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Provider Network Relationship Manager Jobs

5,920 active opportunities · Updated for October 2026

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Explore current provider network relationship manager jobs. Use filters to narrow by work mode, employment type, experience and date posted.

CH
19 days ago

Opportunity Overview: Cohere Health is seeking a highly analytical, resourceful, and organized Business Development & Sales Operations Analyst to support our growing Growth organization. This role sits at the intersection of business development, sales operations, data analysis, market intelligence, and process improvement. The ideal candidate is naturally curious, comfortable working with data, and able to turn information into actionable insights. This person will support Sales and Growth leadership through account and market research, reporting and analysis, CRM data management, business intelligence, and operational projects. This is a hands-on role for someone who enjoys solving problems, learning new tools, working across teams, and using technology and AI to make teams more efficient and effective. What you’ll do: Account & Market Research Conduct research on health plans, prospects, key executives, organizational structures, market developments, and relevant vendors or technology partners. Research and map key stakeholders and buying committees within target accounts. Monitor company news, earnings, leadership changes, partnerships, and other developments relevant to Sales and Growth. Use AI and other research tools to efficiently gather, analyze, and synthesize information. Research and track competitor use in target accounts. Package research and insights into concise, actionable outputs for Sales, Solutions, Marketing, and leadership. Data & CRM Management Maintain high-quality account, contact, opportunity, and other sales data. Research, validate, enrich, and clean CRM data and identify data-quality issues. Support data governance and help ensure consistent use of sales processes and CRM standards. Reporting, Analytics & Business Insights Analyze sales pipeline, activity, funnel performance, account engagement, and other key business development metrics. Build and maintain Salesforce reports and dashboards that provide actionable insight

sqlaisalesforce
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B
19 days ago

WHAT IS BOX? Box (NYSE:BOX) is the leader in Intelligent Content Management. Our platform enables organizations to fuel collaboration, manage the entire content lifecycle, secure critical content, and transform business workflows with enterprise AI. We help companies thrive in the new AI-first era of business. Founded in 2005, Box simplifies work for leading global organizations, including JLL, Morgan Stanley, and Nationwide. Box is headquartered in Redwood City, CA, with offices across the United States, Europe, and Asia. By joining Box, you will have the unique opportunity to continue driving our platform forward. Content powers how we work. It’s the billions of files and information flowing across teams, departments, and key business processes every single day: contracts, invoices, employee records, financials, product specs, marketing assets, and more. Our mission is to bring intelligence to the world of content management and empower our customers to completely transform workflows across their organizations. With the combination of AI and enterprise content, the opportunity has never been greater to transform how the world works together and at Box you will be on the front lines of this massive shift. WHY BOX NEEDS YOU It's an amazing time to be working at Box and transforming the content management landscape cannot be done without providing best-in-class support for our developers, administrators, and end users. In this role, we support our users through a variety of channels on all aspects of Box products. We are intelligent, resourceful, clever, and committed. We provide innovative and creative solutions and break through walls to solve our customers' problems. We do not follow scripts. WHAT YOU'LL DO Become a technical expert on a product domain of the Box product suite and rapidly grow technical and product knowledge overtime. Engage on customer-facing activities, such as product troubleshooting and providing support to enhance the

aiproject management
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Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. As a Product Engineer in Node Development group, you will be part of a forward-thinking team of engineers that solves complex problems to develop industry leading DRAM! You will engage on new technology at design start and be part of a team responsible for delivering technology to enable the full product portfolio, initial device qualification and production ramp. This will be accomplished through innovation and by cross-functional engagement with partner groups; Design, Test, Technology Development, Marketing, Manufacturing and Quality Assurance departments to co-optimize product and process. While you may not exhibit all of the characteristics/skills listed below today, we are highly interested in a teammate who is motivated to grow in technical breadth and depth. Suppose you are open to learning while being a valued member of a team of world-class engineers. In that case, we are determined to help build upon your existing foundation, while focusing on your individual and collaborative skills in this exciting and outstanding opportunity. Responsibilities Include: Enable new process node startup, qualification, yield, and ramp Collaborate with internal engineering groups; Design, Technology Development, Design for Test, and Quality teams to understand yield issues and priorities. Provide direction to development teams using thorough knowledge for process integration Develop and key metrics for feedback on a new technology Support design verification and validation using CAD tools and simulation

