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Provider Network Relationship Manager Jobs

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Secure Every Identity, from AI to Human Identity is the key to unlocking the potential of AI. Okta secures AI by building the trusted, neutral infrastructure that enables organizations to safely embrace this new era. This work requires a relentless drive to solve complex challenges with real-world stakes. We are looking for builders and owners who operate with speed and urgency and execute with excellence. This is an opportunity to do career-defining work. We're all in on this mission. If you are too, let's talk. Secure Every Identity, from AI to Human Identity is the key to unlocking the potential of AI. Okta secures AI by building the trusted, neutral infrastructure that enables organizations to safely embrace this new era. This work requires a relentless drive to solve complex challenges with real-world stakes. We are looking for builders and owners who operate with speed and urgency and execute with excellence. This is an opportunity to do career-defining work. We're all in on this mission. If you are too, let's talk. The Digital Platform Team The Digital Platform team is a global organization distributed across the US and India, responsible for the integration and infrastructure layer that connects Adobe Experience Cloud to the rest of Okta's marketing technology, and analytics stack. The team owns Adobe Experience Platform (AEP) architecture, data collection infrastructure, AEM platform services, and the integration portfolio — including the MCP server architecture, LLM provider integrations, and AI agent infrastructure that power AI-native marketing experiences across the company. The team partners closely with Marketing, IT, DevSecOps, and Adobe to extend platform capabilities, govern data, and deliver scalable AI-driven experiences to the GTM organization. The work is strategic and product-driven: anticipating capability gaps, evaluating new tools and integrations, and building the connective tissue that keeps the broader ecosystem unified and well-governed

reactawsgit
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C
Cvshealth
📍 United States• Remote
9 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 Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and problems. Perform adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process. Performs claim re-work calculations. Follow through completion of claim overpayments, underpayments, and any other irregularities. Process complex non-routine Provider Refunds and Returned Checks. Review and interpret medical contract language using provider contracts to confirm whether a claim is overpaid to allocate refund checks. Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals. Ensures all compliance requirements are satisfied and that all payments are made following company practices and procedures. Review and handle relevant correspondences assigned to the team that may result in adj

REMOTEcustomer 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. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary: Looking for a career that rewards you? As a Front End Pharmacy Technician with Omnicare, you will not only find rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As a Front End Pharmacy Technician, you will perform order entry tasks and collaborate with other team members in the medication dispensing process at our closed-door pharmacy. Our front-end team is focused on entering in orders, working alongside the pharmacist to ensure accuracy, and providing best in customer service. Additional tasks and responsibilities include: Triaging customer service requests by department, urgency

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: Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Looking for a career that rewards you? As a Front End Pharmacy Technician with Omnicare, you will not only find rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As a Front End Pharmacy Technician, you will perform order entry tasks and collaborate with other team members in the medication dispensing process at our closed-door pharmacy. Our front-end team is focused on entering in orders, working alongside the pharmacist to ensure accuracy, and providing best in customer service. Additional tasks and responsibilities include: Triaging customer service requests by department, urgency, and information/response required

customer service
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C
9 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 Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction and be supporting approximately 6,000 colleagues. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Coordinates employee relations programs to ensure compliance with policies and practices. Develops and implements policies and procedures, including grievance procedures and exit interviews. Researches and responds to employee questions, concerns and grievances. Maintains employee relations records. Primary Job Duties & Responsibilities Develops complex policies and procedures related to employee relations, ensuring compliance with applicable laws and regulations. Under minimal supervision, serves as a point of contact for employees regarding workplace issues, conflicts, and concerns. Conducts investigations, gathers relevant information, and r

