Provider Network Relationship Manager Jobs

Our Mission You call. You wait. You call again. In every other part of your life, you book in seconds. In healthcare, you’re blocked. We’re here to give power to the patient. For nearly 20 years, we’ve built the leading healthcare marketplace - helping tens of millions of people find and book the care they need. Now, we’re going further: building our infrastructure beyond Zocdoc’s marketplace to power access to care wherever patients search, from provider websites and insurance directories to search engines, AI platforms, and more. Healthcare still lacks something every other major consumer industry takes for granted: a seamless way to go from seeking to getting . We don’t want to own the front door to care; there isn't one. We want to make sure all of those doors open when patients are knocking. Fixing healthcare starts with fixing access to it. And we're still just getting started. As an Insurance Senior Specialist, you will serve as the subject matter expert for Zocdoc's insurance taxonomy and related systems. You will own the policies, processes, and quality standards that ensure our insurance data is accurate, scalable, and aligned with product strategy. This role combines deep expertise in the U.S. health insurance landscape with strong analytical thinking to improve the patient search experience and strengthen the integrity of our insurance database. You will partner closely with Product, Operations, and Engineering teams to define insurance policies, monitor database health, and drive continuous improvements. Your work will directly influence how patients find in-network care by ensuring that our insurance taxonomies, carrier and plan coverage, and provider matching systems remain accurate, scalable, and responsive to changes in the healthcare market. A Day in the Life of a Product Operations Specialist: Define Insurance Policies & Standards: Own the policies governing insurance carriers and plans across the Zocdoc marketpl

About Us At Cloudflare, we are on a mission to help build a better Internet. Today the company runs one of the world’s largest networks that powers millions of websites and other Internet properties for customers ranging from individual bloggers to SMBs to Fortune 500 companies. Cloudflare protects and accelerates any Internet application online without adding hardware, installing software, or changing a line of code. Internet properties powered by Cloudflare all have web traffic routed through its intelligent global network, which gets smarter with every request. As a result, they see significant improvement in performance and a decrease in spam and other attacks. Cloudflare was named to Entrepreneur Magazine’s Top Company Cultures list and ranked among the World’s Most Innovative Companies by Fast Company. At Cloudflare, we’re not looking for people who wait for a polished roadmap; we’re looking for the builders who see the cracks in the Internet that everyone else has simply learned to live with. We value candidates who have the instinct to spot a "normalized" problem and the AI-native curiosity to create a solution using the latest tools. Our culture is built on iteration, leveraging AI to ship faster today to make it better tomorrow, while ensuring that every improvement, no matter how small, is shared across the team to lift everyone up. If you’re the type of person who values curiosity over bureaucracy, and that AI is a partner in solving tough problems to keep the Internet moving forward, you’ll fit right in. Available Location: Singapore Role Summary We are seeking an exceptionally accomplished Principal Partner Account Manager to join our Service Provider (SP) and MSSP team and lead our APJ Service Provider (SP) & MSSP GTM strategy. Based in Singapore and reporting to the Senior Director, Global Service Provider Sales, you will be the driving force behind Cloudflare’s most strategic and high-value Service Provider partners. In an era where

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: This is an individual contributor role. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts. Works with larger and more complex, market/regional/national based groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for service and value-based agreements with key physician groups, facilities, and ancillary providers to support commercial and individual exchange networks. This person will also work collaboratively with Aetna and CVS departments to identify initiatives to improve physician performance and quality of care provided to our members. Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined groups. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. What You’ll Do Lead end-to-end contract negotiations, execution, and analysis with a focus on hospital, ph

