Lead Director, Claim Management - Provider Digital Operations

This role will lead operational priorities where safety, quality, compliance, and execution discipline are central to success. You will collaborate with field leadership, support functions, and cross-functional stakeholders to improve accountability, service delivery, and operational consistency. The position offers the opportunity to influence operational scale, customer outcomes, and organizational performance within a healthcare environment.

Location: Remote - US based candidates only, no visa sponsorship available

Responsibilities

• Develop and execute transaction strategies aligned with provider initiatives
• Collaborate with management to define strategic objectives for transaction enhancements
• Oversee transaction performance and defect resolution
• Lead cross-functional teams to deliver projects on time and within budget
• Conduct monthly and quarterly health checks with vendors
• Ensure compliance through regular security assessments and incident responses
• Identify stakeholders and manage communication for project success

Qualifications

• 10+ years in healthcare, focusing on network and provider operations
• 5+ years leading high-performing teams
• Strong in execution: planning, delivering, supporting
• Excellent collaboration and teamwork abilities
• Proficient problem-solving and decision-making skills
• Demonstrated growth mindset and adaptability
• Bachelor's degree preferred or relevant qualifications

Pay

$100,000 – $231,540 annually

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Comprehensive benefits package supporting overall well-being