- Elevance Health (Columbus, GA)
- …Manager** is responsible for Pharmacy Services pricing and Administrative Services Only ( ASO ) support functions. **How You Will Make an Impact** Primary duties may ... process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities. + Creates and implements metrics and supports… more
- Elevance Health (Atlanta, GA)
- …+ Experience working in a TPA preferred. + Experience working with fully insured/ ASO groups preferred. For candidates working in person or virtually in the below ... location(s), the salary* range for this specific position is $69,972 to $119,952 Locations: California; Colorado; Illinois; Nevada; New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
- The Hartford (Alpharetta, GA)
- …targets and reinsurance * Working on STD Incurral, Administrative Service Offerings ( ASO ) STD, Leave Management, AMT Tool and SAADD tools. (Pricing tools) ... QUALIFICATIONS: * Bachelor's degree preferred. Desired majors including Risk Management & Insurance, Business, Economics, Finance, Accounting and Math * Strong interpersonal and business communication skills * Minimum of 1+ years of Group Benefits… more
- Elevance Health (Atlanta, GA)
- …the staffing and work flow of the section. + Support CarleonRx on ASO trend guarantees and related activities. **Minimum Requirements:** + Requires a BA/BS degree ... and minimum of 6 years related experience; or any combination of education and experience, which would provide an equivalent background. + FSA required from the Society of Actuaries (SOA). **Preferred Skills, Capabilities and Experiences:** + Previous Pharmacy… more
- Molina Healthcare (Columbus, GA)
- …not limited to, fee-for service, capitation, and various forms of risk, ASO , etc. **Preferred Education** Bachelor's Degree. **Preferred Experience** + 5 years' ... experience in managed healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital… more
- Teradata (Atlanta, GA)
- …to planning artifacts - dimensions, load rules, business rules, calc scripts, MDX, ASO cubes etc. + Experience with Management Reports (MR) and SmartView + Knowledge ... of Agentic AI is a big plus. + Conduct training sessions and workshops for end-users and stakeholders. + Stay updated on industry trends and Oracle EPM product updates to ensure best practices. **What You'll Bring** + Detail-oriented individual with the… more
- State of Georgia (Chatham County, GA)
- …Family Intervention (IFI) Services g. LIGHT ETP programs 8. Attend Carelon's ASO Behavioral Health Quality Reviews and other audits, site visits, inspections, etc., ... as assigned 9. Complaint resolution - follows up on grievances from constituent services as directed and ensure they are properly documented in Zendesk in a timely manner 10. Participates in court hearings as directed by RSA/ DBHDD Legal Department 11. Assist… more
- Public Consulting Group (Atlanta, GA)
- …and posted timely. (20%) **Organizational Relationships** **Reports directly to the ASO Project Manager / Sr. Director of Operations** **Key Qualifications and ... Education Requirements** + Claiming or coding certification desired, preferably with a nationally recognized certify organization, either AAPC (American Academy of Professional Coders) and/or AHIMA (American Health Information Management Association). +… more
- Molina Healthcare (Savannah, GA)
- …not limited to; fee-for service, capitation, and various forms of risk, ASO , etc. **Preferred Education** Bachelor's or master's degree. **Preferred Experience** + ... 5+ years' experience in managed healthcare administration and/or Provider Services. + 5+ years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and… more
- State of Georgia (Fulton County, GA)
- …claim inquiries, working directly with providers and the Georgia Collaborative ASO to achieve resolution. This requires interfacing with the Georgia Collaborative ... technology system. + Respond to Zendesk inquiries requiring advanced issue resolution and customer support. + Develop, update, and maintain training materials, SOPs, and quick reference guides for Yardi users. + Lead Yardi system training sessions for internal… more