Provider Network Relationship Manager in United States

Become a part of our caring community The Director, Provider Solutions Engineering devises an effective strategy for executing and delivering on IT business initiatives. We ask that you have an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Provider Solutions Engineering serves as the strategic technology leader responsible for defining Humana's Provider engagement and engineering. In partnership with business and operational teams, this role is responsible to identify and implement strategic technology solutions that improve provider engagement, associate effectiveness, and business outcomes. The Director collaborates across a highly matrixed organization to establish technology strategy, drive large-scale transformation initiatives, and deliver modern customer relationship management capabilities that support the end-to-end provider experience. This leader is accountable for translating business priorities into actionable roadmaps, driving execution excellence, strengthening engineering discipline, and ensuring technology investments align with enterprise architecture, regulatory requirements, and organizational objectives. The role is responsible for establishing the future-state Provider engagement vision, accelerating AI-enabled capabilities, modernizing technology platforms, and fostering a high-performing engineering culture that consistently delivers measurable business value. Key Responsibilities Technology Leadership Serve as the strategic technology leader for Provider engagement and related provider experience capabilities. Partner effectively within a matrixed organization to align business priorities, regulatory requirements, architecture standards, and technology investments. Provide strategic dir

NVIDIA has been transforming computer graphics, PC gaming, and accelerated computing for more than 25 years. It’s a unique legacy of innovation that’s fueled by great technology—and amazing people. Today, we’re tapping into the unlimited potential of AI to define the next era of computing. An era in which our GPU acts as the brains of computers, robots, and self-driving cars that can understand the world. Doing what’s never been done before takes vision, innovation, and the world’s best talent. As an NVIDIAN, you’ll be immersed in a diverse, supportive environment where everyone is inspired to do their best work. Come join the team and see how you can make a lasting impact on the world. At NVIDIA, we are seeking a Senior Account Manager who will bring technical and business insight to help grow the Networking business with Cloud Service Providers, leveraging NVIDIA’s fast-growing Datacenter Networking Business. What you'll be doing: You will be an integral part of a small, forward-thinking team responsible for a significant and rapidly growing revenue contribution to the Enterprise products group, the fastest growing and most dynamic segment at NVIDIA. Working with leading CSP to grow deployment of NVIDIA networking solutions Define and drive the discussions, strategy and tactics for achieving revenue growth Partner and collaborate with technical teams on roadmap updates, new designs, competition Representing the customer’s strategy & needs to internal stakeholders and vice versa Delivering a concise state of the business at any given time What we need to see: Bachelor’s degree or higher in related field (or equivalent experience). 12&#43; years of Technical Sales or Product Management with focus on Data Center Networking for CSPs An understanding of the business and technology landscape of CSP Data Center Networking <l

Citi Wealth is a leading provider of financial solutions for affluent, high net worth and ultra-high net worth clients around the world. Our Private Bankers, Financial Advisors and Product Specialists act as trusted advisors to many of the world’s most successful and influential individuals and families. We provide global insights informed by deep local knowledge and help deliver the complete financial management strategies that today’s wealth requires. Our comprehensive services are tailored to individuals and families, including entrepreneurs and business owners, single-and multi-family offices, senior corporate executives, next generation/inherited wealth, law firms and attorneys. From investment strategy, to banking, to lending and cash management we are here to support our clients comprehensively. Our goal is to deliver a premier level of service while helping clients preserve, grow and manage their wealth. Lending is a key product offering within Citi Wealth. Lending provides competitive borrowing solutions that are strategically integrated into our client’s broader Wealth Management goals. Our team provides lending solutions across all four client segments including Citi Private Bank, Wealth at Work, Citi Private Client and Citigold as part of their wider Citi relationship. US Credit Card solutions are provided to Wealth clients via US Consumer Cards. This role will oversee the relationship with US Consumer Cards in partnership with our Wealth Business and Operations teams. This role will sit within the Wealth Lending Business Strategy and Governance, which is part of the Citi Wealth Lending team. Key Responsibilities Support the ongoing development and enhancement of the Wealth US Credit Card offering in partnership with US Consumer Cards Act as a key point of contact for Bankers and Financial Advisors for US Cards-related inquiries and escalations Assist in managing d

About The Weather Company: The Weather Company is the world’s leading weather provider, helping people and businesses make more informed decisions and take action in the face of weather. Together with advanced technology and AI, The Weather Company’s high-volume weather data, insights, advertising, and media solutions across the open web help people, businesses, and brands around the world prepare for and harness the power of weather in a scalable, privacy-forward way. The world’s most accurate forecaster globally, the company reaches hundreds of enterprise clients and more than 360 million monthly active users via its digital properties from The Weather Channel (weather.com) and Weather Underground (wunderground.com). AI is part of how we work: Human judgment, expertise, and creativity remain essential and are amplified by AI. We expect everyone in this role to use AI thoughtfully and proactively to accelerate their performance, improve the quality of their work, and explore new possibilities. We are looking for people who are curious, adaptable, and excited to help shape an AI-enabled culture that delivers better outcomes for our customers and our company. Job brief: We are seeking a Lead of Data Instrumentation & Growth Measurement to serve as the connective tissue between Product (Web, iOS, Android) and Marketing (Lifecycle, Performance Marketing). In this role, you will eliminate data disparity, establish a unified enterprise event taxonomy, manage Server-Driven UI (SDUI) dynamic tracking schemes, and lead incrementality testing to ensure marketing spend is optimized. You will also oversee performance marketing capabilities, configuring Server-Side Tagging (CAPI), Google Tag Manager (GTM), and a targeted GA4 conversion infrastructure. You will partner with product managers, developers, and specialized agency partners to overhaul our Amplitude environment and build transparent attribution pipelines. The impact you'll

