturing operations and may also be... ...Employees in remote-by-design or lab...Remote workOperationsClaimsHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaImmediate startWorldwideFlexible hours$150k
..., Video, Revenue Operations, and Strategy, all... ...-focused. Join us today! At Directive... ...! Overview Associate Directors are the most... ...Requirements As a remote-first company,... ...have established businesses, including Canada... ...employee selection process, direct your inquiries...Remote workOperationsWork at officeHome office- ...warehouse and last-mile operations in US flows efficiently and... .... You'll mainly work remote from home, but some... ..., and outbound processing. Track and analyze 3PL... .... Handle returns and claims. Monitor and follow up... ...logistics, supply chain or business. At least 2 years of...Remote workOperationsClaimsContract workWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Associate Director Business Process - Claim and Appeal Operations - Remote in US. Be the first to apply!
- associate director Eden Prairie, MN
- associate manager Eden Prairie, MN
- remote associate product manager Eden Prairie, MN
- business opportunity manager Eden Prairie, MN
- director business analytics Eden Prairie, MN
- director enterprise architecture Eden Prairie, MN
- director enterprise solutions Eden Prairie, MN
- new business executive Eden Prairie, MN
- business director Eden Prairie, MN
- director enterprise applications Eden Prairie, MN



