Operational Account Manager in United States

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

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 The Manager, Care Model is responsible for owning the day‑to‑day execution of a defined care model workstream, ensuring planned activities are delivered on time and with high quality. This role translates care model strategy and direction into detailed task‑level plans, coordinates functional contributors, and drives daily follow‑through on actions, milestones, and deliverables. The Manager focuses on tactical execution, detailed tracking, and issue management, proactively identifying risks and escalating impacts that may affect the broader care model timeline. This role serves as a key operational partner to the Workstream PM and Senior Care Model leadership by providing accurate status, maintaining workstream artifacts, and ensuring reliable inputs into integrated reporting. Own day‑to‑day execution of a defined care model workstream, delivering tasks and milestones as planned Develop and maintain task‑level work plans; track actions, owners, dependencies, and due dates Coordinate functional contributors to support timely completion of workstream deliverables Identify and manage workstream‑level risks and issues; propose mitigation options and timing impacts Escalate risks, issues, or slippage impacting the broader care model critical path Provide accurate, timely status updates and inputs to integrated workstream reporti

Become a part of our caring community The Regional Senior TRICARE Community Liaison (TCL) is an important Humana Military representative committed to operational excellence, consistency, and accountability in the administration of TRICARE services within a defined territory in the East Region. You will provide expert guidance to nationally contracted healthcare providers and support facilities who have footprints across both East and West Regions. The primary focus of the Regional Senior TCL is to develop and sustain strong, collaborative relationships with all National Health System providers in the East Region. You will be cover all National contracted providers and large health systems regardless of location or type of care provided. Through clear and concise written and verbal communication, the Regional Senior TCL ensures provider understanding of the TRICARE health plan, TRICARE Policy and Regulations and how to navigate the Military Health System. The Regional Senior TCL is self-directed and uses independent, critical decision-making in managing time, setting priorities, addressing general inquiries, and resolving both straightforward inquiries, complicated problems and concerns raised by providers. This position upholds rigorous operational standards and ensuring consistent, high-quality delivery of TRICARE services. You will support customer service, conduct outreach, maintain network adequacy and access to care. You will manage provider relations and education, and ensure effective provider management within the assigned area. You will lead the review of TRICARE inquiries, complaints, and concerns from beneficiaries, providers, and government personnel, ensuring a resolution through professionalism and integrity. Additional responsibilities involve supporting the implementation of Alternative Payment Methodologies and Demonstration Pilots that adv

Overview The Associate Director of Service Engineering leads the reliability, availability, and operational excellence of Natera’s lab-facing platforms. This role ensures that clinical systems, laboratory equipment workflows, and data pipelines operate with high reliability, scalability, and compliance in a regulated healthcare environment. You will lead a team responsible for production stability, incident response, and service health, partnering closely with Production Engineering, Lab Operations, Bioinformatics, Infrastructure, Facilities, and Compliance to support mission-critical genetic testing and diagnostics. Key Responsibilities Leadership & Team Development Lead, mentor, and scale a team of Service Engineers / SREs supporting clinical production systems Establish clear expectations around ownership, on-call readiness, and operational excellence Drive hiring, onboarding, performance management, and career growth Foster a blameless, learning-oriented culture focused on patient impact and reliability Service Reliability & Production Operations Own reliability and availability for production services supporting laboratory operations, reporting, and customer delivery Define and manage SLAs, SLOs, and operational KPIs aligned with clinical and business priorities Lead major incident response, ensuring rapid triage, clear communication, and thorough post-incident reviews Oversee on-call rotations, escalation paths, and operational playbooks Ensure operational readiness and go-live support for new assays, pipelines, and platform capabilities Technical Strategy & Execution Partner with Engineering and Development teams to design resilient, fault-tolerant systems Drive best practices for monitoring, alerting, logging, and observability across lab and cloud platforms Reduce operational toil through automation, tooling, and process improvements Advocate for reliability, performance, and scalability requirements early in t

Senior Infrastructure Architect — Enterprise Observability and Automation Description - Job Summary Senior individual contributor responsible for the architecture, implementation, and operational ownership of enterprise observability, monitoring, and automation platforms across HP's global IT environment. This role modernizes infrastructure visibility capabilities while ensuring operational stability, security, and compliance. Serves as a technical and operational bridge between infrastructure engineering, cybersecurity, SOX/compliance stakeholders, automation teams, and external technology partners — leading complex initiatives such as platform migrations, enterprise integrations, and governance enablement. Responsibilities Enterprise Observability and Monitoring Application owner and senior technical authority for enterprise monitoring and logging platforms (Datadog, Splunk), including platform governance, roadmap alignment, and operational oversight. Lead enterprise-scale monitoring platform migrations, including architecture design, agent strategy, data ingestion models, vendor coordination, and deployment across 5,000+ servers. Define standards for alerting, dashboards, observability data quality, and integration with ITSM platforms (ServiceNow). Design and manage multi-org Datadog architecture, including org structure, RBAC, SSO/SAML, secrets management, and cybersecurity compliance. Oversee SNMP-based monitoring of storage and network devices, including device profiling, syslog/event integration, and NetFlow collection. SOX Compliance and IT Governance SOX control owner for enterprise monitoring applications — approve monthly reviews, participate in internal/external audits (EY), and maintain ITGC/SOX compliance. Provide audit evidence, walkthrough docu

