Top 688 Insurance medical director Jobs

Director, Revenue Operations - Health Insurance Contracts
Easter Seals Southern California, Inc. —Irvine, CA
- From $116,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Director, Revenue Operations - Health Insurance Contracts
Easter Seals Southern California, Inc. —Ontario, CA
- From $116,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
6d
Medical Only Claims Adjuster (Part-Time)
County Technical Services, Inc. —Lone Tree, CO
- $19 - $22 an hour
- Part-time
- Hybrid work
- Customer service
- Office
- High school diploma or GED
- Paid time off
- Work from home
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6d
Physician Medical Review ( Disability Claims ) 1099
Nelson Enterprise Technology Services —Remote
- Full-time
- Remote
- Medicine
- 5 years
- BC/BE
- Flexible schedule
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10d
Director, Insurance Services
OnPay —Atlanta, GA
- Up to $200,000 a year
- Remote
- 5 years
- Bachelor's degree
- Senior level
- Paid holidays
- Disability insurance
Chief Sales Officer - Dental Insurance & Benefits (DentaSmart.ai)
DentaSmart.ai —Remote
- $69,560.81 - $123,772.16 a year
- Full-time
- Remote
- Travel
- US work authorization
- Recruiting
- Travel reimbursement
- Health insurance
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Director, Risk Management/Insurance
Summa Health —Akron, OH
- $72.89 - $109.34 an hour
- Full-time
- 5 years
- Office
- Supervising experience
- AD&D insurance
- Disability insurance
Associate Director, Insurance
Stellantis Financial Services US —Auburn Hills, MI
- Overtime
- Hybrid work
- 8 years
- Travel
- US work authorization
- Opportunities for advancement
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Medical Claims Review Medical Director - Surgeon - Remote
Optum —Eden Prairie, MN
- $248,500 - $373,000 a year
- Full-time
- Remote
- Medicine
- Microsoft Outlook
- Surgery
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Associate Director, Global Insurance and Risk Management
Takeda Pharmaceutical —Cambridge, MA
- $154,400 - $242,550 a year
- Full-time
- Hybrid work
- Office
- Finance
- Bachelor's degree
- Paid holidays
- Disability insurance
Senior Director, Head of Data
AAA Life Insurance Company —Livonia, MI
- Full-time
- Remote
- Senior level
- Leadership
- Communication skills
- Paid parental leave
- Health insurance
2d
Sr. Director, Insurance Portfolio Management
National Life Insurance Company —Addison, TX
- $206,250 - $302,500 a year
- 5 years
- Office
- Finance
- Benefits from day one
- Life insurance
Claims Operations Director
Capital Health Plan —Tallahassee, FL
- Full-time
- Office
- Analysis skills
- Bachelor's degree
Quick Apply
Senior Director, Accounts Receivable
Ventra Health, Inc. —Remote
- Full-time
- Remote
- Inventory management
- 5 years
- Word processing
- Referral program
11d
Lead Director - Software Development Engineering (Claims Adjudication)
CVS Health —Richardson, TX
- $144,200 - $288,400 a year
- Full-time
- Computer science
- Computer Science
- SQL
- Health insurance
- Dental insurance
Chief Risk Officer
National Life Insurance Company —Addison, TX
- $300,000 - $440,000 a year
- Hybrid work
- CPA
- Office
- Finance
- Benefits from day one
- Life insurance
Associate Director - Personal Insurance Product Management, Telematics
The Hartford —Columbus, OH
- $107,600 - $161,400 a year
- Full-time
- Hybrid work
- 7 years
- Research
- Office
Senior Director, Insurance Claims Advisory
NTT Ltd —New Jersey
- $160,000 - $296,000 a year
- Full-time
- Remote
- Marketing
- Data analysis skills
- 11+ years
- Health savings account
- AD&D insurance
Sr. Director, Project Management
National Life Insurance Company —Addison, TX
- $150,000 - $220,000 a year
- Hybrid work
- System design
- Office
- Senior level
- Benefits from day one
- Life insurance
Sr. Director, Claim Advanced Analytics Circle Business Lead
The Travelers Companies, Inc. —Hartford, CT
- $139,400 - $230,000 a year
- Hybrid work
- 3 years
- Analysis skills
- Continuous improvement
- Wellness program
- Paid holidays