REMOTEhuman resourcesHR
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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. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary: Looking for a career that rewards you? As a Back-End Pharmacy Technician with Omnicare, you will not only find rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As an Back-End Pharmacy Technician Omnicell Driver, you will work to ensure all medication needs and regulatory standards are met for our patients. You will work in various workstations allowing you to grow your skillsets further. Our back-end team focuses on order fulfillment in our closed-door pharmacy setting, including packaging and dispensing of medication, reviewing delivery orders and bins for accurac

customer service
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C
9 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. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary Looking for a career that rewards you? As a Back-End Pharmacy Technician with Omnicare, you will find not only rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: This is a morning shift position. It will have a schedule of 6am to 230pm M-F with a rotation of every other Saturday and Sunday. As an Back-End Pharmacy Technician, you will work to ensure all medication needs and regulatory standards are met for our patients. You will work in various workstations allowing you to grow your skillsets further. Our back-end team focuses on order fulfillment in our closed-door pharma

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: Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Looking for a career that rewards you? As a Back-End Pharmacy Technician with Omnicare, you will not only find rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As an Back-End Pharmacy Technician, you will work to ensure all medication needs and regulatory standards are met for our patients. You will work in various workstations allowing you to grow your skillsets further. Our back-end team focuses on order fulfillment in our closed-door pharmacy setting, including packaging and dispensing of medication, reviewing delivery orders and bins for accuracy, and coordinating stock rotations. Additional tasks and responsibilities include:</

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 Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. The Inside Sales Development Associate has ownership of qualified lead generation against prospect profitability, timelines and market segmentation. The role provides material and strategy support for needs and discovery meeting preparation, proposal development and contract negotiation and closure. The Inside Sales Development Associate will have the opportunity to impact our business in the following ways: Generates leads and contributes to pipeline development aligned with respective budget as measured by key performance indicators ( KPI’s ) within Market-Based Sales Team. Prioritizes opportunities based upon profitability, customer timelines, and market segmentation. Tracks lead opportunities r

salesforceExcelcustomer 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. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary: Looking for a career that rewards you? As a Front End Pharmacy Technician with Omnicare, you will not only find rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As a Front End Pharmacy Technician, you will perform order entry tasks and collaborate with other team members in the medication dispensing process at our closed-door pharmacy. Our front-end team is focused on entering in orders, working alongside the pharmacist to ensure accuracy, and providing best in customer service. Additional tasks and responsibilities include: Triaging customer service requests by department, urgency, and information/response required

customer service
View job →
C
9 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. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we’re helping people on their path to better health— from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we’re present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day. Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integ

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 Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. What We Do Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the healthcare environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations. Are you searching for a fast paced and multifaceted environment where you can show your passion for helping others? If this sounds like the opportunity you're looking for, apply to our Pharmacist role at Omnicare today! We can't wait to meet you! As a pharmacist for our Long Term Care Pharmacy you will work in an exciting, dynamic and fast paced environment, ensuring the continuation of pharmacy management's goals and objectives wit

customer service
View job →

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. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary: Looking for a career that rewards you? As a Back-End Pharmacy Technician with Omnicare, you will not only find rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As an Back-End Pharmacy Technician, you will work to ensure all medication needs and regulatory standards are met for our patients. You will work in various workstations allowing you to grow your skillsets further. Our back-end team focuses on order fulfillment in our closed-door pharmacy setting, including packaging and dispensing of medication, reviewing delivery orders and bins for accuracy, and coordinating stock rotations. Additio

customer service
View job →

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. Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. Position Summary: Looking for a career that rewards you? As a Back-End Pharmacy Technician with Omnicare, you will not only find rewarding work in your community, but a team focused on providing a supportive and innovative team environment for all members. Day In The Life: As an Back-End Pharmacy Technician Omnicell Driver, you will work to ensure all medication needs and regulatory standards are met for our patients. You will work in various workstations allowing you to grow your skillsets further. Our back-end team focuses on order fulfillment in our closed-door pharmacy setting, including packaging and dispensing of medication, reviewing delivery orders and bins for accurac

customer service
View job →

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 Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. What We Do Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the healthcare environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations. Are you searching for a fast paced and multifaceted environment where you can show your passion for helping others? If this sounds like the opportunity you're looking for, apply to our Pharmacist role at Omnicare today! We can't wait to meet you! As a pharmacist for our Long Term Care Pharmacy you will work in an exciting, dynamic and fast paced environment, ensuring the continuation of pharmacy management's goals and objectives wi

customer service
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