- Elevance Health (Waukesha, WI)
- …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
- Molina Healthcare (Milwaukee, 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
- Teradata (Madison, WI)
- …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
- Public Consulting Group (Madison, WI)
- …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 (Kenosha, 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) * Experience in managed long-term… 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
- Highmark Health (Madison, WI)
- …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