Become a part of our caring community The Telephonic Quality Outreach Professional supports the EPSDT program requirements in a telephonic outreach environment by evaluating member needs and helping families achieve or maintain an optimal state of wellness. The Telephonic Outreach Care Coach Professional 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically work on straightforward moderate complexity assignments that are routine and structured in nature. The Telephonic Quality Outreach Professional employs a variety of strategies and techniques to coordinate services and resources that facilitate HEDIS gap closure and improve pediatric health outcomes. The supervisor limits decisions to defined parameters around work expectations, quality standards, priorities and timing, and supervises closely and/or works within established policies/practices and guidelines with minimal opportunity for deviation. Position Responsibilities: Telephonic outreach to close HEDIS gaps for Medicaid pediatric population Assist members in addressing barriers to care, including scheduling challenges and transportation needs, to support access to primary care and overall well-being Collaborate with EPSDT Senior Quality Improvement Professional and Coordinator related to strategic outreach to maximize HEDIS outcomes Collaborate with other departments Provide vaccine awareness and education following Bright Futures and EPSDT preventive health guidelines Empower member independence through education and outreach that promote ongoing self-sufficiency in managing preventive and primary care needs Other responsibilities as assigned Use your skills to make an impact Required Qualifications Unrestricted Licensed Practical Nurse (LPN) in

ROLE SUMMARY The Workplace Experience Lead provides leadership, partnership, management and operational expertise to ensure approximately 2.5M sq ft of Groton, CT facilities support the advancement of the R&D pipeline. The site has the greatest concentration of specialty labs in the R&D network consisting of small molecule clinical manufacturing, GxP and non-regulated laboratories, vivarium, technical space (central utility plant) and office workspace facilities. Nearly every breakthrough therapy in the pipeline passes through Groton facilities and processes. This role will have direct oversight and accountability for the dedicated Clinical Research Unit (CRU) located in New Haven, CT and comprised of approximately 62.5K sq ft. This site is focused primarily on early-phase human clinical studies and contains 50&#43; patient inpatient beds. A critical element of the site’s performance is to ensure safe and compliant operations to meet and enable the aggressive timelines and evolving priorities of a first-in-class research organization. Therefore, making possible the delivery of commitments while providing an enabling and engaging work environment where colleagues and contractors can do their best work. ROLE RESPONSIBILITIES Serve as the primary onsite GWE point of contract for site leadership, coordinating responses, solutions, and opportunity resolutions through effective partnership for the entirety of the GWE soft services including but not limited to GMP cleaning, janitorial/housekeeping, food service, shipping and receiving, meetings and events management, churn moves and furniture, groundskeeping, pest control, snow removal, lab services and consumables, and new workplace services. Submit annual OpEx budgets for both the Groton and New Haven campuses (&#43;$11.9M) to the GWE Site Lead for review and approval and accountable for management and oversight to forecast targets. <

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 Aetna Better Health is Aetna’s Medicaid managed care plan. Backed by over 30 years of experience managing the care of those with a broad array of health care needs, our Medicaid plans have demonstrated that getting the right help when you need it is essential to better health. That’s why Aetna® Medicaid plans include the guidance and support needed to connect our members with the right coverage, resources, and care. We are focused on enhancing quality and population health outcomes while integrating CVS assets to bring accessible healthcare to our members. Aetna Better Health of Maryland is seeking an experience leader with vast operational knowledge of Medicaid for its state-wide managed Medicaid business in the role of Chief Operations Officer (COO). The COO role will be strategic and committed to developing colleagues as well as relentlessly pursuing change that is best for the organization and its customers. The COO role will collaborate with the CEO to develop the strategic vision of the Health Plan, policies & procedures, and operational objectives including leading RFP readiness efforts. The COO will oversee high level strategic and operational activities of various plan functional areas which include traditional service operations (Claims, Provider Services, Information Technology, Grievance & Appeals and Member Services) as well as Medical Management (Quality, Netw

EO Communications Programs & Operations Lead Description - Role Summary The EO Communications Programs & Operations Lead serves as the operational backbone of the Enterprise Operations Communications organization, providing enterprise-level program management, governance, planning, and execution leadership across a complex portfolio of executive communications, employee engagement, strategic programs, and transformational initiatives. This role partners closely with the EO Communications Director and EO Communications Team, Corporate Affairs and business stakeholders to drive operational excellence, ensure disciplined execution and enable scalable communications support across Enterprise Operations. Operating with significant independence and enterprise-wide influence, the role establishes governance frameworks, manages cross-functional communications programs, drives reporting and measurement, and ensures alignment between communications priorities and EO business objectives. The successful candidate is a strategic operator who combines strong program management expertise with exceptional stakeholder management, communications acumen, and organizational leadership. Key Responsibilities Communications Program Management Lead planning of EO-wide communications programs and strategic initiatives. Manage integrated communications roadmaps, milestones, dependencies, risks, and deliverables across multiple workstreams. Coordinate cross-functional initiatives spanning executive communications, employee engagement, change management, events, and enterprise campaigns. Drive execution discipline and accountability across complex communications portfolios. Governance & Operations Design and manage intake, prioritization, and governance processes for the EO Com

