Provider Network Relationship Manager in United States

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

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

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

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

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

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

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

We’re looking for a Staff Software Engineer to help shape AI governance for developer tooling at Coder. This role sits on our AI Governance team, which builds and maintains two enterprise-grade components of Coder's AI governance stack. AI Gateway is a centralized LLM gateway that sits between coding agents and providers such as OpenAI or Anthropic, providing organizations with audit trails, token tracking, cost control, and centralized authentication. Agent Firewall wraps those agents with default-deny network policies, controlling which domains and methods they can reach inside workspaces. This team works across the full stack - from Go backend and React frontend to integrating with LLM provider APIs. Day to day, you'll be shipping features, hardening security boundaries, collaborating with enterprise customers on real-world policy needs, and contributing to Coder's open-source ecosystem. What you'll do here Design and build product features that push the standard for remote development in self-hosted environments Create and improve upon popular open source projects that integrate with VS Code, JetBrains, and other developer tools Champion best practices to both internal team members and external contributors Collaborate with Product and Design teams at Coder, as well as with partners like JetBrains, to execute key product integrations Document the design, implementation, and operations of systems for knowledge sharing within the team Work alongside Customer Success teams to support Coder’s enterprise user base Work with cutting-edge AI technologies to create seamless, painless developer experiences Rapidly iterate from prototype to implementation in a highly adaptive, reactive team environment What we're looking for 8+ years of full-stack experience writing code in a professional setting, with 1+ year(s) writing Go (ideally in current or most recent position) Proficiency in building distributed systems in Go Excellent verbal and written communication skills Excep

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. Join Micron as a Senior Manager, Logistics Security Program, where you will have the outstanding opportunity to lead a world-class global security initiative! This role is critical in ensuring the flawless implementation of our logistics security strategy, encouraging collaboration with key partners, and advancing our program to new heights. Responsibilities: Direct Micron’s worldwide logistics security initiative for valuable shipments, establishing strategy, governance, standards, controls, and performance expectations throughout the transportation network. Lead and expand a distributed team of logistics security experts while promoting uniform performance across Asia Pacific, the Americas, Europe, and other priority regions. Maintain a risk-based shipment security framework that assesses lane, geography, modality, theft history, business impact, recovery capability, and other key risk factors. Establish and enforce logistics provider security requirements, including cargo tracking, route compliance, geofencing, chain of custody, tamper detection, monitoring, blocking issue, and recovery protocols. Partner multi-functionally with Procurement, Logistics, Global Security, Legal, Risk, Finance, and business collaborators to integrate security requirements into contracts, procedures, governance, and scorecards. Coordinate logistics security vendors and providers, including selection, performance management, service levels, monitoring operations, recovery capabilities, and corrective ac

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. The Logistics Security Intelligence Analyst supports Micron’s global logistics security program by producing timely, actionable intelligence on shipment risk, cargo theft trends, route exposure, carrier performance, alert activity, and logistics security incidents. This individual contributor role helps strengthen shipment visibility, support incident response, and enable data-driven decisions for valuable and sensitive shipments across Micron’s transportation network. Responsibilities: Collect, analyze, and report on logistics security data related to high-value and high-risk shipments, including shipment value, route risk, carrier performance, tracking status, alert activity, and incident history. Monitor internal, vendor, industry, open-source, and law-enforcement sources for cargo theft trends, route disruptions, regional security developments, and emerging threats. Prepare intelligence summaries, dashboards, route profiles, regional threat updates, incident trend reports, and briefing materials for logistics security leaders and multi-functional collaborators. Support lane, route, carrier, provider, and regional risk assessments by identifying risk indicators, documenting findings, and helping translate analysis into practical control recommendations. Analyze shipment monitoring alerts such as route deviation, unauthorized stop, signal loss, seal breach, geofence violation, cargo separation, and other logistics security events. Support blocking issue and incident response a

We believe that the way people interact with their finances will drastically improve in the next few years. We’re dedicated to empowering this transformation by building the tools and experiences that thousands of developers use to create their own products. Plaid powers the tools millions of people rely on to live a healthier financial life. We work with thousands of companies like Venmo, SoFi, several of the Fortune 500, and many of the largest banks to make it easy for people to connect their financial accounts to the apps and services they want to use. Plaid’s network covers 12,000 financial institutions across the US, Canada, UK and Europe. Founded in 2013, the company is headquartered in San Francisco with offices in New York, Seattle, Washington D.C., Raleigh, London, and Amsterdam. About the Team Our Network Enablement and Access team works to unlock the potential of Plaid's network by broadening and deepening our connections with data partners. We build the capabilities that help data providers participate in the network, strengthen the quality and reliability of those connections, and enable great products and experiences for Plaid's customers. Within Network Enablement and Access, the Data Supply Traffic and Health team owns how Plaid's requests flow to the data providers we depend on. We manage the load placed on each provider, the constraints that shape our access, and the fair allocation of capacity across Plaid's products and new initiatives. As paid access expands across the network, we also work to keep that traffic reliable, efficient, and cost-effective. As the Product Manager for Data Supply Health and Traffic, you will establish and lead a new product area at the foundation of every Plaid product. You will define how Plaid allocates constrained provider capacity, scales traffic across products, and manages the economics of paid data access. You will also optimize for data freshness, balancing timeliness with provider capacity and cost so Plaid's