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Director, Revenue Operations - Health Insurance Contracts

Easter Seals Southern California, Inc. -
Irvine, CA

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Job Details

Full-time
From $116,000 a year

Qualifications

Contract management
Staff supervision
Team supervision
Performance management strategy
Contract management experience in healthcare
Team development
Bachelor's degree
Health insurance knowledge
Leading team collaboration initiatives
Healthcare team management
Insurance provider collaboration
Cross-functional team management
Staff development

Full Job Description

Easterseals Southern California transforms lives every day. For over a century, Easterseals has championed inclusion and independence—delivering essential services like early childhood programs, autism services, employment and independent living support to more than 29,000 people each year. Through advocacy and education, we break barriers and create opportunities for the one-in-four Americans with disabilities.

Starting salary: $116k+/yr

Experience with Health Insurance Contracts Preferred

OVERVIEW OF POSITION:

The Director of Revenue Operations is responsible for developing and executing strategies to maximize revenue generation for Autism Services, ensuring long-term financial growth and stability. This leader builds and maintains a robust operational infrastrucutre, implementing efficient proceseses, and effective communciation channels to support current clinical services and future lines of businesses. Serves as a strategic partner to clinical, operations, and network teams to ensure all services are scalable, profitable and compliant. In all responsibilities, the position demonstrates a strong commitment to ESSC’s mission and values by supporting a high-quality, person-centered service environment.

ESSENTIAL FUNCTIONS:

Designs and continuously improves revenue-supporting operational strategy plans, workflows and controls to promote consistent, accurate, and timely reimbursement across services.
Establishes revenue integrity and performance monitoring practices, integrating pre-audit oversight, outcome tracking, and trend analysis to support accurate billing, early issue identification, and reliable revenue forecasting.
Leads structured approaches to denial management, ensuring complex or high-impact denials are escalated appropriately, resolved efficiently, and used to strengthen future operational performance.
Creates and maintains feedback loops between revenue outcomes and operational practice, translating insights into process enhancements, education, and preventive improvements.
Ensures alignment and coordination across revenue-impacting functions, supporting shared accountability, clear communication, and seamless handoffs among clinical, operational, and administrative teams.
Leverages revenue data, reporting, and systems to enhance visibility, inform decision-making, and support scalable operations as services and volumes expand
Partners with payer organizations and internal leaders to support contract performance and reimbursement optimization, including collaboration related to fee schedules, referral pathways, and payer requirements.
Provides revenue and operational input into payer relationships, new contracts, and funding opportunities, supporting sustainable rates, service viability, and long-term growth.
Partners with organizational leaders to support new service development, pilot programs, and funding initiatives, providing revenue and operational insight to assess feasibility, sustainability, and reimbursement readiness.
Supports revenue readiness for new programs and service lines, ensuring processes, systems, and expectations are established to enable successful launch and long-term financial performance.
Provides leadership and development for revenue operations staff and leaders, fostering accountability, collaboration, and continuous improvement in support of organizational goals.
Maintains deep awareness of industry standards and emerging best practices in healthcare administration, translating external insights into practical application to support Easterseals’ future needs.
Performs other duties as assigned.

EDUCATION:

Bachelor’s degree in healthcare administration, business administration, or closely related field.
Professional certifications in healthcare finance, revenue operations, or revenue cycle management preferred.