airecruitment
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JLL empowers you to shape a brighter way . Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you’ve got deep experience in commercial real estate, skilled trades or technology, or you’re looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Job Description – Workplace Event Lead (IFM - Singapore) Summary: Workplace Event Lead duties and responsibilities include leading a team of Workplace Ambassadors, planning, coordinating, and executing workplace events that enhance client’ss employee engagement, foster client’s company culture, and support client’s organization objectives. This role requires to work closely with Workplace Experience team (Soft-Service), Engineering team, Senior Facilities Manager and the client, contributing to larger workplace & event experience for all offices. While the role requires someone highly proactive and independent, it also requires strong project management skills, creative vision, and the ability to manage multiple events and stakeholders simultaneously while staying within budget. Responsibilities: Team Leadership: This role provides direct supervision and mentorship to event ambassadors. Responsibilities include recruiting, hiring, and onboarding event team members, setting clear performance expectations and delegating responsibilities and empowering team members to make decisions, managing workload distribution to optimize team efficiency, fostering a collaborative and high-performing t

artificial intelligenceaiproject management
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I
20 days ago

Job Details: Job Description: As a System Simulation Engineer, you will play a critical role in developing and optimizing simulation models to support the design and validation of cutting-edge systems. Your day-to-day activities will include creating, refining, and analyzing system-level simulations to assess performance, reliability, and functionality. Your expertise will directly contribute to the development of innovative solutions that drive Intel's success in delivering high-quality products to market. Intel Corporation is a world leader in designing and manufacturing advanced technologies that power the future of computing. The organization you will join focuses on enabling innovative engineering solutions that support Intel's broader goals of advancing technology leadership. By fostering collaboration across teams and disciplines, this group drives impactful contributions to Intel's product portfolio and technological growth. The primary responsibilities for this role will include, but are not limited to: Develop and maintain system-level simulation models to evaluate performance, reliability, and functionality. Collaborate with cross-functional teams to gather requirements and ensure alignment with design and validation goals. Analyze simulation results and provide actionable insights to improve system design and architecture. Optimize simulation frameworks for accuracy and efficiency, ensuring alignment with project timelines. Document processes, methodologies, and findings to facilitate knowledge sharing and collaboration. Qualifications: Minimum Qualifications : Minimum qualifications are required to be initially considered for this

pythonrecruitment
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C
Cvshealth
📍 Work From Home, United States• Remote
20 days ago

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. If you're looking to make a global difference in your next role, this opportunity is for you. Aetna International is seeking an Analyst, Account Manager who is passionate about delivering an exceptional customer experience and supporting the ongoing success of our Access U.S. customers. In this role, you will partner with Account Managers, customers, brokers, and internal business partners to provide day-to-day operational and service support throughout the customer lifecycle. You will help drive customer satisfaction and membership retention through proactive coordination, accurate execution, consultative problem-solving, and timely issue resolution. The Access U.S. business provides comprehensive health benefit solutions for U.S.-based employees of multinational organizations. Through a range of medical plans, wellness programs, digital health tools, global support services, and dedicated account management, Access U.S. helps employers offer competitive benefits while providing members with access to high-quality care and a personalized health care experience. Position Summar y Supports the Account Management team in delivering a consistent, high-quality experience for Access U.S. customers, brokers, and members. Provides operational and administrative support across eligibility, enrollment, benefit documentation, customer service activities, and issue resolution. Collaborat

REMOTEsalesforcecustomer service
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C
20 days ago

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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our Pharmacy Managers play a critical role in cultivating a culture of excellence in their respective pharmacy by acting as a role model for all, demonstrating genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager, you will lead and develop a pharmacy team that provides exceptional patient care by promoting best practices and leading through change while identifying and addressing performance opportunities. Pharmacy Managers support novel program awareness, onboard newly hired pharmacy team members, and recognize colleagues for their success. The Pharmacy Manager consistently exhibits best practices when working the bench, including quarterbacking the team, providing patients with meaningful counseling, and abiding by all legal and regulatory guidelines, amongst other required activities. The Pharmacy Manager is responsible for direct and effective management of their pharmacy team, including but not limited to: Living our pur

customer service
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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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our Pharmacy Managers play a critical role in cultivating a culture of excellence in their respective pharmacy by acting as a role model for all, demonstrating genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager, you will lead and develop a pharmacy team that provides exceptional patient care by promoting best practices and leading through change while identifying and addressing performance opportunities. Pharmacy Managers support novel program awareness, onboard newly hired pharmacy team members, and recognize colleagues for their success. The Pharmacy Manager consistently exhibits best practices when working the bench, including quarterbacking the team, providing patients with meaningful counseling, and abiding by all legal and regulatory guidelines, amongst other required activities. The Pharmacy Manager is responsible for direct and effective management of their pharmacy team, including but not limited to: Living our pur

customer service
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C
20 days ago