General Summary: The Services Portfolio Owner will have a technical focus and work with product managers, internal stakeholders, 3rd-party partners, and customers to gain a thorough understanding of their product and market needs, translating them into feature stories and tasks for development. You will be responsible for turning the product vision into an actionable backlog and advocating the customers’ needs to the development team. The Services Portfolio Owner is responsible for the development backlog, grooming, and acceptance. This individual will execute converting the product vision and roadmap into workable product requirements for engineering to meet product roadmap expectations defined by the Portfolio Manager. This role will report to the Manager, Services Portfolio and will regularly engage with cross-functional leaders. The ideal candidate must be well-versed in agile scrum and comfortable working in all aspects of a multifaceted delivery network. You will demonstrate excellent problem-solving skills, be self-motivated and detail-oriented, and be a good team player. Other duties include prioritization of key backlog items that drive growth and success, developing supporting documentation, and keeping customers and stakeholders informed of the status of the product. ROLES & RESPONSIBILITIES Owns and prioritizes the sprint backlog for assigned platform and technical domains, balancing technical debt, reliability, and roadmap commitments Translates platform and technical requirements into well-defined epics, user stories, technical specifications, and acceptance criteria Converts product vision into actionable backlog items that deliver platform enablement, reliability, scalability and technical debt reduction Participates in sprint planning, grooming, retrospectives and reviews for assigned technical and platform teams Works with Portfolio Management, Engineering leads, architects and security teams to support platform decision

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary : This is an individual contributor role. The Contract Manager serves as the subject matter expert in support of contracting initiatives and data audits to enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals. Responsible for reviewing, building and auditing complex contract and network data, support recruitment efforts, and collaborating on negotiations as needed. Role/Responsibilities Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs. Manages contract performance in support of network quality, availability, and financial goals and strategies. Recruits providers to ensure attainment of network expansion and adequacy targets. Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities. Provides network development, maintenance, and refinement activities and strategies in sup

Become a part of our caring community The Dental Recontracting Professional initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides dental insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This is a VSP role - work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. The Dental Recontracting Professional - VSP will recontract Humana contracted dentists to our new agreement and as needed will communicates contract terms, payment structures, and reimbursement rates to providers. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures and work special projects as needed. This role is Variable Staffing Pool (VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. This role is also eligible for limited benefits. Use your skills to make an impact Required Qualifications 2 - 5 years of experience negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a dental office Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures a

Become a part of our caring community The Market Finance Lead is a key member of the Gulf South Region’s finance team responsible for connecting market financial performance with operational effectiveness. This role will partner closely with Corporate Finance, Network Performance, Network Contracting, and regional Health Services teams. This individual will manage a team covering a diverse set of responsibilities around Medicare Advantage financial business operations with a heavy focus on value-based providers. This role reports to the Market Finance Director. This role analyzes financial results, claims experience, utilization trends, contract performance, membership, and provider performance data to identify opportunities, influence business decisions, and support market growth and operational improvement. The Market Finance Lead will partner closely with regional leadership, actuarial, corporate finance, clinical, risk adjustment, market operations, network performance, network contracting, sales/MarketPoint, and value-based care providers. This individual will translate complex financial and operational data into meaningful insights, recommendations, and action plans that improve performance across the market. As the Market Finance Lead, you will: Manage a team to review value-based providers’ financial performance, membership, cost and utilization trends, contractual results, and opportunities for improvement. Lead the financial portion of provider engagement prep sessions prior to joint operating committee meetings to advise the Network Performance team on contract performance and opportunities for improvement. Lead analysis and reporting related to value-based provider and contract performance, including financial results, utilization, claims experience, membership, and operational trends. Leverage data analytics, business ins

Become a part of our caring community The Senior Quality Improvement Professional leads efforts to improve clinical quality and provider performance for the Humana Healthy Horizons in South Carolina Medicaid Plan. You will develop and implement cross-functional quality improvement initiatives, evaluate business processes and performance outcomes, and drive sustainable, measurable improvements. Reporting to the Quality Improvement Director, you will collaborate with internal and external stakeholders to advance a provider-focused culture of quality and performance excellence. You will manage complex projects and analyze diverse data sources to identify opportunities, inform strategy, and support organizational objectives. The Senior Quality Improvement Professional leverages data to lead quality improvement initiatives, monitor performance metrics, and support provider performance enhancement. This role collaborates with provider-facing teams to implement targeted interventions, develop educational resources, and drive achievement of quality and member experience goals. The position leads and participates in multidisciplinary committees, provides strategic clinical guidance on quality initiatives, and influences business decisions through data-driven insights. Operating with a high degree of independence, the Senior Quality Improvement Professional manages complex projects, exercises sound judgment, and recommends solutions to advance organizational objectives. Essential Role Responsibilities The Senior Quality Improvement Professional is responsible for improving clinical quality and performance outcomes among South Carolina network providers. Key responsibilities include: Partner with Provider Engagement, Network, and Contracting teams to implement clinical quality improvement strategies including education, training and performanc