EXPERIENCE:

Minimum of 12 years including (8) years of progressive experience in healthcare operations, revenue operations, or related healthcare leadership roles.
Demonstrated experience leading complex, cross-functional initiatives within a healthcare or behavioral health setting, including partnership with clinical, operational, financial, and administrative leaders.
Proven leadership experience, including direct supervision of staff and/or managers, with responsibility for setting performance expectations, driving improvement, and supporting team development.
Experience working with payer organizations required, including collaboration related to reimbursement structures, fee schedules, referral pathways, contract performance, or payer requirements.
Experience supporting organizational growth initiatives, such as new service development, program launches, alternative funding models, or expansion into new service lines preferred.
Experience operating in multi-site, growing, or complex healthcare environments preferred.

EXEPECTED NUMBER OF DIRECT REPORTS: Up to seven (7) direct reports.

KNOWLEDGE, SKILLS, ABILITIES:

Demonstrated ability to build and maintain effective professional relationships and work collaboratively across departments, including with clinical, operational, financial, and external partners.
Demonstrated leadership skills, including change management, flexibility, initiative, and the ability to guide teams, influence outcomes in complex environments, and supervise staff effectively.
Strong analytical and problem-solving skills, with the ability to evaluate information, identify trends or risks, and apply sound judgment to develop sustainable operational solutions.
Ability to effectively develop, lead, and manage staff and operational initiatives or programs that strategically support ESSC organizational priorities, business needs, financial sustainability, and quality service delivery to consumers.
Excellent written and verbal communication skills, including the ability to clearly convey information to diverse audiences, conduct presentations, and advocate effectively on behalf of programs or initiatives.
Ability to demonstrate good judgment, exercise discretion, and maintain a high level of confidentiality in handling sensitive situations and documentation.
Demonstrated organizational and time management skills, including the ability to manage multiple priorities, respond to varying demands, and meet deadlines.
Strong interpersonal skills, with the ability to work effectively with culturally diverse, low-income populations and in multicultural environments.
Demonstrated computer proficiency, including Microsoft Office applications (Outlook, Word, Excel, Teams) and related software applications.
Strong interest and commitment to working in multi-cultural settings.
Able to obtain and maintain a criminal record/fingerprint clearance from the Department of Justice and Federal Bureau of Investigation per Easterseals Southern California and/or program requirements.
Ability to travel throughout Southern California with reliable transportation, maintain driving record in compliance with Transportation Safety Standards; must have and maintain proper auto insurance and vehicle registration.
Ability to pass post-offer medical examination.
Must pass all drug testing required by ESSC.

PHYSICAL REQUIREMENTS IN ACCORDANCE WITH ADA:

Carrying/Lifting:

Occasional / 0-10 lbs.

Standing:

Occasional / Up to 3 hours per day.

Sitting:

Constant / Up to 8 hours per day.

Walking:

Occasional / Up to 3 hours per day.

Travel:

Up to 25 % of time.

Repetitive Motion/Activity:

Keyboard activity, telephone use, writing.

Visual Acuity:

Ability to view computer monitor and read newsprint.

Environmental Exposure:

Regularly duties do or do not involve exposure to blood, body fluids, or tissues; but employment may require performing unplanned tasks that do involve such exposure.

Apply Now

Refine Your Search

insurance medical director jobs

Director, Revenue Operations - Health Insurance Contracts

Director, Revenue Operations - Health Insurance Contracts

Medical Only Claims Adjuster (Part-Time)

Physician Medical Review ( Disability Claims ) 1099

Director, Insurance Services

Chief Sales Officer - Dental Insurance & Benefits (DentaSmart.ai)

Director, Risk Management/Insurance

Associate Director, Insurance

Medical Claims Review Medical Director - Surgeon - Remote

Associate Director, Global Insurance and Risk Management

Senior Director, Head of Data

Sr. Director, Insurance Portfolio Management

Claims Operations Director

Senior Director, Accounts Receivable

Lead Director - Software Development Engineering (Claims Adjudication)

Chief Risk Officer

Associate Director - Personal Insurance Product Management, Telematics

Senior Director, Insurance Claims Advisory

Sr. Director, Project Management

Sr. Director, Claim Advanced Analytics Circle Business Lead

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