The Engineering Lead Analyst – Test Automation Platform Engineering is a senior-level technical leadership role responsible for driving the architecture, implementation, management, operational support, and continuous enhancement of enterprise test management and automation platforms. In this role, you will lead efforts to modernize test automation capabilities across the global technology ecosystem. You will architect end-to-end integration workflows, embed automated quality gates into enterprise CI/CD pipelines, and administer as well as operationally support both vendor and internally developed enterprise platforms (e.g., Core Performance Engineering / Performance Center, ALM-Quality Center, Zephyr Enterprise, CSDP / Octane). Additionally, you will play a critical role in production operations—delivering tier-3 platform support to rapidly and safely troubleshoot, triage, and remediate performance and availability issues in complex, distributed production environments. The ideal candidate blends deep hands-on expertise in software testing frameworks, modern DevOps pipelines, containerized infrastructure, message-driven integration, and robust operational resilience practices with strong governance, compliance, and stakeholder leadership skills. Key Responsibilities 1. Platform Engineering & Operational Support Install, configure, upgrade, administer, and support enterprise test management and performance engineering toolsets (e.g., Core Performance Engineering / Performance Center, ALM-Quality Center, Zephyr Enterprise, Core Software Development Platform [CSDP] / Octane). Provide end-to-end operational support for

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 Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Your work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting will report to the Actuary, Analytics/Forecasting. You will play a key role in the Medicare actuarial forecasting process. This position entails the maintenance of the provider revenue and expense projection model and associated tools supporting the projection model. The Actuarial Analyst 2, will be responsible for integrating value-based provider impacts into financial and bid forecasts, managing tools associated with these impacts, and providing guidance on effective risk modeling practices. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. You will collaborate with stakeholders to understand business needs/issues, troubleshoots problems, conduct root cause analysis, and develop cost effective resolutions for data anomalies. You will understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. You will make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction and receives guidance where needed. You will follow established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's Degree Successful completion of at least 3 actuarial exams<

Become a part of our caring community Humana Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and experience. Develop new innovative VBP models for range of provider types, such as behavioral health, maternity, specialists, and social determinants of health, creating glide paths to move providers from volume to value. Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments. Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care. Creation of VBP payment strategies and model design, such as developing payment model logic, performance metrics and benchmarks, and financial terms, which align with segment goals. Design and contribute to development of provider reporting packages to help providers understand their overall and detailed performance. Partner with finance team to conduct impact analysis and modeling for new VBP models. Collaborate with team members and matrixed teams to operationalize and rollout of new VBP models. Contribute to developing solutions to operational gaps. Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data. Ability to translate strategy into models that can be piloted and scaled across markets. <

Become a part of our caring community The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Inbound Contacts Representative serves as a primary point of contact for customers, providing support through phone, digital, and written channels. This role handles a variety of customer inquiries, resolves issues, and delivers accurate information while ensuring a positive customer experience. The position performs moderately complex customer service, administrative, and operational support activities, manages semi-routine assignments with minimal guidance, and exercises sound judgment to support quality service and customer satisfaction. As an Inbound Contacts Representative, you will: Respond to customer inquiries by phone, digital, or written channels, including benefits questions, issue resolution, and member education. Accurately document customer interactions, requests, concerns, and resolutions in applicable systems. Research and resolve customer issues, escalating complex or unresolved matters as appropriate. Apply established policies, procedures, and resources to deliver accurate and timely support. Use critical thinking and sound judgment to address customer needs and recommend solutions. Manage workload effectively, prioritize tasks, and meet quality and service expectations. Work independently within established guidelines while supporting customer satisfaction and business objectives. Use your skills to make an impact Required Qualifications 3

Become a part of our caring community The Medical Assistant 2 is the first point of contact for patient care. Responsible for administrative responsibilities in addition to patient care. The Medical Assistant 2 performs varied activities and moderately complex administrative, operational, and customer support assignments. Typically work on semi-routine assignments. The Medical Assistant 2 performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine administration, phlebotomy, collecting specimens, performing diagnostic screening tests, sterilizing/cleaning equipment, maintaining examination rooms, and documenting information into the electronic medical records system. Collaborate with Physicians and Advanced Practice Providers. Deliver direct patient care dependent on what active certification allows. Decisions typically focus on interpretation of area/department policy and methods for completing assignments. Work within defined parameters to identify work expectations and quality standards, but has latitude over prioritization/timing, and works under minimal direction. Follow standard procedures that allow opportunity for interpretation/deviation or independent discretion. Use your skills to make an impact Required Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5&#43; years of experience and approval from Provider High school diploma or equivalent CPR Certified This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB Bilingual proficiency in English and Spanish - must pass proficiency exam prior to foreign language communication Preferred Certified o