The Team Platform Engineering is the department within SRE that is responsible for a range of critical infrastructure and operational functions that support the broader engineering organization. Among these are our multi-cloud-provider Kubernetes infrastructure, deployment machinery, and observability and alerting systems. The Fabric team manages the infrastructure that enables secure communication between systems and from the public internet. Their responsibilities encompass network architecture, service mesh, and edge load balancing, ensuring customer data remains safe in transit. The team plays a crucial role in developing and maintaining the reliable and globally connected multi-cloud network that supports MongoDB products. This role can sit in our NYC HQ, our smaller Austin, Palo Alto, or San Francisco offices, or fully remote from anywhere in North America. When based in an office, we provide hybrid work accommodation. Role Overview We are seeking a talented Site Reliability Engineer (SRE) with a strong networking background to join the Fabric team. This role is pivotal in building and maintaining the robust infrastructure necessary for secure and efficient communication between our services. As an SRE on the Fabric team, you will leverage your expertise in networking, distributed systems, and automation to ensure our systems are resilient, scalable, and reliable. The ideal candidate should Have 10+ years of experience working on software and operating distributed systems, with deep expertise in networking fundamentals and a good understanding of how the internet works, e.g. TCP/IP (including IPv6), DNS, TLS/mTLS, BGP, tunnels, overlays, and SDN principles Possess a customer-focused mindset, driving improvements that benefit end-users Value efficiency in processes and operations, and display a strong preference for automation over manual processes (“allergic to ops work”) Be intimately familiar with modern cloud-based infrastructure and the network design prim

The Team Platform Engineering is the department within SRE that is responsible for a range of critical infrastructure and operational functions that support the broader engineering organization. Among these are our multi-cloud-provider Kubernetes infrastructure, deployment machinery, and observability and alerting systems. The Fabric team manages the infrastructure that enables secure communication between systems and from the public internet. Their responsibilities encompass network architecture, service mesh, and edge load balancing, ensuring customer data remains safe in transit. The team plays a crucial role in developing and maintaining the reliable and globally connected multi-cloud network that supports MongoDB products. This role can sit in our Toronto or Vancouver offices, or fully remote from anywhere in North America. When based in an office, we provide hybrid work accommodation. Role Overview We are seeking a talented Site Reliability Engineer (SRE) with a strong networking background to join the Fabric team. This role is pivotal in building and maintaining the robust infrastructure necessary for secure and efficient communication between our services. As an SRE on the Fabric team, you will leverage your expertise in networking, distributed systems, and automation to ensure our systems are resilient, scalable, and reliable. The ideal candidate should Have 10+ years of experience working on software and operating distributed systems, with deep expertise in networking fundamentals and a good understanding of how the internet works, e.g. TCP/IP (including IPv6), DNS, TLS/mTLS, BGP, tunnels, overlays, and SDN principles Possess a customer-focused mindset, driving improvements that benefit end-users Value efficiency in processes and operations, and display a strong preference for automation over manual processes (“allergic to ops work”) Be intimately familiar with modern cloud-based infrastructure and the network design primitives of at least one of AWS, Azur

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Performs complex medical economic projects (e.g. contract rate modeling) Accountabilities include identification and completion of key deliverables to ensure all business objectives are met. Responsible for the development and implementation of key medical economics business efforts e.g.medical cost initiatives, policies/programs, budget and analytical models. Partners and consults with Network Management to provide medical cost analysis to assess effectiveness of contracted rates, creating and implementing plans to effectively manage medical costs based on analysis or trends. Develops market specific provider reimbursement schedules Oversees the production of both standard and ad-hoc reports used for risk assessment analysis, budgeting, and hospital chargemaster analysis and forecasting. Coordinates rate approvals and develops pricing for most complex contractual arrangements. Develops and communicates tactical and strategic plans to satisfy information needs across products, segments and markets to a broad audience Required Qualifications 3+ years demonstrated leadership and/or project management experience 3+ years of healthcare and/or analysis experience. Preferred Qualifications • Knowledge of managed care and how provider reimbursement policies relate to the control of me