About The Weather Company: The Weather Company is the world’s leading weather provider, helping people and businesses make more informed decisions and take action in the face of weather. Together with advanced technology and AI, The Weather Company’s high-volume weather data, insights, advertising, and media solutions across the open web help people, businesses, and brands around the world prepare for and harness the power of weather in a scalable, privacy-forward way. The world’s most accurate forecaster globally, the company reaches hundreds of enterprise clients and more than 360 million monthly active users via its digital properties from The Weather Channel (weather.com) and Weather Underground (wunderground.com). AI is part of how we work: Human judgment, expertise, and creativity remain essential and are amplified by AI. We expect everyone in this role to use AI thoughtfully and proactively to accelerate their performance, improve the quality of their work, and explore new possibilities. We are looking for people who are curious, adaptable, and excited to help shape an AI-enabled culture that delivers better outcomes for our customers and our company. Job brief: The Weather Company reaches hundreds of millions of people through the world's most-used weather apps. We're hiring our first dedicated Growth PM to own how new and existing users discover value — starting with onboarding and activation, then expanding into the habit and retention loops that turn casual weather-checkers into daily users. The impact you'll make: Drive Core Business Metrics: Measurably improve Day 0 (D0) registration and subscription conversion rates across our primary growth funnels. Expand Engagement Touchpoints: Increase notification opt-in rates and drive surface-level engagement through higher widget adoption. Accelerate Experiment Velocity: Scale our experimentation framework to ship more tests per quarter and shorten decision-making cycles. Unify the Cross-Platform Experien

Become a part of our caring community The Medical Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment. As the Medical Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions. Work with teams to improve documentation, data integrity, and workflow processes Use your skills to make an impact Required Qualifications AHIMA or AAPC CPC (Certified Professional Coder) Certification 3 or more years of medical coding education or auditing in a healthcare setting experience Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience interpreting large data sets Demonstrated knowledge of healthcare risk adjustment, including HCC coding and CMS-HCC model version 28. Experience speaking with leadership, webinars public speaking or presentation skills with healthcare providers Live in NC, SC, GA, VA or TN Preferred Qualifications Bachelor's Degree Value-based care Primary care Medicare Risk Adjustment kn

Become a part of our caring community Humana is looking for Inbound Contacts Representatives to be a part of our Provider Call Center; you are often the first human connection our members have with us. Working remotely, you will report to the Inbound Contacts Supervisor and be a part of the Medicare team. Every interaction is an opportunity to solve a problem, reduce frustration, and create trust. You will support members and providers by answering benefit questions, resolving concerns, and guiding them through next steps, helping ensure they feel informed and supported. This role is ideal for someone who enjoys helping others and takes pride in delivering a high-quality customer experience. As an Inbound Contacts Representative 2, you will: Handle 40&#43; inbound calls daily from providers in a back-to-back call center environment Address multiple members and provider needs, including benefit questions, service issues, and general inquiries Escalate unresolved and pending customer grievances Document all interactions, actions taken, and outcomes in internal systems Resolve routine to moderately complex issues by following established guidelines and workflows Identify issues requiring escalation and ensure handoff to the appropriate teams Meet quality, productivity, and customer experience expectations What Success Is: Providers feel heard, supported, and satisfied with their experience You are proactive and resolve issues on the first contact whenever possible Documentation is complete, clear, and compliant Experience empathizing with frustrated customers, and accountability in every interaction Use your skills to make an impact Required: 2&#43; years of Customer Service experie

What is PerfectServe? PerfectServe is a leading provider of clinical communication and physician scheduling solutions in the health IT space. The company was founded in 1997 and has grown steadily since then, with a notable jump after several major acquisitions were announced in 2019. PerfectServe now has 400+ employees, 30,000+ customers — spanning medical practices, hospitals, and health systems — and $100 million+ in annual revenue. PerfectServe’s mission is to accelerate speed to care by optimizing provider schedules and routing communications — including messages, pages, calls, and alerts — to the right place at the right time in any care setting. By facilitating real-time information sharing, building better schedules, and automating important clinical workflows, we believe we can help our customers advance patient care and improve the well-being of their clinicians. Leading analyst firms like Gartner® and KLAS Research have consistently validated our approach: In 2026, PerfectServe was named highest in execution and furthest in vision in the Gartner Magic Quadrant™ for Clinical Communication and Collaboration — the clear segment leader. PerfectServe also received two Best in KLAS awards in 2026 — one for physician scheduling and another for ambulatory clinical communications. That makes for 11 Best in KLAS awards over the past 9 years. At PerfectServe, you'll have a unique opportunity to join a collaborative team with decades of experience that finds new ways to delight our customers every day. This involves consistent efforts to stay on the cutting edge of product development, which includes everything from implementing AI in new and existing solutions to brainstorming with customers about novel workflows. But you don't have to be in product to make in impact — everybody at PerfectServe contributes to important work that moves the business forward. If you're looking for a well-established, tech-forward company full of smart people doing meaningful work

