- Spokane County (Spokane, WA)
- …Health Care Authority (HCA), DOH, Managed Care Organization (MCO), and SCRBH ( ASO ) standards. + Ensures all pertinent documentation meets medical necessity and ... golden thread standards. + Utilizes the Electronic Medical Record to complete service documentation in a timely manner while supporting medical necessity. + Audits files to ensure accuracy of information. + Participates in development and implementation… more
- Molina Healthcare (Seattle, WA)
- …including but not limited to, fee-for service, capitation and various forms of risk, ASO , etc. **PREFERRED EDUCATION** : Bachelor's Degree in a related field or an ... equivalent combination of education and experience **PREFERRED EXPERIENCE** : * 3+ years experience in managed healthcare administration and/or Provider Services. To all current Molina employees: If you are interested in applying for this position, please… more
- Highmark Health (Olympia, WA)
- …in financial forecasting and industry trends + Knowledge of core health insurance ( ASO ) and ancillary products + Critical thinking and complex problem solving + ... Persuasion and negotiation + Excellent communication skills + Robust network & relationship skills **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based… more
- Molina Healthcare (Everett, WA)
- …not limited to; fee-for service, capitation and various forms of risk, ASO , etc. * Min. 2 years experience managing/supervising employees. **PREFERRED EDUCATION** : ... Master's Degree in a related field or an equivalent combination of education and experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a… more
- Highmark Health (Olympia, WA)
- …of professionals. The scope of responsibility may include; Administrative Services Only ( ASO ); TPA services with an expanded BCI/HNAS offering and management of ... claims funding and cash management. While identifying and driving process improvements across the entire HNAS Business Support and Group Implementation operation, the incumbent actively participates in projects and activities that impact the Sales and… more
- Molina Healthcare (WA)
- …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