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This is an individual contributor role. The Senior Contract Manager for First Health Network Management serves as the subject matter expert in support of contracting initiatives and data audits to enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals. Responsible for reviewing, building and auditing complex contract and network data, support recruitment efforts, and collaborating on negotiations as needed. Role/Responsibilities Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives. Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners. Manages contract performance in support of network quality, availability, and financial goals and strategies. Recruits providers to ensure attainment of network expansion

Become a part of our caring community As a Sr Market Development Professional, you will serve as a non people leader, subject matter expert supporting the administration of TRICARE services. In this remote position, you will be required to live within a 60 mile radius of the US Southern Command headquarters in Doral, FL, in order to attend meetings and provide briefings when needed. You will be reporting to a Market Development Advisor. You will provide guidance, issue resolution, operational coordination, and subject matter expertise across TRICARE service delivery, provider, beneficiary, government stakeholder, and network-related matters. Use your skills to make an impact Required Qualifications Our Department of Defense Contract requires U.S. citizenship for this position Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services) HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico. Must live or be willing to relocate within 60 mile commute of US Southern Command office in Doral, FL as this position will require you to visit the office for meetings and to provide briefings when needed. Network management and development experience Managed care experience Experience with analysis of data and making decisions based on data Experience with improving customer satisfaction Preferred Qualifications Bachelor's degree TRICARE/Military Health system experience Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the

We’re looking for a Software Engineer to help shape AI governance for developer tooling at Coder. This role sits on our AI Governance team, which builds and maintains two enterprise-grade components of Coder's AI governance stack. AI Gateway is a centralized LLM gateway that sits between coding agents and providers such as OpenAI or Anthropic, providing organizations with audit trails, token tracking, cost control, and centralized authentication. Agent Firewall wraps those agents with default-deny network policies, controlling which domains and methods they can reach inside workspaces. This team works across the full stack - from Go backend and React frontend, to integrating with LLM provider APIs. Day to day, you'll be shipping features, hardening security boundaries, collaborating with enterprise customers on real-world policy needs, and contributing to Coder's open-source ecosystem. What you'll do here Design and build product features that push the standard for remote development in self-hosted environments Create and improve upon popular open source projects that integrate with VS Code, JetBrains, and other developer tools Champion best practices to both internal team members and external contributors Collaborate with Product and Design teams at Coder, as well as with partners like JetBrains, to execute key product integrations Document the design, implementation, and operations of systems for knowledge sharing within the team Work alongside Customer Success teams to support Coder’s enterprise user base Work with cutting-edge AI technologies to create seamless, painless developer experiences Rapidly iterate from prototype to implementation in a highly adaptive, reactive team environment What we're looking for 3+ years of full-stack experience writing code in a professional setting, with 1+ year(s) writing Go (ideally in current or most recent position) Proficiency in building distributed systems in Go Excellent verbal and written communication skills Exceptiona

We’re looking for a Software Engineer to help shape AI governance for developer tooling at Coder. This role sits on our AI Governance team, which builds and maintains two enterprise-grade components of Coder's AI governance stack. AI Gateway is a centralized LLM gateway that sits between coding agents and providers such as OpenAI or Anthropic, providing organizations with audit trails, token tracking, cost control, and centralized authentication. Agent Firewall wraps those agents with default-deny network policies, controlling which domains and methods they can reach inside workspaces. This team works across the full stack - from Go backend and React frontend, to integrating with LLM provider APIs. Day to day, you'll be shipping features, hardening security boundaries, collaborating with enterprise customers on real-world policy needs, and contributing to Coder's open-source ecosystem. What you'll do here Design and build product features that push the standard for remote development in self-hosted environments Create and improve upon popular open source projects that integrate with VS Code, JetBrains, and other developer tools Champion best practices to both internal team members and external contributors Collaborate with Product and Design teams at Coder, as well as with partners like JetBrains, to execute key product integrations Document the design, implementation, and operations of systems for knowledge sharing within the team Work alongside Customer Success teams to support Coder’s enterprise user base Work with cutting-edge AI technologies to create seamless, painless developer experiences Rapidly iterate from prototype to implementation in a highly adaptive, reactive team environment What we're looking for 3+ years of full-stack experience writing code in a professional setting, with 1+ year(s) writing Go (ideally in current or most recent position) Proficiency in building distributed systems in Go Excellent verbal and written communication skills Exceptiona