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. <

We are developing advanced multi-rack, multi-tenant AI/ML datacenters with NVIDIA GB200, and upcoming GB300 GPUs. NVIDIA seeks a Senior Software Engineer for our CSP (Cloud Service Provider) Engagements team to focus on the cloud-native stack for datacenter products like GB200. In this role, You will define customer workflows, prototype stack enhancements, and debug the toughest Kubernetes &#43; Slurm issues in multi-rack, multi-tenant AI datacenters. You'll tackle complex scheduling challenges across racks, tenants, and clouds as part of the CSP engagements team. What you’ll be doing: Perform deep-dive debugging of multi-rack, multi-tenant clusters: scheduler behavior, container runtime issues, device-plugin crashes, RDMA/IB fabric anomalies, etc. Gather customer requirements and prototype feature extensions for Kubernetes operators, Slurm plugins, and custom micro-services that expose new GPU capabilities. Drive joint architecture reviews and “whiteboard” sessions with CSP and internal platform teams; convert findings into RFCs and upstream pull requests. Create reproducible testbeds (Helm/Ansible/Terraform) that mirror customer environments; automate validation and benchmark suites. Deliver technical collateral-design docs, how-to guides, demo scripts-and present at customer on-sites, KubeCon, and SlurmUG. Collaborate with AE, FAE, and Solution Architect teams to deliver integrated customer solutions and technical documentation. What we need to see: Strong source-level expertise in Kubernetes internals (scheduler, CRI/CNI/CSI, operators) and Slurm (federation, power-save, plugins). Hands-on experience integrating next-gen GPUs (Blackwell/GB200/GB300) or comparable accelerators into containerized clusters. Proven track record debugging large-scale, cloud-native stacks across ne

Become a part of our caring community Join a high-impact leadership role at the forefront of healthcare transformation. As the Lead Enterprise Architect, you will shape the future of technology across a complex and rapidly evolving healthcare ecosystem spanning payer, provider, pharmacy, clinical, corporate, and digital technology domains. This is an opportunity to influence enterprise-wide strategy, drive modernization at scale, and partner directly with executive leadership to deliver innovative, secure, and resilient technology platforms that improve business outcomes and healthcare experiences. You'll collaborate with senior tech domain leaders, product and engineering teams, infrastructure organizations, and cybersecurity stakeholders to define modern architecture standards, accelerate innovation, and enable scalable enterprise capabilities across the organization. We're looking for a strategic technology leader who combines deep architecture expertise with strong business acumen and healthcare industry knowledge. The ideal candidate is passionate about solving complex enterprise challenges, influencing organizational direction, and building future-ready platforms that balance agility, performance, security, and operational excellence. You will report to an Associate Director of Enterprise Architecture. The Lead Enterprise Architect is responsible for defining enterprise-wide technology strategy and architecture standards. These standards and modernization roadmaps apply across a complex healthcare ecosystem, which spans payer, provider, pharmacy, clinical, corporate, and tech domains. Additionally, the Lead Enterprise Architect governs digital transformation initiatives. This role partners with executive leadership, product teams, engineering organizations, infrastructure teams, cybersecurity, and business stakeholders to drive enterprise architect

Location: Remote Orca is expanding into new product verticals, bringing a new class of regulated assets on-chain with the compliance infrastructure and liquidity primitives to make them actually work. Our ambition reaches beyond becoming the leading provider of financial primitives in crypto—we aim to reshape the foundation of finance itself. If you are someone who is tired of just working another job and wants to build something meaningful, then we invite you to join our team. We’re always looking for talented individuals to join our growing team. If you think your skills can contribute to Orca's mission, but don’t see a specific role that matches your expertise in our current open positions, we’d love to hear from you. By submitting your resume here, you’ll be considered for future opportunities that align with your background and interests. If there’s a potential fit for an existing or upcoming opportunity, our team will get in touch. While we’d love to respond to everyone, we’re unfortunately unable to provide individual updates on all open applications. What Orca offers Competitive Salary. Bonus AND Token allocation. Flexible work schedule. Home office stipend. Wellness stipend. Opportunity to co-work with the team multiple times a year from at different locations around the world, fully covered by Orca. Option to work remotely or from Orca’s office in New York City. Paid subscriptions to GitHub Copilot, ChatGPT, or other tools that make you more productive. About: https://orca.so Twitter: https://x.com/orca_so Discord: https://discord.orca.so Podcast: https://orcapod.orca.so Orca is an equal opportunity employer.

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

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

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