- Elevance Health (Waukesha, WI)
- …**PBM Pricing Strategy Analyst, Senior** is responsible for Administrative Services Only ( ASO ) support functions. **How You Will Make an Impact** Primary duties may ... processes, process improvements, and best practices related to guarantee monitoring and ASO pass back activities. + Creates and implements metrics and supports… more
- Molina Healthcare (Kenosha, WI)
- …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
- Molina Healthcare (Green Bay, WI)
- …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
- Evolent (Madison, WI)
- …satisfaction of designated client partners,their provider networks, and where applicable, ASO employer accounts. **Preferred Experience we look for:** + Master's ... degree in business administration, healthcare administration, public health, analytics, or a related field, master's degree Strongly Preferred. + 10+ years of experience working directly with health plans, health systems or providers to drive clinical,… more
- Molina Healthcare (Milwaukee, WI)
- …but not limited to; fee-for service, capitation and various forms of risk, ASO , etc. **PREFERRED EXPERIENCE** : * 5+ years experience in managed healthcare ... administration and/or Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, groups and hospitals). To all current Molina employees: If… more
- Prime Therapeutics (Madison, WI)
- …as the primary relationship manager for multiple employer/administrative services only ( ASO ) accounts. This position works directly with employer groups to optimize ... pharmacy spend through Prime's products and services, and drives the alignment of Health Plan, Employer and Prime's strategic goals and initiatives. The client for this position is located in New Jersey, preference to someone that lives within the state or the… more
- ManpowerGroup (Milwaukee, WI)
- …of eligibility rules/requirements, employee contribution rates, imputed income rates, COBRA rates, ASO fees, and premiums. In addition, review interface files set up ... between the benefits administration system and vendor systems (determine required fields based on minimum necessary rules, frequency, monitor file testing results, etc.). Ensure the website enrollment process is efficient that provides an excellent member… more
- ManpowerGroup (Milwaukee, WI)
- …of eligibility rules/requirements, employee contribution rates, imputed income rates, COBRA rates, ASO fees, and premiums. In addition, review interface files set up ... between the benefits administration system and vendor systems (determine required fields based on minimum necessary rules, frequency, monitor file testing results, etc.). Ensure the website enrollment process is efficient that provides an excellent member… more
- Molina Healthcare (WI)
- …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
- Prime Therapeutics (Madison, WI)
- …Blue Plan Underwriting and Sales Executive leadership to develop, drive, and execute ASO pricing and margin strategies + Oversees and coordinates workflow for the ... underwriting team + Works with proposal unit to ensure responses, including pertinent definitions and caveats, for the financial responses to all RFPs are complete and accurate + Consults with Legal and Client Engagement to ensure, contractual deal terms,… more