ZipRecruiter

Log In

1

Director Claims Operations Jobs in Washington (NOW HIRING)

Marriott

Claims Unit Manager

Bethesda, MD · Hybrid

JOB SUMMARY The Claims Unit Manager is responsible for overseeing the adjustment and resolution of ... Partner with the Regional Director and Operations Managers to ensure effective communication ...

Marriott

Claims Unit Manager

Bethesda, MD · Hybrid

JOB SUMMARY The Claims Unit Manager is responsible for overseeing the adjustment and resolution of ... Partner with the Regional Director and Operations Managers to ensure effective communication ...

KBR

Director, Risk Management

Arlington, VA

... insurance operations, and insured claims handling. As a highly visible leader, the Director ... partners with executive leadership, business divisions, brokers, underwriters, clients, regulatory ...

KBR

Director, Risk Management

Washington, DC

... insurance operations, and insured claims handling. As a highly visible leader, the Director ... partners with executive leadership, business divisions, brokers, underwriters, clients, regulatory ...

next page

Showing results 1-20

All JobsClaims Operations JobsDirector Claims Operations JobsDirector Claims Operations Jobs in Washington

Director Claims Operations information

See Washington salary details

$38.5K

$122K

$203.3K

How much do director claims operations jobs pay per year?

As of Aug 11, 2026, the average yearly pay for director claims operations in Washington is $121,958.00, according to ZipRecruiter salary data. Most workers in this role earn between $85,500.00 and $153,500.00 per year, depending on experience, location, and employer.

What does a director claims operations do?

A Director of Claims Operations oversees the end-to-end claims process, ensuring efficiency, accuracy, and compliance with regulations. They develop and implement strategies to improve claims handling, manage team performance, and optimize workflow processes. Additionally, they collaborate with other departments to enhance customer service and minimize risk exposure. This role requires strong leadership, analytical skills, and knowledge of industry best practices.

What are the typical team dynamics and collaboration responsibilities for a director claims operations?

As a Director Claims Operations, you’ll lead cross-functional teams of claims managers, adjusters, and support staff, often working closely with underwriters, legal, and compliance departments. Collaboration is key, as you’ll facilitate communication between departments to streamline claims handling, resolve complex cases, and implement process improvements. Directors frequently mentor team leaders, coordinate training efforts, and contribute to strategic initiatives that impact the overall claims workflow. This role offers the opportunity to influence company-wide insurance practices and can serve as a stepping stone to higher executive leadership positions within the organization.

What are the key skills and qualifications needed to thrive in the director claims operations position, and why are they important?

Success as a Director Claims Operations requires strong leadership, in-depth knowledge of insurance claims processes, and a bachelor’s degree (often in business, insurance, or a related field), with many employers preferring advanced degrees or significant industry experience. Familiarity with claims management systems, data analysis tools, and regulatory compliance software, as well as certifications like AIC (Associate in Claims), are highly valued. Exceptional organizational, problem-solving, and interpersonal skills are critical for effectively managing teams and fostering cross-departmental collaboration. These competencies enable operational efficiency, ensure regulatory compliance, and help drive both customer satisfaction and financial performance within the organization.

What are popular job titles related to Director Claims Operations jobs in Washington? For Director Claims Operations jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Director Claims Operations jobs in Washington look for? The top searched job categories for Director Claims Operations jobs in Washington are:
What cities in Washington are hiring for Director Claims Operations jobs? Cities in Washington with the most Director Claims Operations job openings:
Director Claims Operations jobs near you
Infographic showing various Director Claims Operations job openings in Washington as of August 2026, with employment types broken down into 83% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $121,958 per year, or $58.6 per hour.

Healthcare Claims Operations Team Lead - Washington, DC (On-site)

Gainwell Technologies LLC

Washington, DC • On-site

$50K - $55K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 6 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 80 frontline employees who took The Breakroom Quiz

136th of 242 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

As a Healthcare Claims Operations Team Lead at Gainwell, you will lead a team responsible for medical claims processing, resolution, and financial reconciliation supporting Medicaid and Medicare programs.

You will oversee end-to-end healthcare claims operations, including claims adjudication, complex issue resolution, payment accuracy, and compliance with CMS guidelines. This role serves as a subject matter expert in health insurance claims workflows and financial processes, while driving operational efficiency, quality, and continuous improvement.

Your role in our mission
  • Lead, mentor, and develop a team supporting medical claims processing, adjudication, and resolution
  • Oversee the full lifecycle of healthcare claims, ensuring accuracy, timeliness, and service excellence
  • Resolve complex and escalated Medicaid and Medicare claims issues, including discrepancies and exceptions
  • Manage claims-related financial processes, including payments, reimbursements, adjustments, and reconciliations
  • Partner with cross-functional teams across finance, compliance, IT, and operations to optimize workflows and performance
What we're looking for
  • 5–7+ years of experience in medical claims, healthcare claims, or health insurance operations
  • Strong experience working with Medicaid and/or Medicare claims
  • Experience with end-to-end claims lifecycle, including adjudication, processing, and resolution
  • Knowledge of claims-related financial processes, including reconciliation, payments, and adjustments
  • Proven experience leading or supervising teams in a healthcare claims or insurance environment
What you should expect in this role
  • Onsite position located at Gainwell Technologies, 1111 19th St NW, Suite 1000, Washington, DC
  • Opportunity to lead high-impact healthcare claims operations supporting government-sponsored programs
  • A collaborative environment focused on operational excellence, compliance, and continuous improvement
  • Career growth within a company that values innovation, flexibility, and professional development
  • Exposure to cross-functional leadership and strategic initiatives across claims, finance, and compliance teams

*This posting is intended for pipelining. We will accept applications on an ongoing basis.

#LI-ONSITE

#LI-LS2

The pay range for this position is $50,000 - $55,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Gainwell Technologies logo

About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

View All Gainwell Technologies Jobs

Apply