About the Team Compute Foundations builds the software that manages OpenAI’s GPU compute infrastructure across sites, data centers, and infrastructure providers, supporting model training and inference. Our systems turn large, heterogeneous fleets of machines into dependable compute for research and products. We build Kubernetes-based control planes, controllers, services, and APIs that coordinate the lifecycle of machines and clusters. We connect global infrastructure management with the realities of bare-metal systems, giving clients consistent interfaces across differences in hardware, topology, and provider behavior. About the Role You will build distributed systems that provision, configure, and manage compute throughout its lifecycle. Your work will connect global services and Kubernetes controllers with the systems that bring machines online, update them safely, and recover them when something goes wrong. This role combines software architecture with an understanding of how machines and data centers work. You might design a lifecycle API, improve controller performance under high concurrency and provider rate limits, or trace a provisioning failure from an API through reconciliation to network boot or host configuration. You will help these systems remain reliable as the fleet expands across sites and generations of GPU hardware. We value depth in relevant systems and the ability to connect layers. You do not need to arrive as an expert in every component of the stack. In this role, you will: Design, build, and operate Kubernetes-based controllers and distributed services that coordinate infrastructure across sites, isolate failures, and scale as GPU capacity grows. Define APIs and resource models that let clients request and track lifecycle operations through consistent interfaces across hardware platforms and providers. Build provisioning and configuration services that coordinate network boot, hardware management interfaces, and the deployment of firmware,

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is an individual contributor role. Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with smaller providers ( (i.e. local, individual providers, small groups/systems), services larger provider partners in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals and cost initiatives. What you will do Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers. Manages contract performance in support of network quality, availability, and financial goals and strategies. Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities. Provides network development, maintenance, and refinement activiti

About the Team OpenAI, in close collaboration with our capital partners, is building the world’s most advanced AI infrastructure ecosystem. Our Industrial Compute organization develops and deploys large-scale AI campuses designed to support the next generation of frontier model training and inference workloads. The Hardware Operations team is responsible for ensuring the reliability, availability, and lifecycle health of OpenAI’s compute infrastructure. We partner closely with Data Center Operations, Fleet Health Engineering, Manufacturing, Network Infrastructure, Capacity Planning, and our infrastructure partners to maintain world-class operational performance across rapidly expanding AI environments. As we scale globally, we are building the operational frameworks, reliability standards, and sustaining engineering practices required to support thousands of GPUs and servers across multiple campuses. About the Role We are seeking a Datacenter Hardware Technician Lead to serve as the senior on-site technical authority for hardware reliability and fleet health at one of OpenAI’s flagship AI campuses. This role operates at the intersection of hardware operations, sustaining engineering, and fleet reliability. You will partner closely with Cloud Service Provider operations teams, OpenAI fleet-health engineers, hardware engineering teams, and OEM vendors to identify, diagnose, and resolve hardware issues affecting production systems. Beyond day-to-day operational support, you will drive root cause investigations, reliability improvement initiatives, lifecycle management programs, and operational readiness efforts. You will help establish hardware maintenance standards, operational procedures, and best practices that scale across future OpenAI infrastructure deployments. The ideal candidate combines deep hands-on datacenter hardware expertise with strong troubleshooting, failure analysis, and cross-functional leadership skills. Candidates must be able to sit onsite at our

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. NVIDIA has a rapidly expanding ecosystem of data center platform designs. From single node HGX/DGX systems all the way up to large multi-node NVLink domain rack architectures. These designs have become core to NVIDIA's rapidly growing enterprise and cloud provider businesses. Each brings together the full power of NVIDIA GPUs, NVIDIA NVLink, NVIDIA InfiniBand networking, NVIDIA Grace CPUs, and a fully optimized NVIDIA AI and HPC software stack. We are searching for a highly motivated engineer to lead performance benchmarking and optimization efforts for our data center products. You will be instrumental in ensuring our data center solutions deliver industry-leading performance for accelerated computing workloads. What you will be doing: Design and execute comprehensive performance benchmarking strategies for our data center platforms and products Characterize real-world AI training, inference, and HPC workloads at scale Define, track, and report key performance indicators (throughput, latency, efficiency, scaling) Build automation tools and frameworks for performance monitoring and analysis Identify and analyze performance bottlenecks across compute, memory, network and storage subsystems Work closely with architecture, hardware,