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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our Pharmacy Managers play a critical role in cultivating a culture of excellence in their respective pharmacy by acting as a role model for all, demonstrating genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager, you will lead and develop a pharmacy team that provides exceptional patient care by promoting best practices and leading through change while identifying and addressing performance opportunities. Pharmacy Managers support novel program awareness, onboard newly hired pharmacy team members, and recognize colleagues for their success. The Pharmacy Manager consistently exhibits best practices when working the bench, including quarterbacking the team, providing patients with meaningful counseling, and abiding by all legal and regulatory guidelines, amongst other required activities. The Pharmacy Manager is responsible for direct and effective management of their pharmacy team, including but not limited to: Living our pur

customer service
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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 Location: Work From Home – Flexible, Travel Required: 25 – 50% (Wayne and Macomb Counties) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST No evenings, weekends, or major holidays 4 day/10-hour schedule available after training ​ Our Mission The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible Medicare and Medicaid members. This role ensures members receive appropriate waiver and community-based services to promote safety, independence, and improved health outcomes while maintaining regulatory compliance. This position includes in-home visits to complete functional assessments, evaluate eligibility for waiver services, and develop person-centered service plans. Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and

C
Cvshealth
📍 Work From Home, United States• Remote
20 days ago

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. Registered Nurse (RN) - Utilization Management Location: Remote (Preference for candidates in Central or Eastern Time Zones) Schedule: 24/7 operation; includes evenings, weekends, and holidays Are you an experienced Registered Nurse looking to leverage your clinical expertise in a collaborative, fast-paced environment? Join our Utilization Management team and play a critical role in ensuring members receive appropriate, high-quality healthcare services across the continuum of care. What You'll Do Review and assess clinical information to support coverage determinations and care recommendations. Apply clinical guidelines, policies, and professional judgment to utilization management decisions. Collaborate with providers and interdisciplinary teams to coordinate care and treatment plans. Identify opportunities for care management referrals and enhanced member support services. Promote quality outcomes, effective healthcare utilization, and member-centered care. Serve as a clinical resource for internal and external stakeholders. Required Qualifications Active, unrestricted RN license in your state of residence. 2+ years of RN experience in adult acute care or critical care settings. Associate Degree in Nursing (ADN). Strong communication, critica

REMOTEExcel
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C
20 days ago

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: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our Pharmacy Lead Technicians (Lead Technicians) play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise. As a Lead Technician, you will be an example for and support the pharmacy team in delivering operational and service excellence within your store. Lead Technicians use and build upon the skills and responsibilities of the Pharmacy Technician/Inventory Specialist, acting as a role model, mentor, and guide to the pharmacy team while supporting the Pharmacy Manager and all Pharmacist(s). As an individual contributor and participant-leader, Lead Technicians assist in ensuring that pharmacy operations run smoothly; patients’ prescriptions are filled promptly, safely, and accurately; and that the team provides caring service that exceeds patient expectations. Lead Technicians champion and coach consistent application of Standard Operating Procedures (SOPs), best practices, and effective communication with the pharmacy team. Throughout their shifts and in al

customer service
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C
20 days ago

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 position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. - One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes. - Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve escalations. - Establishes and maintains communicat

REMOTEExcel
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C
20 days ago

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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our Pharmacy Managers play a critical role in cultivating a culture of excellence in their respective pharmacy by acting as a role model for all, demonstrating genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager, you will lead and develop a pharmacy team that provides exceptional patient care by promoting best practices and leading through change while identifying and addressing performance opportunities. Pharmacy Managers support novel program awareness, onboard newly hired pharmacy team members, and recognize colleagues for their success. The Pharmacy Manager consistently exhibits best practices when working the bench, including quarterbacking the team, providing patients with meaningful counseling, and abiding by all legal and regulatory guidelines, amongst other required activities. The Pharmacy Manager is responsible for direct and effective management of their pharmacy team, including but not limited to: Living our pur

customer service
View job →
C
20 days ago

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. Job Purpose and Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our Pharmacy Managers play a critical role in cultivating a culture of excellence in their respective pharmacy by acting as a role model for all, demonstrating genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager, you will lead and develop a pharmacy team that provides exceptional patient care by promoting best practices and leading through change while identifying and addressing performance opportunities. Pharmacy Managers support novel program awareness, onboard newly hired pharmacy team members, and recognize colleagues for their success. The Pharmacy Manager consistently exhibits best practices when working the bench, including quarterbacking the team, providing patients with meaningful counseling, and abiding by all legal and regulatory guidelines, amongst other required activities. The Pharmacy Manager is responsible for direct and effective management of their pharmacy team, including but not limited to: Living our pur

customer service
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